Visceral Somatization and Low Back Pain.

Study Overview
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Brief Summary
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This study aims to verify the significance of the inclusion of procedures of a comprehensive therapeutic approach according to Eastern techniques to classical physiotherapy and to find out whether these Eastern techniques can contribute to the enrichment of standard physiotherapy. According to TCM and Ayurveda, another goal is to develop appropriate regimen measures to create a yoga regimen suitable for patients who have renal and bladder dysfunction according to TCM and whose main common symptom is chronic non-specific low back pain. The study is based upon comparing a four-week physiotherapy program according to the physician's indication and a physiotherapy program enriched with compiled regimen measures and yoga exercises in selected probands.

Detailed Description
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Two groups of probands were used - an experimental and control group. There were 6 probands in each group. The four-week therapy effect, which took place twice a week for 60 minutes, was compared. The control group received physiotherapy, as indicated by the physician. According to TCM and Ayurveda, the experimental group underwent physiotherapy as indicated by a doctor enriched with yoga exercises and regime measures. It was asked to perform yoga exercises daily at home. The therapy's effect was evaluated using the Short-form-36 Health-related Quality of Life Questionnaire (HRQoL), the VAS scale of pain intensity, the number of responses in the anamnestic questionnaire the author compiled the kinesiological analysis.

Official Title
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Physiotherapy of Patients With Low Back Pain of Viscerovertebral Etiology.

Conditions
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Lumbar Strain

Intervention / Treatment
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* Other: additional therapy
* Other: conventional physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: More than half of the answers in the anamnestic questionnaire (n ≥ 14) More than half of the answers in the kinesiological analysis (n ≥ 7) Lower back pain lasting longer than 12 weeks Degree of pain ≥ 3 on a visual analog scale Exclusion Criteria: Neurological or other structural cause of lower back or other pain key symptoms Serious systemic diseases (DM, heart or cancer) Contraindications to movements of the spine and other root joints of the body in full scope Pregnancy Simultaneous completion of another physiotherapeutic intervention, yoga exercise or treatment according to TCM Use of analgesics, antiphlogistics or muscle relaxants during therapy

Ages Eligible for Study
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Minimum Age: 26 Years
Maximum Age: 54 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: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Patients with musculoskeletal pain in the lumbar region. Patients with typical symptoms of functional dysfunction of kidney undergo conventional physiotherapy and an alternative approach by yoga set exercising and regimen restriction according to traditional Chinese medicine. | Other: additional therapy<br>* Using conventional physiotherapy together with additional yoga exercising and regimen restriction acc to TCM.<br>Other: conventional physiotherapy<br>* Using conventional physiotherapy only.<br>|
| Active Comparator: control group<br>Patients with musculoskeletal pain in the lumbar region. Patients with kidney dysfunction symptoms treated by conventional physiotherapy only. | Other: conventional physiotherapy<br>* Using conventional physiotherapy only.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| level of quality of life | using Short Form 36 questionnaire, minimum 100 points, less score is the sign of better quality of life, maximum = 900 points = the worst quality of life | 50 minutes | 
| intensity of pain | visual analog scale 0-10, 0=the best and without pain, 10=the worst pain. | 2 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Physiotherapy, low back pain, Chinese medicine, Yoga