NCT02645123

Gait in Low Back Pain Patients After Spinal Mobilization

Gait Analysis of Chronic Low Back Pain Patients Before and After the Application of Spinal Mobilization

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 75 (actual)
• Sponsor: University of Ioannina · Academic / Other
• Sex: All
• Age: 21 Years – 78 Years
• Healthy volunteers: Not accepted

Summary

Introduction: patients with chronic back pain as a result of degenerated disc disease, besides pain also present with impaired gait. The purpose of this study is to evaluate both the clinical data using clinical rating scales, such as Oswestry Disability Index Greek version (ODI), Numerical Pain Rating Scale for low back pain and leg pain (NPRS) and the Roland Morris Disability Questionnaire Greek Version, and kinetic and kinematic characteristics during gait analysis in patients with chronic low back pain as a result of the degenerated disc disease (Disc Degenerative Disease), before and after application of manual therapy techniques. Methodology: for the purposes of the study, 75 patients suffering from chronic low back pain were randomly divided into 3 groups of 25 each. Each group received five sessions with the first group receiving manual therapy treatment (spinal mobilisation), the second a sham treatment and the third, classic physiotherapy (stretching exercises, TENS and massage). To evaluate the effectiveness of each treatment, the visual analog pain scale, two questionnaires (Oswestry and Roland Morris) and also an optoelectronic system for recording and analysis of gait (kinetic and kinematic data) were utilized.

Detailed description

This was a randomized controlled trial comparing the efficacy of spinal mobilization with other physiotherapy interventions (stretching, TENS application and Swedish type massage) and sham treatment in a group of chronic low back pain patients. The outcome measures included three dimensional gait analysis (kinetic and kinematic data) as well as clinical indicators (numerical pain rating scale, Oswestry disability index, Roland-Moris Disability questionnaire).

Conditions

• Chronic Low Back Pain

Interventions

Type	Name	Description
DEVICE	TENS	Enraf-Nonius Sonopuls 692
PROCEDURE	spinal mobilization	passive physiological intervertebral movements and passive accessory posteroanterior mobilization
PROCEDURE	swedish type massage	petrissage, effleurage, tapotement
PROCEDURE	static hamstring stretch	static hamstring stretching
PROCEDURE	sham treatment	touching of the skin overlying the lumbar area

Timeline

• Start date: 2011-12-01
• Primary completion: 2014-10-01
• Completion: 2014-11-01
• First posted: 2016-01-01
• Last updated: 2017-06-08
• Results posted: 2017-06-08