Clinical trial NCT00789204: Postural Re-education in Low Back Pain
Official title: Effectiveness of a "Global Posture Reeducation" Program for Patients With Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Low Back Pain
Keywords: exercise
low back pain
posture
rehabilitation
Lead sponsor: University of Bologna
Sponsor class: OTHER
First posted: 2008-11-11
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Roland & Morris Disability Questionnaire
timeFrame: Baseline, 3 months, 6 months
Secondary outcomes:
measure: Oswestry Disability Index
timeFrame: Baseline, 3 months, 6 months
measure: Pain Drawing and Visual Analogue Scale (V.A.S.)
timeFrame: Baseline, 3 mounths, 6 months
measure: Fingertip-to-floor test
timeFrame: Baseline, 3 mounths, 6 months
Other outcomes:
Locations:
city: Roma
country: Italy
facility: Ecm Eur Centro Medico
state: Lazio
Study officials:
name: Francesca Bonetti, Laurea
role: PRINCIPAL_INVESTIGATOR
References:
citation: Vanti C, Generali A, Ferrari S, Nava T, Tosarelli D, Pillastrini P. [ General postural rehabilitation in musculoskeletal diseases: scientific evidence and clinical indications]. Reumatismo. 2007 Jul-Sep;59(3):192-201. Italian.
citation: Fernandez-de-Las-Penas C, Alonso-Blanco C, Morales-Cabezas M, Miangolarra-Page JC. Two exercise interventions for the management of patients with ankylosing spondylitis: a randomized controlled trial. Am J Phys Med Rehabil. 2005 Jun;84(6):407-19. doi: 10.1097/01.phm.0000163862.89217.fe.
citation: Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005 Jul 20;2005(3):CD000335. doi: 10.1002/14651858.CD000335.pub2.
citation: Bonetti F, Curti S, Mattioli S, Mugnai R, Vanti C, Violante FS, Pillastrini P. Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010 Dec 16;11:285. doi: 10.1186/1471-2474-11-285.