Postural Re-education in Low Back Pain

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. Identifier: NCT00789204
Recruitment Status : Completed
First Posted : November 11, 2008
Last Update Posted : September 22, 2009
Information provided by:
University of Bologna

Brief Summary:
The Global Postural Re-Education is a global approach for the treatment of musculoskeletal disease. Using specific progressive posture for stretching particular shortened chain muscle the method wants to equilibrate the never-ending war between static and dynamic muscles by guiding the patient in a particular breathing pattern to maintain a correct posture and feeling it.

Condition or disease Intervention/treatment Phase
Low Back Pain Other: Global Postural Re-education Other: Standard Exercise Training Phase 1

Detailed Description:
In some countries there is a physical therapy method called "Global Posture Reeducation" (GPR), which was developed by Philippe Emmanuel Souchard based on 20 years of clinical experience.The method consist to balance the miofascial tension probably responsible for an articular overloading. The method stretches the shortened antigravity muscles that are inside a different static muscles chains. GPR is a global approach that search the biomechanics cause in the near areas, and involves actively the patient in the postural and gestural changes.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 100 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Effectiveness of a "Global Posture Reeducation" Program for Patients With Low Back Pain
Study Start Date : May 2008
Actual Primary Completion Date : September 2009
Actual Study Completion Date : September 2009

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: GPR
Global Postural Re-Education
Other: Global Postural Re-education
The treatment in Global Postural Re-education is a global approach that seeks to identify the biomechanical cause of the problem also in other parts of the body and involves actively the patient in the postural change. Using principles like causality, globality and individuality, the treatment consists of the use for one hour of progressive active stretching posture for specific muscular chain that are shortened. Every posture is maintained for 20 minutes with controlled breathing and the use of manual traction
Other Name: GPR
Active Comparator: SEP
Standard Exercise Programm
Other: Standard Exercise Training
The exercise programme included passive lumbar flexion, pelvic tilt, strengthening of flexor muscles, strengthening of extensor muscles, spine mobilization and stretching exercises.
Other Name: SEP

Primary Outcome Measures :
  1. Roland & Morris Disability Questionnaire [ Time Frame: Baseline, 3 months, 6 months ]

Secondary Outcome Measures :
  1. Oswestry Disability Index [ Time Frame: Baseline, 3 months, 6 months ]
  2. Pain Drawing and Visual Analogue Scale (V.A.S.) [ Time Frame: Baseline, 3 mounths, 6 months ]
  3. Fingertip-to-floor test [ Time Frame: Baseline, 3 mounths, 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Lumbalgia Diagnosis
  • Age 18-80

Exclusion Criteria:

  • Migrated hernia
  • Calcified disc hernia
  • Spondylolisthesis
  • Other physiotherapeutic interventions within 6 months of the baseline assessment.
  • Surgical operation within six months of baseline
  • Cancer syndrome, Neurological and rheumatic diseases

Information from the National Library of Medicine

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 identifier (NCT number): NCT00789204

Ecm Eur Centro Medico
Roma, Lazio, Italy, 00144
Sponsors and Collaborators
University of Bologna
Principal Investigator: Francesca Bonetti, Laurea

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Paolo Pillastrini, University of Bologna Identifier: NCT00789204     History of Changes
Other Study ID Numbers: FB001022008
First Posted: November 11, 2008    Key Record Dates
Last Update Posted: September 22, 2009
Last Verified: September 2009

Keywords provided by University of Bologna:
low back pain

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms