Clinical trial NCT03784144: Effect of the Cognitive Strategy During Trunk Muscle Endurance in Patients With Lumbar Hernia Surgery
Official title: Effect of the Cognitive Strategy During Trunk Muscle Endurance in Patients With Lumbar Hernia Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Back Pain
Disk Herniated Lumbar
Keywords: Muscle endurance
Biering-Sorensen Test
Prone Plank Test.
Dual task
time to failure
Lead sponsor: Hospital San José, Chile
Sponsor class: OTHER
Collaborators: name: Hospital Clínico La Florida
First posted: 2018-12-21
Enrollment: 15
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Each test will be assessed in different days following a randomized order.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Muscle endurance will be evaluated on two exercises: Biering-Sorensen Test and Prone Plank Test. Each test will be assessed in different days following a randomized order.

Detailed description: All patients will be encouraged to achieve the maximum time to task failure, stopped only by muscular fatigue or pain precluding to maintain the position. Each exercise will perform under two conditions.

On the control condition, the patients will perform both tests without any cognitive condition, while on the experimental condition they will be instructed to perform both tests while performing a mathematical subtracting task (starting at 300, by sevens).

The starting condition will be randomly assigned with a 5-minute rest prior to the next condition. Time to task failure and pain perception using a visual analog scale will be assessed.

Eligibility criteria: Inclusion Criteria:

* Age between 20-50 years.
* Surgery of lumbar discectomy or lumbar arthrodesis with at least 3 months of evolution.
* Acceptance to participate in the study.

Exclusion Criteria:

* History of previous surgery in the lower extremities.
* Recent trauma (\<6 months).
* Use of corticosteroids.
* Pregnancy.
* Cauda equina syndrome.
* Marrow-level lesions.
* Progressive neurological involvement.
* History of rheumatological diseases.
* Inability to perform the test measurement.

Primary outcomes:
measure: Time to task failure
timeFrame: through study completion, an average of 2 week
measure: Pain evaluation
timeFrame: through study completion, an average of 2 week
Secondary outcomes:
measure: Pain Interference: Kinesiophobia
timeFrame: through study completion, an average of 2 week
Other outcomes:
Locations:
city: Santiago
country: Chile
facility: Hospital Clínico La Florida
Study officials:
References:
citation: Gomez-Perez L, Lopez-Martinez AE, Ruiz-Parraga GT. Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). J Pain. 2011 Apr;12(4):425-35. doi: 10.1016/j.jpain.2010.08.004.
citation: Cruz-Montecinos C, Nunez-Cortes R, Guzman-Gonzalez B, Andersen LL, Garcia-Masso X, Calatayud J. The Relevance of Dual Tasking for Improving Trunk Muscle Endurance After Back Surgery. Arch Phys Med Rehabil. 2021 Mar;102(3):463-469. doi: 10.1016/j.apmr.2020.07.015. Epub 2020 Sep 2.