Clinical trial NCT02112760: Specific Stabilization Exercise With Ultrasound Feedback For Patient With Recurrent Low Back Pain
Official title: Specific Stabilization Exercise With Ultrasound Feedback For Patient With Recurrent Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Recurrent Low Back Pain
Keywords: specific stabilization exercise
ultrasound
low back pain
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
Collaborators: name: National Health Research Institutes, Taiwan
First posted: 2014-04-14
Enrollment: 72
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: 1. Specific aim 1:Identify factors that influence muscle performance by use of ultrasound imaging.

   Hypothesis: Gender, age, and BMI affect the muscle performance of deep trunk muscles.
2. Specific aim 2. To compare the performance of trunk deep muscles (transversus abdominis and multifidus) and the sensation and pain thresholds of patients with recurrent low back pain with asymptomatic subjects.

   Hypothesis: patients with recurrent low back pain have:

   (A) less activation of the transversus abdominis and multifidus, (B) peripheral and central sensitization, with decreased sensation and pain thresholds in the lumbar and foot areas.
3. Specific aim 3. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by use of ultrasound feedback training in asymptomatic adults, and to compare these results with the traditional training protocols for trunk stabilization.

   Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in asymptomatic adults.
4. Specific aim 4. To determine the performance of the transversus abdominis and multifidus, and the sensation and pain thresholds by using the ultrasound feedback training in adults with low back pain, and to compare these results with the traditional training protocols for trunk stabilization.

Hypothesis: Specific stabilization exercise using ultrasound feedback training is more effective in activating deep trunk muscles and increasing sensation and pain thresholds than the traditional stabilization training protocol in adults with low back pain.


Eligibility criteria: Inclusion Criteria:

* recurrent low back pain for at least the past year
* lumbar region discomfort more than one day in the past three months
* recurrent discomfort more than one time in the past three months

Exclusion Criteria:

* pregnancy
* carcinoma
* systematic disease (rheumatic arthritis, ankylosing spondylitis etc)
* had surgery on lumbar region or lower extremities
* neurological symptom on lower extremities(numbness, pain etc)
* spondylolisthesis

Primary outcomes:
measure: Increased change of sliding of transversus abdominis muscle and change of thickness on multifidus muscle in asymptomatic and low back pain group
timeFrame: pre treatment (0 week), post treatment(6 week)
Secondary outcomes:
measure: Decrease cold sensation threshold on left back and hot sensation threshold on left leg in both group
timeFrame: pre treatment (0 week), post treatment(6 week)
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: School of Physical Therapy, National Taiwan University
state: ZhongZeng District
Study officials:
affiliation: chool of Physical Therapy, National Taiwan University
name: Shwu-Fen Wang, Ph.D
role: STUDY_DIRECTOR
References: