Treatment of Low Back Pain in Patients With End-stage Renal Disease on Hemodialysis

Federal University of São Paulo

Status and phase: Withdrawn; Phase 3

Conditions: Chronic Low Back Pain

Treatments: Procedure: control; Procedure: physiotherapeutic intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT01095783

CEP 0087/09

cep 0087/09 (Other Identifier)

Details and patient eligibility

About

The purpose of this study is to determine whether a physiotherapeutic intervention is effective in the treatment of low back pain in hemodialysis patients

Full description

Low back pain is a significant morbidity in chronic hemodialysis patients affecting about 1/3 of them. Among the physiotherapeutic interventions, the McKenzie Method (Spine 1983;8:141-4), has shown to be an effective approach to manage patients with low back pain. More specifically, it consists on standardized repetitive flexion and extension exercises of the lumbar spine. Thus far, there has been no randomized intervention testing the effectiveness of physiotherapeutic interventions in chronic renal failure patients on hemodialysis. In this study we selected four of their main proposed exercises (flexion in standing, extension in standing, flexion in lying, and extension in lying position) to apply three times a week for eight weeks.

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of chronic low back pain
• Chronic renal failure
• Hemodialysis therapy for more than 3 months

Exclusion criteria

• Fractures of the spine
• Psychiatric diseases
• Alcohol of other drugs use
• Planned living donor transplantation
• Clinically unstable patients
• Chronic neurologic diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Physiotherapeutic intervention

Experimental group

Treatment:

Procedure: physiotherapeutic intervention

control

Other group

Description:

The control group receive transcutaneous electrical nerve stimulation (TENS) for 20 min at 50-100 Hz frequencies for the same time frame (Anesth Analg 2004;98:1552-6)

Treatment:

Procedure: control