Validity and Predictive Value of Manual Clinical Test to Identify Symptomatic Segments in Lumbar Chronic Patients

University of Zaragoza

Status: Completed

Conditions: Low Back Pain

Treatments: Procedure: lumbar facet block

Study type: Observational

Funder types: Other

Identifiers

NCT02777450

PI16/0015

Details and patient eligibility

About

This study evaluates the predictor value of manual test in lumbar chronic patients blocks. Bibliography has show limited evidence of clinical predictors in lumbar blocks. Prior to lumbar facet block or medial branch denervation patient will be evaluated with manual provocative segmental movements, lumbar sagittal range of motion, manual segmental movement and slump neural test . Immediate, one and six months effect will be registered.

Full description

Clinical tests have sown limit evidence to predict efficacy of lumbar facet blocks. Segmental mobility tests have been included into the protocol to evaluate the efficacy of the lumbar blocks.

Chronic low back pain patients will be tested to evaluate the predictor value of manual clinical tests.

Patients from the "Lozano Blesa" Hospital pain clinic will be evaluate before, one month and six months after the lumbar facet block.

Enrollment: 93 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• more than 3 months of low back pain.
• lumbar with or without leg pain.
• patient treated with a lumbar facet block or medial nerve denervation.
• capable to be physically explored.
• capable to fill a questionaire.

Exclusion criteria

• no mechanical pain.
• severe medical condition.
• severe lumbar trauma.
• severe lumbar instability.
• severe lumbar deformity
• psychiatric disorder.

Trial design

93 participants in 1 patient group

Block group

Description:

Lumbar facet block. Levobupivacaine 0,25% and corticosteroids

Treatment:

Procedure: lumbar facet block