Global Posture Reeducation (GPR) Compared To Isostretching in Chronic Low Back Pain Patients
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ClinicalTrials.gov Identifier: NCT01468298 |
Recruitment Status : Unknown
Verified October 2011 by Ligia Maria Facci, Centro Universitario de Maringa.
Recruitment status was: Active, not recruiting
First Posted : November 9, 2011
Last Update Posted : November 9, 2011
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Low Back Pain | Other: Isostretching Other: Global Posture Reeducation | Early Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 40 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Comparing the Global Posture Reeducation With Isostretching in Chronic Low Back Pain Patients |
Study Start Date : | August 2010 |
Actual Primary Completion Date : | October 2011 |
Estimated Study Completion Date : | December 2011 |

Arm | Intervention/treatment |
---|---|
Active Comparator: Isostretching |
Other: Isostretching
All of patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week. The Isostretching method includes therapeutic different postures, lying, sitting or standing, and the positions were selected according to the postural changes of each patient, identified in the assessment. The Isostretching protocol involves nine positions held for a period of nine breaths, and every three cycles, the patient should rest for a period. The physical therapist used verbal commands to emphasize pursed lip breathing, self growth, curvatures correction and isometric of abdominal, paravertebral, quadriceps and gluteal muscles with the aim of optimizing the stretching and discouraging compensatory movements.
Other Name: postural reeducation |
Active Comparator: Global Posture Reeducation |
Other: Global Posture Reeducation
All patients were accompanied by an individual treatment program composed by 12 sessions of 45 minutes, twice a week, involving a series of active gentle movements and postures aimed at realigning joints, stretching shortened muscles and enhancing the contraction of antagonist muscles, thus avoiding postural asymmetry. The positions were selected according to the postural changes of each patient, identified in the assessment and these therapeutic postures imply an active involvement of the patient. The protocol includes three therapeutic postures, lying, sitting or standing, to be held for 15 minutes each. The physical therapist used verbal commands and manual contact to maintain the alignment and make the necessary postural corrections, with the aim of discouraging compensatory movements.
Other Name: postural reeducation |
- functional capacity [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]Low back patients functional capacity were evaluated before and after 10 sesssions treatment regarding by Rolland-Morris Questionnaire.
- Posture [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]Posture were evaluated before and after 10 sessions treatment regarding posture by computer SAPO (Softwere Avaluation Posture Online) program.
- flexibility [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]These were evaluated before and after 10 sessions treatment regarding posture, flexibility for lumbar Schober testing and sit and reach.
- muscle strength [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]These were evaluated before and after 10 sessions treatment regarding muscle strength by dynamometry for trunk extensors and the maximum repetition test in a minute to abdominal and trunk extensors.
- heart rate(HR) [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]It was measured heart rate (HR)by polar frequencymetric at start and for every 15 minutes in 10 sessions therapy.
- peripheral oxygen saturation [ Time Frame: Before and after 10 sessions and for every 15 minutes in therapyPatients will be followed for the duration of 10 sessions, an expected average of 5 weeks.. ]It was measured peripheral oxygen saturation (SpO2) by Finger Pulse Oximeter at start and for every 15 minutes in therapy.
- systolic blood pressure [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks.. ]It was measured systolic blood pressure (SBP) with a Sphygmomanometer at start and for every 15 minutes in 10 sessions therapy. Blood pressure measurement was obtained by arterial occlusion by inflation of the cuff, correlating to the auscultation of the heartbeat with the values recorded in the column of mercury. The sounds perceived during the blood pressure measurement procedure are called Korotkoff sounds, and classified into five phases, with phase 1 (first sound) corresponding to the value of systolic blood pressure (SBP).
- diastolic blood pressure [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]It was measured diastolic blood pressure (DBP) with a Sphygmomanometer at start and for every 15 minutes in 10 sessions therapy.Blood Ppressure measurement was obtained by arterial occlusion by inflation of the cuff, correlating to the auscultation of the heartbeat with the values recorded in the column of mercury. The sounds perceived during the blood pressure measurement procedure are called Korotkoff sounds, and classified into five phases, with phase 5 (muffling or disappearance of sound) corresponding value of diastolic blood pressure (DBP).
- Intensity of Pain [ Time Frame: Patients will be followed for the duration of 10 sessions, an expected average of 5 weeks. ]The low back intensity of pain were evaluated before and after 10 sessions treatment regarding pain by visual analog scale.

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Ages Eligible for Study: | 40 Years to 60 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- patients with non-specific LBP in its chronic phase (pain lasting more than 12 weeks), from 40 to 60 years old.
Exclusion Criteria:
- scheduling conflicts
- lack of transportation
- disease that compromises their health during the treatment
- uncontrolled hypertension
- fibromyalgia
- history of spinal surgery in the last six months
- patients with neurological diseases
- individuals who demonstrate inability to understand or physical restraint for the exercises.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01468298
Brazil | |
Centro Universitário de Maringá | |
Maringá, Paraná, Brazil, 87050390 |
Principal Investigator: | Ligia M Facci, doctor | Centro Universitario de Maringa |
Responsible Party: | Ligia Maria Facci, Principal Investigator, Clinical Professor, Centro Universitario de Maringa |
ClinicalTrials.gov Identifier: | NCT01468298 |
Other Study ID Numbers: |
249/2010 |
First Posted: | November 9, 2011 Key Record Dates |
Last Update Posted: | November 9, 2011 |
Last Verified: | October 2011 |
back pain physical therapy spine rehabilitation exercise |
Back Pain Low Back Pain Pain Neurologic Manifestations |