Efficacy of a Supervised Physical Therapy Rehabilitation Program vs Nonsupervised in Non-specific Low Back Pain

Universidad de Almeria

Status: Completed

Conditions: Physical Activity; Low Back Pain

Treatments: Other: Supervised exercise program; Other: Non supervised exercise program

Study type: Interventional

Funder types: Other

Identifiers

NCT03420196

UAL-476

Details and patient eligibility

About

This study compares the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program on pain, disability, quality of life and kinesiophobia in patients with non-specific low back pain.

Full description

Low back pain is one of the most common problems of population, being a priority for health systems. It has got a high prevalence and recurrence, affecting in a social and economic way, and, it is one of principal causes of laboral absenteism. A randomized clinical trial will be conducted comparing a supervised physical therapy rehabilitation program vs a non supervised rehabilitation program.

Objective: to compare the efficacy of a supervised rehabilitation program vs a non supervised rehabilitation program in patients with non-specific low back pain.

Methods: Sixt-four subjects with chronic non-specific low back pain will be assigned to supervised rehabilitation program or non supervised rehabilitation program during 4 weeks (5 sessions/week). Outcomes measures will be the following: disability, pain intensity, fear of movement, quality of life, McQuade Test, and lumbar mobility flexion.

Enrollment: 64 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic non-specific low back pain persisting ≥ 3 months.
• Age between 18 and 65 years.
• A score ≥ 4 in Roland Morris Disability Questionnaire.
• Not currently receiving physical therapy.

Exclusion criteria

• Presence of lumbar stenosis.
• Presence of clinical signs of radiculopathy.
• Diagnosis of spondylolisthesis.
• Diagnosis of fibromyalgia.
• Treatment with corticosteroid or pharmachological medication within the paset 2 weeks.
• A history of spinal surgery.
• Central or peripheral nervous system disease.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

64 participants in 2 patient groups

Supervised Rehabilitation program

Experimental group

Description:

It will be consist in a supervised exercise program by physical therapist, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility

Treatment:

Other: Supervised exercise program

Nonsupervised rehabilitation program

Active Comparator group

Description:

It will consist in an exercise program for home, nonsupervised, including the following structures: diaphragm, tranverse abdominis muscle, pelvic, gluteus, CORE and spinal mobility. The patients will perform an exercise program at home.

Treatment:

Other: Non supervised exercise program