Multiplanar Lumbopelvic Control in Patients With Low Back Pain

Regis University

Status: Completed

Conditions: Low Back Pain

Study type: Observational

Funder types: Other

Identifiers

NCT02089321

NelsonWong_LBP2013

Details and patient eligibility

About

The purpose of this study was to investigate whether combined assessment of lumbopelvic control during sagittal and frontal plane motion (using two common clinical observational assessments) discriminates between people with and without LBP than single plane assessment alone. It was hypothesized that the two tests used in combination (multiplanar) would perform better than each test used independently (single planar) in accurately discriminating patient cases from healthy controls.

Enrollment: 38 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients with LBP

Inclusion Criteria:

• Age 18-70 years old
• Ability to understand and follow written and verbal instruction in English
• Seeking treatment from a physical therapist for LBP (pain below T12-L1 vertebral segment), prior to initial evaluation (no treatment provided)

Matched Controls: Control subjects will be matched for age, gender, and BMI category to patients with LBP.

Inclusion Criteria:

• Ability to understand and follow written and verbal instruction in English

• No history of LBP during the past 5 years requiring:

  • > 3 day absence from work/school/recreation
  • Clinical Care (MD, DC, DPT, MT) for LBP

Exclusion criteria

Patients with LBP

• Pregnancy within past 12 months
• Previous spine or hip surgery
• Serious spinal or systemic pathology
• Inability to transfer from standing to supine to sidelying to prone
• Inability to stand > 20 minutes

Matched Controls

Exclusion Criteria:

• Pregnancy within the past 12 months
• Previous spine or hip surgery
• Inability to transfer from standing to supine to side-lying to prone
• Inability to stand > 20 minutes

Trial design

38 participants in 2 patient groups

Patients with Low Back Pain

Description:

n= 19 Inclusion Criteria: Between the ages of 18 and 70 years Currently seeking, but not yet initiated, treatment from a health care professional (PT, MD, DO, DC) for a chief complaint of pain between the level of the twelfth thoracic vertebrae and the coccyx Able to transition between standing, sitting, supine, prone and sidelying independently Exclusion Criteria: Signs of neurological impairment including diminished myotatic reflex, sensory impairment or strength deficits in a myotomal pattern No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English

Healthy Controls

Description:

n= 19 Inclusion Criteria: Between the ages of 18 and 70 years No LBP episodes requiring clinical care by a health professional and/or greater than 3 days absence from work/school/recreation within the previous 5 years Able to transition between standing, sitting, supine, prone and sidelying independently Exclusion Criteria: No previous spine or hip surgery Serious spinal or systemic pathology Pregnancy within previous 12 months Inability to understand and follow verbal instructions in English