Clinical trial NCT05511012: Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification
Official title: Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Low-back Pain
Keywords: Low back pain
Movement control
Kinematic analysis
Clinical assessment
Lead sponsor: University Hospital, Brest
Sponsor class: OTHER
First posted: 2022-08-22
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: It is a prospective, monocentric, exploratory study
Primary purpose: DIAGNOSTIC

Brief summary: * Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).
* The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.
* This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.
* The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.
* The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

Detailed description: * Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).
* The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.
* This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.
* The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement control impairment". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.
* The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

LoBaCoM is a monocentric, exploratory prospective study.

The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.

Eligibility criteria: Inclusion Criteria:

* Aged more than 18 years
* Common low back pain with medical prescription for rehabilitation
* Signed consent
* Be affiliated to a social security scheme
* Be able to perform the lumbar motion control failure tests

Exclusion Criteria:

* Body Mass Index greater than 30 (obesity)
* Person who does not understand French
* Pregnant woman
* Refusal to participate
* Volunteer under guardianship or curatorship

Primary outcomes:
measure: Range of compensation motion : "waiters bow" test
timeFrame: Day 0
measure: Range of compensation motion : "pelvic tilt" test
timeFrame: Day 0
measure: Range of compensation motion : "One leg stance" test
timeFrame: Day 0
measure: Range of compensation motion : "sitting knee extension" test
timeFrame: Day 0
measure: Range of compensation motion : "rocking 4 point kneeling" test
timeFrame: Day 0
measure: Range of compensation motion : "prone knee bend" test
timeFrame: Day 0
Secondary outcomes:
measure: Speed of execution for test 1
timeFrame: Day 0
measure: Speed of execution for test 2
timeFrame: Day 0
measure: Speed of execution for test 3
timeFrame: Day 0
measure: Speed of execution for test 4
timeFrame: Day 0
measure: Speed of execution for test 5
timeFrame: Day 0
measure: Speed of execution for test 6
timeFrame: Day 0
Other outcomes:
Locations:
city: Brest
country: France
facility: CHU de Brest
state: Finistère
Study officials:
References: