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Trial registered on ANZCTR
Registration number
ACTRN12613000037707
Ethics application status
Approved
Date submitted
10/01/2013
Date registered
14/01/2013
Date last updated
14/01/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Core stability exercise for patients with back pain
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Scientific title
In patients with chronic low back pain, does individualized or general exercise elicit greater reductions in disability and pain? A pilot randomized controlled trial
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Secondary ID [1]
281749
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Nil
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Universal Trial Number (UTN)
U1111-1138-3662
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
chronic low back pain
288058
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Condition category
Condition code
Musculoskeletal
288431
288431
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
288450
288450
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
8-weeks of individualized exercise rehabilitation. Patients are to have two supervised sessions per week with an experienced and trained exercise physiologist of approximately 1-hour duration. The program is tailored to the individual based on interaction between the exercise supervisor and expert practitioner overseeing the intervention following a physical assessment with the patient. Home based exercises are recommended to be performed up to 3 times per week (monitored with a training diary).
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Intervention code [1]
286288
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Rehabilitation
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Comparator / control treatment
8-weeks of general exercise rehabilitation. Patients are to have two supervised sessions per week with an experienced and trained exercise physiologist of approximately 1-hour duration. The program is a set series of exercise, the same for all patients in this group, which are based on general recommendations for the type of exercise low back pain patients should perform. Home based exercises are recommended to be performed up to 3 times per week (monitored with a training diary).
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Control group
Active
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Outcomes
Primary outcome [1]
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Oswestry Disability Index
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Assessment method [1]
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Timepoint [1]
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Baseline and 8-weeks
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Primary outcome [2]
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Visual Analog Pain Scale
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Assessment method [2]
288600
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Timepoint [2]
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baseline and 8-weeks
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Secondary outcome [1]
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Sorensen lumbar endurance time (seconds)
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Assessment method [1]
300564
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Timepoint [1]
300564
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baseline and 8-weeks
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Eligibility
Key inclusion criteria
men and women aged 18 to 50 years with ongoing recurrent low back pain (>12 weeks) located between the costal margins and inferior gluteal folds
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
presence of a severe postural abnormality, pain radiating below the knee, known lumbar disc hernia or fracture, history of back surgery, diagnosed inflammatory joint disease, known severe osteoporosis, known metabolic or neuromuscular disease, pregnancy, or recent (< 3 months) participation in an exercise program or any form of treatment (i.e. manipulation, mobilisation, massage).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomization will be conducted by a researcher with no involvement in the assessment protocols or training programs. Participants will be randomly assigned in blocks of 10 with equal number of participants assigned to each group. The allocation sequence was concealed from researchers involved in enrolling and assessing participants.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation sequence was generated from www.random.org
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Analysis of covariance procedures will be used to compare post-intervention dependent variable results between-groups, controlling for the respective baseline score of the analyzed variable.
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/11/2012
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Date of last participant enrolment
Anticipated
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Actual
3/12/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Western Sydney,
University Project Grant
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Address [1]
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University of Western Sydney
Locked Bag 1797 Penrith South
NSW 2751
Australia
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Country [1]
286537
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Australia
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Primary sponsor type
University
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Name
University of Western Sydney
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Address
Locked Bag 1797 Penrith South
NSW 2751
Australia
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Country
Australia
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Secondary sponsor category [1]
285324
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None
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Name [1]
285324
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Address [1]
285324
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Country [1]
285324
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288607
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University of Western Sydney Human Research Ethics Committee
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Ethics committee address [1]
288607
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Locked Bag 1797 Penrith South NSW 2751 Australia
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Ethics committee country [1]
288607
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Australia
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Date submitted for ethics approval [1]
288607
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Approval date [1]
288607
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17/05/2012
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Ethics approval number [1]
288607
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H9540
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Summary
Brief summary
It is thought that any type of exercise is sufficient for the treatment of chronic low back pain. There is a paucity of evidence examining a rigorous individualization approach to exercise prescription for low back pain patients. This study will compare changes in pain and disability between individualized or general exercise advice for patients with chronic low back pain. The hypothesis of this research is that individualized programming will elicit greater reductions in pain and disability. Data from this study will be used for power calculations in a larger scale trial that will explore the 'why' of observed results.
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Trial website
NIL
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Trial related presentations / publications
NIL
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Public notes
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Contacts
Principal investigator
Name
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Dr Paul Marshall
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Address
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University of Western Sydney
Locked Bag 1797 Penrith South
NSW 2751
Australia
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Country
36926
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Australia
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Phone
36926
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+61 2 4620 3915
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Fax
36926
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Email
36926
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[email protected]
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Contact person for public queries
Name
36927
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Paul Marshall
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Address
36927
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University of Western Sydney
Locked Bag 1797 Penrith South
NSW 2751
Australia
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Country
36927
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Australia
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Phone
36927
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+61 2 4620 3915
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Fax
36927
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Email
36927
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[email protected]
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Contact person for scientific queries
Name
36928
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Paul Marshall
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Address
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University of Western Sydney
Locked Bag 1797 Penrith South
NSW 2751
Australia
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Country
36928
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Australia
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Phone
36928
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+61 2 4620 3915
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Fax
36928
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Email
36928
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF