Clinical trial NCT04034186: The Quality of Physiotherapy in Low Back Pain Patients in Central Finland
Official title: The Assessment of the Content and Quality of Physiotherapy Management and Advice in Chronic Low-back Pain Patients in Central Finland
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Low Back Pain
Keywords: low back pain
rehabilitation
assessment
quality
Lead sponsor: Central Finland Hospital District
Sponsor class: OTHER
First posted: 2019-07-26
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 68
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients with unspecified chronic (symtoms \>12 weeks) low back pain referred to the outpatient clinic in the Department of Physical Medicine and Rehabilitation in Central Finland Hospital, Jyväskylä.

Brief summary: Chronic low back pain is one of the most common musculoskeletal disorders. In the Finnish Health 2000 survey the incidence of low back pain was 10% in men and 11% in women. Several evidence-based rehabilitation guidelines recommend exercise therapy treatment of chronic back pain. However, there are no studies in chronic low back pain patients concerning the assessment of the content and quality of exercise modalities adviced in clinical practise.

The aim of this study is to investigate the content and quality of physiotherapy management and advise in chronic low back pain patients in Central Finland.

Detailed description: The participants in this study are 100 working-age unspecific low back pain patients from the Central Health Care District, who are referred for specialised care in the outpatient clinic in the Department of Physical Medicine and Rehabilitation in Central Finland Hospital. The participants will be asked to complete health-related questionnaires and an in-house made questionnaire of their back rehabilitation. The main questions are:

1. The content about applied exercise modalities,
2. How the progression of exercises have been advised?
3. How pain was taken into account while exercising? The research will be carried out and coordinated by Central Finland Central Hospital, and the research project will take place between November 2014 and February 2019.

Eligibility criteria: Inclusion Criteria:

* experiencing chronic low back pain,
* ability to communicate in Finnish language

Exclusion Criteria:

* previous back surgery in the preceding 12-month
* suspected or diagnosed lumbar disc herniation

Primary outcomes:
measure: Self-constructed questionnaire; the content about instructed exercise modalities
timeFrame: During the physiotherapy treatment period
Secondary outcomes:
measure: Self-constructed questionnaire; the way how the training was instructed by the physiotherapist
timeFrame: During the physiotherapy treatment period
measure: Self-constructed questionnaire; how back pain was taken into account in exercise guidance?
timeFrame: During the physiotherapy treatment period
Other outcomes:
Locations:
Study officials:
affiliation: Chief physician in the Department of Physical Medicine and Rehabilitation, Central Finland Central Hospital
name: Jari Ylinen, Docent
role: PRINCIPAL_INVESTIGATOR
References: