LOBACOM: Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification

• Sponsor: University Hospital, Brest (Other)
• Overall Status: Not yet recruiting
• CT.gov ID: NCT05511012
• Collaborator: (none)
• Enrollment: 50
• Location: 1
• Arm: 1

Study Details

Study Description

Brief Summary

• Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).

• The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.

• This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.

• The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement coordination defect". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.

• The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

Condition or Disease	Intervention/Treatment	Phase
Chronic Low-back Pain	Other: motion control fault tests	N/A

Detailed Description

• Exercise-based treatment is part of the recommendations for good practice in the treatment of low back pain (acute, sub-acute and chronic).

• The low back pain population is heterogeneous. This heterogeneity would cause the positive effects of a treatment to be canceled out by the negative effects of another part of the population.

• This polymorphism has led several authors to classify low back pain into subgroups. These subgroups constitute more homogeneous clinical pictures and would facilitate the adaptation of treatments.

• The recommendations of the American Physical Therapy Association suggest 5 subgroups of low back pain. One of them is "low back pain with movement control impairment". In this subgroup, Luomajoki studied the reliability of different functional tests used in clinical practice. 6 out of 10 motion control fault tests show good reliability.

• The quantified analysis of the movement of low back pain patients would make it possible to determine the sensitivity of detecting an anomaly in the 6 lumbar movement control tests.

LoBaCoM is a monocentric, exploratory prospective study.

The purpose is to define a kinematic (angular) threshold corresponding to an anomaly detected clinically by three therapists for each test.

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 50 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Intervention Model Description: It is a prospective, monocentric, exploratory studyIt is a prospective, monocentric, exploratory study
• Masking: None (Open Label)
• Primary Purpose: Diagnostic
• Official Title: Does the Therapist's Assessment of Movement Control in Low Back Pain Patients Correspond to an Objective Kinematic Modification
• Anticipated Study Start Date: Sep 1, 2024
• Anticipated Primary Completion Date: Sep 1, 2024
• Anticipated Study Completion Date: Sep 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Other: motion control fault testing Each patient make six motion control fault tests in the same order : "waiters bow" "pelvic tilt" "one leg stance" "sitting knee extension" "rocking 4 point kneeling" "prone knee bend" This tests are performed three times.	Other: motion control fault tests; Patients make 6 motion control fault tests, in the same order. Each test is performed three times

Outcome Measures

Primary Outcome Measures

1. Range of compensation motion : "waiters bow" test [Day 0]

   Lumbar flexion measured for test number 1 "waiters bow". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal

2. Range of compensation motion : "pelvic tilt" test [Day 0]

   thoracic flexion measured for test number 2 "pelvic tilt". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

3. Range of compensation motion : "One leg stance" test [Day 0]

   Pelvic shift measured for test number 3 "One leg stance ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

4. Range of compensation motion : "sitting knee extension" test [Day 0]

   Lumbar flexion measured for test number 4 "sitting knee extension". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

5. Range of compensation motion : "rocking 4 point kneeling" test [Day 0]

   Lumbar flexion and extension measured for test number 5 "rocking 4 point kneeling ". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal.

6. Range of compensation motion : "prone knee bend" test [Day 0]

   Lumbar extension measured for test number 6 "prone knee bend". Patients are filmed during the test. Videos are watched by three physiotherapists. They going to establish a diagnostic normal or abnormal

Secondary Outcome Measures

1. Speed of execution for test 1 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

2. Speed of execution for test 2 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

3. Speed of execution for test 3 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

4. Speed of execution for test 4 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

5. Speed of execution for test 5 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

6. Speed of execution for test 6 [Day 0]

   It is measured with a camera. The camera can film one hundred pictures per second. Speed of execution is measured in seconds.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years to 99 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Aged more than 18 years

• Common low back pain (non-specific) with medical prescription

• Signed consent

Exclusion Criteria:

• Body Mass Index greater than 30 (obesity)

• Person who does not understand French

• Pregnant woman

• Refusal to participate

• Volunteer under guardianship or curatorship

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	CHU de Brest	Brest	Finistère	France	29609

Sponsors and Collaborators

• University Hospital, Brest

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: University Hospital, Brest
• ClinicalTrials.gov Identifier: NCT05511012
• Other Study ID Numbers: 29BRC22.0128
• First Posted: Aug 22, 2022
• Last Update Posted: Aug 24, 2022
• Last Verified: Jun 1, 2022

• Individual Participant Data (IPD) Sharing Statement: Yes
• Plan to Share IPD: Yes
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by University Hospital, Brest: Low back pain; Movement control; Kinematic analysis; Clinical assessment
• Additional relevant MeSH terms: Back Pain; Low Back Pain

Study Results

No Results Posted as of Aug 24, 2022