Clinical trial NCT05174091: A Comparıson of in People Wıth and Wıthout Non-Specıfıc Low Back Paın
Official title: A Comparıson of Functıonal Movemenet Screen, Physıcal Capacıty, Core Endurance, and Spınal Mobılıty in People Wıth and Wıthout Non-Specıfıc Low Back Paın
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Low Back Pain
Keywords: Functional
Movement
Screen
Core
Endurance
Physical capacity
Lead sponsor: University of Beykent
Sponsor class: OTHER
First posted: 2021-12-30
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: 18-65, • having pain between the last rib and inferior gluteal region more than 3 months

Brief summary: Non-Specific Low Back Pain (NSLBP), which constitutes approximately 90-95% of low back pain, is low back pain that cannot be defined by specific pathologies such as infection, tumor, osteoporosis, fracture, radicular symptoms or inflammatory diseases. NSLBP creates many health problems due to uncertainties in both its diagnosis and treatment. Due to the health problems and decreased functional activities of the individual, it creates a socioeconomic burden on both the individual and the country. NSLBP ranks 6th in the distribution of the economic burden caused by diseases to developed and developing societies. It is difficult to calculate how much burden it puts on the country's economy both directly (health institutions) and indirectly (loss of working days). However, in 1996 in the United States (USA), the economic burden of NSLBP patients is estimated to be between 18.5 and 28.2 million.

Detailed description: Non-Specific Low Back Pain (NSLBP), which constitutes approximately 90-95% of low back pain, is low back pain that cannot be defined by specific pathologies such as infection, tumor, osteoporosis, fracture, radicular symptoms or inflammatory diseases. NSLBP creates many health problems due to uncertainties in both its diagnosis and treatment. Due to the health problems and decreased functional activities of the individual, it creates a socioeconomic burden on both the individual and the country. NSLBP ranks 6th in the distribution of the economic burden caused by diseases to developed and developing societies. It is difficult to calculate how much burden it puts on the country's economy both directly (health institutions) and indirectly (loss of working days). However, in 1996 in the United States (USA), the economic burden of NSLBP patients is estimated to be between 18.5 and 28.2 million.

Although the age of first appearance of NSLBP is in the middle of the second decade and the beginning of the third decade, its prevalence increases until the middle of the sixth decade. NSLBP, which is more common in women aged 40-69 years, is more common in high-income countries. Due to the complex nature of the etiology of NSLBP, it is very difficult to define the risk factors. However, there may be many risk factors such as age, race, gender, muscle strength, body mass index, smoking, spine mobility. Since the underlying cause is not clear, there is currently no suitable evaluation and treatment method. For this, the patient's muscle strength, endurance, range of motion, physical capacity and functional movement analysis should be evaluated and interpreted.

Eligibility criteria: Inclusion Criteria for the NSLBP:

* Being between the ages of 18-65,
* getting more than 24 points in the minimental test,
* having pain between the last rib and inferior gluteal region,
* being diagnosed with NSLBP, presence of low back pain for more than 3 months, -volunteering to participate in the study.

Inclusion criteria for the Without NSLBP group;

* Being between the ages of 18-65,
* getting over 24 points in the minimental test,
* not having low back pain in the last 3 months,
* volunteering to participate in the study were determined.

Exclusion Criteria:

* uncontrollable hypertension and heart disease,
* uncontrollable neurological and metabolic disease,
* trauma history in the last 6 months,
* serious musculoskeletal problem and other pathology that may adversely affect balance,
* severe mental involvement, lower extremity amputation,
* presence of nerve pressure, non-voluntary

Primary outcomes:
measure: Functional Movement Screening (FMS) (Functional Movement Patterns)
timeFrame: 1 day
measure: Spinal Mobility
timeFrame: 1 day
Secondary outcomes:
measure: Oswetry Disability Index
timeFrame: 1 day.
measure: Functional Reach Test
timeFrame: 1 day.
measure: Two Minutes Step Test
timeFrame: 1 day.
measure: Time Up and Go Test
timeFrame: 1 day.
measure: The Trunk Flexor Endurance Test
timeFrame: 1 day
measure: The Trunk Extensor Endurance Test
timeFrame: 1 day
measure: Trunk Lateral Muscle Endurance Test
timeFrame: 1 day.
measure: Numeric Pain Rating Scale
timeFrame: 1 day.
measure: Sociodemographic Information
timeFrame: 1 day
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Beykent University
state: Beylikdüzü
Study officials:
References:
citation: Ahmadi H, Adib H, Selk-Ghaffari M, Shafizad M, Moradi S, Madani Z, Partovi G, Mahmoodi A. Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain: a randomised control trial. Clin Rehabil. 2020 Dec;34(12):1449-1457. doi: 10.1177/0269215520947069. Epub 2020 Jul 29.
citation: Kellis E, Adamou G, Tzilios G, Emmanouilidou M. Reliability of spinal range of motion in healthy boys using a skin-surface device. J Manipulative Physiol Ther. 2008 Oct;31(8):570-6. doi: 10.1016/j.jmpt.2008.09.001.
citation: Vachalathiti R, Sakulsriprasert P, Kingcha P. Decreased Functional Capacity in Individuals with Chronic Non-Specific Low Back Pain: A Cross-Sectional Comparative Study. J Pain Res. 2020 Aug 5;13:1979-1986. doi: 10.2147/JPR.S260875. eCollection 2020.
citation: Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function - part 1. N Am J Sports Phys Ther. 2006 May;1(2):62-72.