Spine Rehabilitation Using Spine Flexion / Extension Full Active Range of Motion for Patients With Chronic Low Back Pain (REACTIVE)

Groupe Hospitalier de la Region de Mulhouse et Sud Alsace

Status

Terminated

Conditions

Low Back Pain

Treatments

Procedure: Spine flexion/extension active range of motion exercises

Study type

Interventional

Funder types

Other

Identifiers

NCT05213845

2021-A02319-32 (Other Identifier)

GHR 1206

Details and patient eligibility

About

The main objective of this study is to assess efficacy of a spine rehabilitation program, using spine flexion and extension full active range of motion, on physical disability of patients with chronic low back pain.

Full description

Secondary objectives

The other objectives of this study are to assess the impact of spine rehabiliation program using spine flexion and extension full active range of motion on :

pain intensity ;
kinesiophobia
active range of motion of lumbar flexion and lumbar extension

Conduct of research

After receiving the written consent of the study, participants will benefit from 5 sessions of spine flexion and extension full active range of motion exercises. The following tests and questionnaires will be performed before (baseline) and after (posttreatment) the 5 sessions :

Visual Analogue Pain Scale,
Fear Avoidance Beliefs Questionnaire (FABQ),
Double-inclinometer to measure active range of motion of lumbar flexion and lumbar extension.

Enrollment

6 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Medical prescription for chronic low back pain rehabilitation
Evolution of low back pain for at least 3 months
No treatment or rehabilitation for low back pain performed within 12 months before enrollment
Written informed consent given

Exclusion criteria

Spinal fracture or previous spinal surgery
Cognitive impairments that prevent from understanding the rehabilitation exercises
Patient with insufficient understanding or expression in French
Non-mechanical pain : gradually worsening pain, present at rest and especially at night
Neurological symptom : deficit in the control of bladder and anal sphincters, motor weakness of lower limbs, Cauda equina syndrome
Pubis paresthesia (or perineum)
Severe trauma (such as fall from height, traffic accident)
Unexplained weight loss
History of cancer
Drug use or long-term use of corticosteroid
Spinal deformity
Altered general condition
Patient with signs of neurological impairment : positive Lasegue test (Straight Leg Raise Test) or positive Slump test, or DN4 questionnaire greater than or equal to 4
Patient suffering from a central or peripheral neurological pathology
Patient taking a level II (weak opiates) or III (morphine and related substances) analgesic treatment
Patient under guardianship, curatorship or legal protection