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| Name | Class |
|---|---|
| S2P, Science to Practice, Ltd. | OTHER |
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The first purpose of this study is to define parameters of the trunk neuromuscular functions that are pathologically altered in patients with low back pain due to spondylolytic spondylolisthesis. The second and also the main purpose of the study is to examine the effects of exercise intervention on patients with low back pain due to spondylolytic spondylolisthesis. Our overall hypothesis is that specific exercise intervention will improve neuromuscular functions of the trunk in patients with low back pain due to spondylolytic spondylolisthesis.
Low back pain is known to affect a considerable portion (> 75%) of the society, causing enormous financial burden for the healthcare systems.
Exercise interventions incorporated into low back pain patients rehabilitation protocols are known as successful treatment strategies, but ore often focused on strength training and not on functional stabilization. Spondylolytic spondylolisthesis is one of the most known types of spine instabilities. To date, no studies examined the effects of exercise intervention on patients with low back pain due to spondylolytic spondylolisthesis. Research will be carried out as a cross-sectional study, where patients with spondylolytic spondylolisthesis will be randomly arranged in one controlled and two experimental groups. For the forth group healthy asymptomatic participants will be recruited.
Exercise intervention will last 12 weeks with a frequency of three times a week and duration of 60 minutes per training unit. Exercise intervention will include congregated set of trunk stabilisation exercises, starting with simple isometric tasks. Dynamic and more complex movements will be added progressively to achieve whole body tasks involving fast and sudden movements.
Neuromuscular functions of the trunk will be measured before and after the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise intervention | Active Comparator | Patients will functional stabilisation exercise for the trunk. |
|
| Exercise and e-stim | Active Comparator | Patients will receive exercise intervention and electrical stimulation simultaneously. |
|
| Patients control | No Intervention | Patients will not receive any treatment but could use compression belt as per usual. | |
| Healthy control | No Intervention | Healthy asymptomatic participants who will not receive any treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise intervention | Procedure | Functional stabilisation exercise for the trunk. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in measures of neuromuscular functions of the trunk | Set of tests that objectively evaluate the neuromuscular functions of the trunk.
| Change from baseline values at 9 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Oswestry questionnaire score | Oswestry Low Back Pain Questionnaire commolny used by clinicians and researchers to quantify disability for low back pain. | Change from baseline values at 9 weeks |
| Change in Posture parameters |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nejc Sarabon, PhD | University of Primorska | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Orthopaedic Hospital Valdoltra | Ankaran | 6280 | Slovenia | |||
| University of Primorska, Science and Research Centre of Koper, Institute for Kinesiology Research |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D013168 | Spondylolisthesis |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Exercise and e-stim |
| Procedure |
Functional stabilisation exercise for the trunk and electrical stimulation at the same time. |
|
Angular and linear posture measures in frontal and sagittal plane.
| Change from baseline values at 9 weeks |
| Koper |
| 6000 |
| Slovenia |
| University Medical Centre Ljubljana | Ljubljana | 1000 | Slovenia |
| University Medical Centre Maribor | Maribor | 2000 | Slovenia |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D013169 | Spondylolysis |
| D055009 | Spondylosis |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001519 | Behavior |