Efficacy of Postural Reeducation in Elite Gymnasts With Back Pain

Study Overview
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Brief Summary
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Introduction: Low back pain is a musculoskeletal disorder that is associated with symptoms such as pain, limitation of joint range and postural problems in athletes. Methods: The study design is a randomized controlled clinical trial with a minimum of 35 elite gymnasts with back pain. Two postural treatments will be implemented, Mezieres Method and Isostretching to verify if there is improvement of back pain in gymnasts and to compare both procedures. Discussion: This trial could generate a greater understanding of the importance of posture related to low back pain and its possible treatments.

Detailed Description
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A randomized controlled clinical trial with two groups (intervention and placebo) will be implemented. The intervention group will have the Mezieres technique as postural treatment while the placebo group will follow a total of 6 isostretching positions. In total, the two treatments with 30 minutes and duration or with a frequency of 2 weekly sessions will be implemented for a period of 12 weeks. All treatments will be performed by the same certified therapist and with a minimum of 5 years of experience in postural treatments. The measurements will be made immediately after the first session, in 2 weeks, 6 weeks and in the last week of intervention by a blind researcher who did not participate in the treatments, but with experience in this field.

Official Title
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Efficacy of Postural Reeducation in Elite Gymnasts With Back Pain. A Randomized Clinical Trial

Conditions
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Back Pain, Back Strain Lower Back, Athletic Injuries

Intervention / Treatment
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* Other: Mezieres Postural Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Elite gymnastic athletes with low back pain Active participation in the national competition Practice at least three times a week for 60 minutes Minimum training time of 7 hours a week Exclusion Criteria: Gymnast whom suffer from chronic disease or acute musculoskeletal injury Herniated disc Spondylolisthesis

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mezieres Group<br>This intervention includes a total of three postures of the Mézières therapy. Specifically, the postures maintained for 12 weeks consist of: supine dancer; in supine position with the upper extremities abducted 120 °; and dancer in a sitting position. | Other: Mezieres Postural Treatment<br>* Implementation of 12 weeks suitable postures of Mezieres method<br>|
| Active Comparator: Isostretching Group<br>This study aims to follow a total of 6 isostretching postures, the most similar to the Mezieres method. In each of the isostretching positions, if it is symmetric, 3, 6 or 9 repetitions will be performed and if it is asymmetric, 2, 4, or 8 repetitions. | Other: Mezieres Postural Treatment<br>* Implementation of 12 weeks suitable postures of Mezieres method<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Back status | Measured with Oswestry questionaire. It consists of 10 categories. Each category consists of 6 items scored from 0 to 5 with the first statement scoring 0 until the last statement scoring 5. | 12 weeks | 
| Back disability | Measured with Roland Morris Questionaire wich consist in 24 points of back disability actual phrases | 12 weeks | 
| Range of motion | Measured with Baiobit software | 12 weeks | 
| Pain intensity | Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10 | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Subjetive tension perception | Measured with Borg Scale, which include a rating of 6 perceiving no exertion at all to 20 perceiving a maximal exertion of effort. | 12 weeks | 
| Spinal curvature evaluation | Measured with Spinal Mouse Software | 12 weeks | 
| Stiffness test | Measured with Baiobit software | 12 weeks | 
| Posture stability | Measured with stabilometry with a duration of 50 seconds with Lizard posturometric and stabilometric platform | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Physiotherapy, Rehabilitation, Treatment, Isostretching, Postural treatment