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Investigation of the Putative Correlation Between Involuntary Psoas Activity During Passive Flexion of the Trunk at the Hips

Primary Purpose

Lower Back Pain

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Impaired passivity test
Sponsored by
University Hospital, Strasbourg, France
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Lower Back Pain focused on measuring reliability, clinical test, physical therapy

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age between 18 and 30
  • Social security coverage
  • Ability to understand the study's objectives, procedures and risks and to provide informed, written consent
  • Having been informed about the results of the prior clinical examination.

Exclusion Criteria:

  • Past or concomitant infectious or cancerous diseases of the spine
  • Vertebral osteosynthesis
  • Acute neck or arm pain (recurrent dislocations of the glenohumeral joint, trauma in the previous 12 months, etc.)
  • Lower back pain with irradiation of pain below the buttocks
  • Known specific lower back pain or pain for which a differential diagnosis suggests an inflammatory, traumatic, cancerous or infectious cause
  • Subjects under legal guardianship
  • Known pregnancy
  • Simultaneous participation in another biomedical research study of a drug or medical device.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    lower back pain

    Arm Description

    Outcomes

    Primary Outcome Measures

    Qualitative evaluation of impaired psoas muscle passivity during passive flexion of the trunk at the hips (while sitting).

    Secondary Outcome Measures

    - A visual analog scale for pain

    Full Information

    First Posted
    December 15, 2014
    Last Updated
    October 1, 2015
    Sponsor
    University Hospital, Strasbourg, France
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02335047
    Brief Title
    Investigation of the Putative Correlation Between Involuntary Psoas Activity During Passive Flexion of the Trunk at the Hips
    Official Title
    The Putative Correlation Between Impaired Hip Flexor Passivity and Common Lower Back Pain: a Pilot Study.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2015 (undefined)
    Primary Completion Date
    February 2015 (Actual)
    Study Completion Date
    February 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University Hospital, Strasbourg, France

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Passive flexion of the trunk (relative to the legs) may be accompanied by contraction of the psoas muscles, even when the subject has been told not to contract any muscles. The psoas contraction is involuntary and cannot be controlled by the subject. This lack of passivity might be concomitant with lower back pain: the impairment may be present when lower back pain is present and/or absent when lower back pain is absent. The study's primary objective is thus to determine the sensitivity and/or specificity of a clinical test for impaired hip flexor passivity in cases of lower back pain during passive flexion of the trunk (from the supine position,). The secondary objective is to show that a negative test (after administration of correcting measures) is correlated with a decrease in pain (i.e. pain intensity and the functional repercussions of pain).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Lower Back Pain
    Keywords
    reliability, clinical test, physical therapy

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    90 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    lower back pain
    Arm Type
    Other
    Intervention Type
    Other
    Intervention Name(s)
    Impaired passivity test
    Intervention Description
    Description of the test: the subject lies in the supine position on an exercise mat with his/her feet together. The subject is told to let his/her arms rest loosely by his/her side (as if they were ropes) and to keep the head aligned with the back. The examiner pulls the subject into the sitting position by pulling on the subject's wrists, with passive flexion of the trunk until the hip joint is fully flexed..
    Primary Outcome Measure Information:
    Title
    Qualitative evaluation of impaired psoas muscle passivity during passive flexion of the trunk at the hips (while sitting).
    Time Frame
    Visit 1 (Day 0)
    Secondary Outcome Measure Information:
    Title
    - A visual analog scale for pain
    Time Frame
    - Visit 0 (Day 0: inclusion visit)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    30 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Age between 18 and 30 Social security coverage Ability to understand the study's objectives, procedures and risks and to provide informed, written consent Having been informed about the results of the prior clinical examination. Exclusion Criteria: Past or concomitant infectious or cancerous diseases of the spine Vertebral osteosynthesis Acute neck or arm pain (recurrent dislocations of the glenohumeral joint, trauma in the previous 12 months, etc.) Lower back pain with irradiation of pain below the buttocks Known specific lower back pain or pain for which a differential diagnosis suggests an inflammatory, traumatic, cancerous or infectious cause Subjects under legal guardianship Known pregnancy Simultaneous participation in another biomedical research study of a drug or medical device.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Mutter Catherine, MD
    Organizational Affiliation
    Les Hôpitaux universitaires de Strasbourg
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Investigation of the Putative Correlation Between Involuntary Psoas Activity During Passive Flexion of the Trunk at the Hips

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