Postural Re-education in Low Back Pain

Study Overview
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Brief Summary
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The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.

Detailed Description
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In some countries there is a physical therapy method called Global Posture Reeducation (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.

Official Title
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Effectiveness of a Global Posture Reeducation Program for Patients With Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: Global Postural Re-education
* Other: Standard Exercise Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Lumbalgia Diagnosis Age 18-80 Exclusion Criteria: Migrated hernia Calcified disc hernia Spondylolisthesis Other physiotherapeutic interventions within 6 months of the baseline assessment. Surgical operation within six months of baseline Cancer syndrome, Neurological and rheumatic diseases

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: GPR<br>Global Postural Re-Education | Other: Global Postural Re-education<br>* The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction<br>* Other names: GPR;|
| Active Comparator: SEP<br>Standard Exercise Programm | Other: Standard Exercise Training<br>* The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.<br>* Other names: SEP;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Roland & Morris Disability Questionnaire |  | Baseline, 3 months, 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry Disability Index |  | Baseline, 3 months, 6 months | 
| Pain Drawing and Visual Analogue Scale (V.A.S.) |  | Baseline, 3 mounths, 6 months | 
| Fingertip-to-floor test |  | Baseline, 3 mounths, 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise, low back pain, posture, rehabilitation