Efficiency of GDS Method for Lumbar Stabilization for Non-Specific Low Back Pain in Primary Care (GDS)
|Low Back Pain||Behavioral: GDS Method (muscular chains physical therapy method) Behavioral: Conventional Physical Therapy in Primary Health Care||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Evaluation of the Efficiency of Physiotherapeutic Treatment of Non-Specific Low Back Pain in Primary Care Centers Through GDS Techniques for Articular and Muscular Chains|
- Intensity of pain (VAS) [ Time Frame: At baseline, immediately after intervention,at 3-months and 6-months ]
- Disability (Oswestry questionnaire) Quality of life (SF-36 questionnaire) Elasticity goniometric test for lumbopelvic region [ Time Frame: At baseline, immediately after intervention,at 3-months and 6-months ]
|Study Start Date:||January 2006|
|Study Completion Date:||October 2006|
|Primary Completion Date:||March 2006 (Final data collection date for primary outcome measure)|
Active Comparator: A
Primary Health Care Conventional Physiotherapy Treatment (based in electrotherapy)
Behavioral: Conventional Physical Therapy in Primary Health Care
Conventional Physical Therapy in Spanish Primary Care Units are based on Electrotherapy (TENS and microwave thermotherapy) and a standard written advices. Patients received 14 sessions of 40 minutes of conventional TENS, 10 minutes of microwave thermotherapy and 1 last session of standard written advices.
Conventional Physical Therapy group received 2 sessions of 50 minutes per week during 8 weeks.
Group B was treated with the GDS Method (muscular and articular chains physiotherapy method)
Behavioral: GDS Method (muscular chains physical therapy method)
Experimental group received 15 GDS method sessions based on the equilibration of articular and muscular tensions that reduced trunk and lumbopelvic stability. GDS method combine specific technics of manual therapy, spinal stabilisation and stretching exercises (4 sessions),supervised group exercise therapy (10 sessions) and home exercise programme with individualised exercises (1 session) Experimental group received 2 sessions of 50 minutes per week during 8 weeks.
Low back pain is one of the most frequent ailments in industrialized countries, with a lifetime prevalence of more than 70%. It is responsible for a major portion of work absenteeism and is actually among those conditions which generate the greatest expense due to health and labor costs.
The Spanish National Health Service is a universal and free health care system. Non-specific low back pain (LBP) is a prevalent disorder, generating large health and social costs.
There is considerable variation in LBP related clinical practice and a considerable number of clinical guidelines have been developed for the management of subacute and chronic LBP patients.
Experience in Primary Care Centers of Madrid shows that physiotherapeutic intervention based on GDS Method for Articular and Muscular Chains is an efficient technique in the treatment of patients with diagnosis of non-specific low back pain compared with conventional physiotherapy treatment in Primary Care based on electrotherapy (TENS and microwave)
Currently, no randomized studies examining the effects of this method for patients with subacute or chronic non-specific low back pain have been published.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00624533
|Madrid, Spain/Madrid, Spain, 28040|
|Principal Investigator:||José L Chicharro, MD||Complutense University of Madrid|