Clinical trial NCT04417855: Lumbar Kinematics in People With the Low Back Pain
Official title: The Effect of Lumbar Disc Herniation on the Kinematics in Lumbo-pelvic Region During Daily Living Activities.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Lumbar Disc Herniation
Protrusion
Extrusion of Migrated Disc
Hernia
Keywords: degenerative disc disease
protrusion
extrusion
gait
kinematics
Lead sponsor: Wroclaw University of Health and Sport Sciences
Sponsor class: OTHER
First posted: 2020-06-05
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Primary care clinic, students

Brief summary: This study evaluates the effect of lumbar disc herniation on kinematics in the lumbopelvic region during daily living activities.

Detailed description: Lumbar disc herniation (LDH) is one of the causes of low back pain and contributes to increasing the socio-economic problem. Depending on the reason for the dysfunction, various classifications describing the level of advancement are used. The literature on the subject commonly uses the division into protrusion and extrusion of the intervertebral disc, as approved by the American Society of Neuroradiology.

The lumbopelvic kinematics, including gait and daily living activities, can be affected by the LDH: protrusion or extrusion. This pathology may be different due to the direction of disc migration: centre, left, right or all mentioned. Therefore, we believe that from the different direction of the disc migration the different symptoms can be observed.

Eligibility criteria: Inclusion Criteria:

* disc disease located in the lumbar region of the spine confirmed in the MRI
* subacute stage of the disease
* age 18-35 years

Exclusion Criteria:

* advanced degenerative-deformation changes of the spine
* previous fracture of the spine
* neurologic deficits in lower limbs or pelvis
* spondylolisthesis
* transitional vertebra
* rheumatic diseases

Primary outcomes:
measure: Timed Up and Go test (TUG)
timeFrame: 5 minutes
measure: 6-meter walking test
timeFrame: 5 minutes
Secondary outcomes:
measure: Oswestry Disability Index (ODI)
timeFrame: 15 minutes
Other outcomes:
Locations:
city: Wrocław
country: Poland
facility: theMedicine
state: Dolnośląskie
Study officials:
References:
citation: Shahvarpour A, Gagnon D, Preuss R, Henry SM, Lariviere C. Trunk postural balance and low back pain: Reliability and relationship with clinical changes following a lumbar stabilization exercise program. Gait Posture. 2018 Mar;61:375-381. doi: 10.1016/j.gaitpost.2018.02.006. Epub 2018 Feb 9.
citation: Kuwahara W, Kurumadani H, Tanaka N, Nakanishi K, Nakamura H, Ishii Y, Ueda A, Deie M, Adachi N, Sunagawa T. Correlation between spinal and pelvic movements during gait and aggravation of low back pain by gait loading in lumbar spinal stenosis patients. J Orthop Sci. 2019 Mar;24(2):207-213. doi: 10.1016/j.jos.2018.09.002. Epub 2018 Oct 12.
citation: Kuai S, Zhou W, Liao Z, Ji R, Guo D, Zhang R, Liu W. Influences of lumbar disc herniation on the kinematics in multi-segmental spine, pelvis, and lower extremities during five activities of daily living. BMC Musculoskelet Disord. 2017 May 25;18(1):216. doi: 10.1186/s12891-017-1572-7.