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| Name | Class |
|---|---|
| University of Brighton | OTHER |
| University of Lausanne Hospitals | OTHER |
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Low back pain (LBP) is a complex and common problem with major societal repercussions. Clinical evaluations, and especially functional assessments, are necessary for proper diagnosis and decisions on the most appropriate treatment. The assessment of lumbar kinematics has been frequently described. For instance, measures of range of motion (ROM), angular velocities and acceleration of the total lumbar spine (TLx) have demonstrated some differences between healthy subjects and LBP patients. However, recent evidence has suggested that models evaluating the TLx are insufficient. In fact, regional differences in kinematics have been described between the upper lumbar spine and the lower lumbar spine.
The aim of this study is to evaluate the differences in spinal kinematics between healthy subjects and LBP patients using a multi-segment model of the spine that allows regional analysis.
A case-controlled study will be performed to compare asymptomatics subjects and patients with low back pain. ROM, angular velocities and coordination of the spine will be collected in a laboratory with a camera-based system (VICON). Subjects will have to perform normal ROM assessment in the three anatomical planes, as well as different functional activities such as sit to stand, step and walking. The measurement session will occur on one occasion for each participant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Asymptomatic | Individuals between 30 and 50 years old that have had no episode of low back pain in the last two years requiring medical attention | ||
| Patients with Low Back Pain | Individuals between 30 and 50 years old that present with non-specific low back pain for more than 3 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Spinal kinematics | kinematics of the spine and pelvis will be measured with a camera-based system. Markers will be placed to have different segments of the spine (lower lumbar spine, upper lumbar spine, lower thoracic spine, upper thoracic spine). Variables such as range of motion, angular velocities or coordination (among others) will be measured. | Participants will be measured once |
| Measure | Description | Time Frame |
|---|---|---|
| Score of disability | Oswestry Disability Index. Outcome used primarily for description of the population and correlational analysis | Participants will be measured once |
| Score of kinesophobia | Tampa Scale of kinesophobia. Outcome used primarily for description of the population and correlational analysis |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with recurrent low back pain (more than months in duration) recruited through physiotherapy practices and medical consultations in the area of Lausanne, Switzerland.
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| Name | Affiliation | Role |
|---|---|---|
| Julien Favre, PhD | University of Lausanne Hospitals | Study Director |
| Lucy Redhead, PhD | University of Brighton | Study Director |
| Guillaume Christe, PT | Haute Ecole de Santé Vaud | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Lausanne Hospitals | Lausanne | Canton of Vaud | 1011 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23823575 | Background | Cobian DG, Daehn NS, Anderson PA, Heiderscheit BC. Active cervical and lumbar range of motion during performance of activities of daily living in healthy young adults. Spine (Phila Pa 1976). 2013 Sep 15;38(20):1754-63. doi: 10.1097/BRS.0b013e3182a2119c. | |
| 24067874 | Background | Crosbie J, Nascimento DP, Filho Rde F, Ferreira P. Do people with recurrent back pain constrain spinal motion during seated horizontal and downward reaching? Clin Biomech (Bristol). 2013 Oct;28(8):866-72. doi: 10.1016/j.clinbiomech.2013.09.001. Epub 2013 Sep 9. |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| Participants will be measured once |
| Score of risk of poor outcomes | Start Back Tool. Outcome used primarily for description of the population and correlational analysis | Participants will be measured once |
| Pain intensity | Numeric Pain Rating Scale (NPRS). Outcome used primarily for description of the population and correlational analysis | Participants will be measured once |
| 16540876 | Background | Dankaerts W, O'Sullivan P, Burnett A, Straker L. Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified. Spine (Phila Pa 1976). 2006 Mar 15;31(6):698-704. doi: 10.1097/01.brs.0000202532.76925.d2. |
| 14739876 | Background | Lehman GJ. Biomechanical assessments of lumbar spinal function. How low back pain sufferers differ from normals. Implications for outcome measures research. Part I: kinematic assessments of lumbar function. J Manipulative Physiol Ther. 2004 Jan;27(1):57-62. doi: 10.1016/j.jmpt.2003.11.007. |
| 10543004 | Background | Marras WS, Ferguson SA, Gupta P, Bose S, Parnianpour M, Kim JY, Crowell RR. The quantification of low back disorder using motion measures. Methodology and validation. Spine (Phila Pa 1976). 1999 Oct 15;24(20):2091-100. doi: 10.1097/00007632-199910150-00005. |
| 23473753 | Background | Parkinson S, Campbell A, Dankaerts W, Burnett A, O'Sullivan P. Upper and lower lumbar segments move differently during sit-to-stand. Man Ther. 2013 Oct;18(5):390-4. doi: 10.1016/j.math.2013.02.001. Epub 2013 Mar 7. |
| 22661081 | Background | Wade M, Campbell A, Smith A, Norcott J, O'Sullivan P. Investigation of spinal posture signatures and ground reaction forces during landing in elite female gymnasts. J Appl Biomech. 2012 Dec;28(6):677-86. doi: 10.1123/jab.28.6.677. Epub 2012 May 10. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |