Walking and Balance Related to Sagittal Spinal Posture Alignment (WiSPA)
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|ClinicalTrials.gov Identifier: NCT04008459|
Recruitment Status : Terminated (Recruitment no longer viable as spinal classes were stopped due to the COVID-19 situation.)
First Posted : July 5, 2019
Last Update Posted : September 14, 2020
|Condition or disease||Intervention/treatment|
|Hyperkyphosis Walking, Difficulty Balance; Distorted Spinal Disease Osteoporosis Spine Degeneration||Other: Therapeutic exercise class|
|Study Type :||Observational|
|Actual Enrollment :||41 participants|
|Official Title:||WiSPA: Walking and Balance Related to Sagittal Spinal Posture and Alignment|
|Actual Study Start Date :||April 6, 2019|
|Actual Primary Completion Date :||July 12, 2020|
|Actual Study Completion Date :||August 18, 2020|
Degenerative musculoskeletal spinal conditions
Participants are included who are enrolled in a 6-week physiotherapy exercise class aimed at improving function in people with degenerative spinal conditions.
Other: Therapeutic exercise class
Physiotherapy exercise class includes education, stretching, strengthening, posture and balance interventions.
- Change in sagittal spinal alignment [ Time Frame: 6 weeks post-baseline ]Alignment of the spine in the sagittal plane measured by a surface topography method
- Sagittal spinal alignment [ Time Frame: 6 months ]Alignment of the spine in the sagittal plane measured by a surface topography method
- 2 minute walk test [ Time Frame: 6 weeks and 6 months ]Distance walked in 2 minutes to measure exercise capacity
- Gait analysis [ Time Frame: 6 weeks and 6 months ]Spatiotemoral gait parameters measured using inertial measurement units
- Tragus to wall distance [ Time Frame: 6 weeks and 6 months ]Forward posture measurement using the distance from the ear to the wall
- Four Square Step Test [ Time Frame: 6 weeks and 6 months ]Dynamic balance test involving multidirectional stepping over obstacles
- Timed loaded standing test [ Time Frame: 6 weeks and 6 months ]Measurement of back extensor muscle strength and endurance
- 36-item Short Form Health Survey (SF-36) [ Time Frame: 6 weeks and 6 months ]Health survey measuring aspects of quality of life. The questionnaire contains 36 questions which form 8 subscales: physical functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue, emotional well-being, social functioning, pain, and general health. Each question is directly transformed into a 0-100 scale with the lower the score the more disability.
- Visual analogue pain scale [ Time Frame: 6 weeks and 6 months ]Measurement of pain in a participant's back. The scale is along a horizontal 10 cm line with markings from 0 to 10, 0 indicating no pain and 10 indicating the worst pain imaginable.
- Activities-specific Balance Confidence Scale [ Time Frame: 6 weeks and 6 months ]Questionnaire measuring balance confidence in various situations. It contains 16 questions in which participants rate their confidence in performing the activities on a scale from 0-100, 0 representing no confidence and 100 representing complete confidence. The total score is calculated to be on a similar 0 to 100 scale.
- Modified gait efficacy scale [ Time Frame: 6 weeks and 6 months ]Questionnaire measuring walking confidence and self-efficacy. Each of the 10 items is scored on a 10-point Likert scale with 1 representing no confidence and 10 representing complete confidence. The total score ranges from 10-100.
- Sagittal spinal alignment [ Time Frame: Within 2 weeks of baseline ]Reliability re-test of alignment of the spine in the sagittal plane measured by a surface topography method
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): NCT04008459
|Nuffield Orthopaedic Centre|
|Oxford, Oxon, United Kingdom, OX4 1TH|
|Principal Investigator:||Erin Hannink, DPT||University of Oxford|