Development of a Tele-Physiotherapy Tool for the Early Management of Muskuloskeletal Pain in People With Visual Impairement (TeleEDxPhysio) (TeleEDxPhysio)
Low Back Pain, Visual Impairment
About this trial
This is an interventional treatment trial for Low Back Pain focused on measuring therapeutical exercise, Tele-assistance plattforms, Clinical Trial
Eligibility Criteria
Inclusion Criteria:
- Suffer CNSLBP of 12 weeks or more evolution, whose pain location is mainly from T12 to the gluteal folds, with or without referred pain to the lower extremities.
- Pain that is provoked and relieved by different positions, movements and activities. In other words, mechanical behaviour.
- Low back pain whose movement behaviours have a clear association with their pain disorder.
Exclusion Criteria:
- Presence of 1 or more red flags (any sign or symptom that warns of the possible presence of a serious medical condition that may cause irreversible disability or death if not treated appropriately).
- Presence of non-specific low back pain of less than 12 weeks' duration.
- Diagnosis of specific low back pain by a physician (radicular pain, herniated disc, spondylolisthesis, stenosis, etc.), any lower limb or lumbar spine surgery within the last 3 months, pregnancy, pain without clear mechanical behaviour, active rheumatological disease, progressive neurological disease, severe cardiac or other systemic medical condition, malignant disease, acute osteoarticular trauma, fractures, infections or acute vascular problems.
Sites / Locations
- Universidad de Zaragoza (Clínica Valdespartera y CS Seminario)Recruiting
- Escuela Unviersitaria de Fisioterapia de la ONCERecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Semi-directed Therapeutical Exercise and pain education program
Pain release passive therapy based on manual therapy, thermotherapy and electroanalgesia
Patients will receive physical exercise, combined with pain education and healthy lifestyle habits: an intervention programme consisting of 3 sessions per week for 12 weeks (total of 36 sessions). Each week there will be one face-to-face session, followed by 2 home sessions, (12 face-to-face and 24 home sessions). The sessions will include cardiovascular exercises, 2 days a week we will work on strength 13 and 1 day a week we will work on mobility and exercises to improve movement control, both before the cardiovascular effort14 . Each session will include a light warm-up (at the beginning of the session) and a cool down (at the end).
Patients will receive 35-40 minutes of passive analgesic techniques sessions (2 per week, over 8 weeks). The following treatment will be applied: 15 minutes of massage on the lumbopelvic musculature, lower lumbar segments and sacroiliac joints rhytmic-passive mobilization. The hip may also be mobilised at physiotherapist's discretion, 10 minutes of electrotherapy (interferential current in the lumbar region) Medium frequency current, interrupted alternating sinusoidal pulse with a frequency of up to 250 Hz and thermotherapy (10-15 minutes local in the lumbar region) with antenna electrodes placed at a distance of 20 cm from the patient's skin, at an intensity of 70 to 120 watts.