Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial
Abstract Background Low back pain (LBP) is the first cause of years lived with disability worldwide. This is due to the development of chronic pain. Thus, it is necessary to identify the best therapeutic approaches in the acute phase of LBP to limit the transition to chronic pain. Superficial heat p...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-020-03829-7 |
| _version_ | 1818353296151150592 |
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| author | Claudia Côté-Picard Jean Tittley Catherine Mailloux Kadija Perreault Catherine Mercier Clermont E. Dionne Jean-Sébastien Roy Hugo Massé-Alarie |
| author_facet | Claudia Côté-Picard Jean Tittley Catherine Mailloux Kadija Perreault Catherine Mercier Clermont E. Dionne Jean-Sébastien Roy Hugo Massé-Alarie |
| author_sort | Claudia Côté-Picard |
| collection | DOAJ |
| description | Abstract Background Low back pain (LBP) is the first cause of years lived with disability worldwide. This is due to the development of chronic pain. Thus, it is necessary to identify the best therapeutic approaches in the acute phase of LBP to limit the transition to chronic pain. Superficial heat presents the highest level of evidence for short-term reduction in pain and disability in acute LBP. Physical activity is also recommended to avoid transition to chronic LBP, but there is a lack of evidence to determine its effect to reduce acute LBP. Also, the long-term effects of these interventions are unknown. This is a protocol for a randomized controlled trial (RCT) to determine the short and long-term effects of wearable continuous low-level thermal therapy, in combination with exercises or not, on disability and pain. Methods/design Sixty-nine participants with acute LBP will be randomly assigned to one of three intervention programs: 1) thermal therapy, 2) thermal therapy + exercises, and 3) control. The interventions will be applied for 7 continuous days. The primary outcome will be disability and secondary outcomes will be pain intensity, pain-related fear, self-efficacy, number of steps walked and perception of change. The evaluators will be blinded to the interventions, and participants will be blinded to other groups’ interventions. Primary and secondary outcomes will be compared between intervention groups. Discussion This study will provide new evidence about acute LBP treatments, to limit transition to chronicity. This will be the first study to measure the long-term effects of wearable continuous low-level thermal therapy, combined or not to exercises. Trial registration This RCT has been retrospectively registered on ClinicalTrials.gov ( NCT03986047 ) on June 14th, 2019. |
| first_indexed | 2024-12-13T19:07:16Z |
| format | Article |
| id | doaj.art-fddcb6d500864ac2a889380dfad1cdc8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-13T19:07:16Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-fddcb6d500864ac2a889380dfad1cdc82022-12-21T23:34:31ZengBMCBMC Musculoskeletal Disorders1471-24742020-12-012111710.1186/s12891-020-03829-7Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trialClaudia Côté-Picard0Jean Tittley1Catherine Mailloux2Kadija Perreault3Catherine Mercier4Clermont E. Dionne5Jean-Sébastien Roy6Hugo Massé-Alarie7Centre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalCentre interdisciplinaire de recherche en réadaptation et intégration sociale (Cirris), Université LavalAbstract Background Low back pain (LBP) is the first cause of years lived with disability worldwide. This is due to the development of chronic pain. Thus, it is necessary to identify the best therapeutic approaches in the acute phase of LBP to limit the transition to chronic pain. Superficial heat presents the highest level of evidence for short-term reduction in pain and disability in acute LBP. Physical activity is also recommended to avoid transition to chronic LBP, but there is a lack of evidence to determine its effect to reduce acute LBP. Also, the long-term effects of these interventions are unknown. This is a protocol for a randomized controlled trial (RCT) to determine the short and long-term effects of wearable continuous low-level thermal therapy, in combination with exercises or not, on disability and pain. Methods/design Sixty-nine participants with acute LBP will be randomly assigned to one of three intervention programs: 1) thermal therapy, 2) thermal therapy + exercises, and 3) control. The interventions will be applied for 7 continuous days. The primary outcome will be disability and secondary outcomes will be pain intensity, pain-related fear, self-efficacy, number of steps walked and perception of change. The evaluators will be blinded to the interventions, and participants will be blinded to other groups’ interventions. Primary and secondary outcomes will be compared between intervention groups. Discussion This study will provide new evidence about acute LBP treatments, to limit transition to chronicity. This will be the first study to measure the long-term effects of wearable continuous low-level thermal therapy, combined or not to exercises. Trial registration This RCT has been retrospectively registered on ClinicalTrials.gov ( NCT03986047 ) on June 14th, 2019.https://doi.org/10.1186/s12891-020-03829-7Acute low back painThermal therapyExercisesRandomized controlled trials |
| spellingShingle | Claudia Côté-Picard Jean Tittley Catherine Mailloux Kadija Perreault Catherine Mercier Clermont E. Dionne Jean-Sébastien Roy Hugo Massé-Alarie Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial BMC Musculoskeletal Disorders Acute low back pain Thermal therapy Exercises Randomized controlled trials |
| title | Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial |
| title_full | Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial |
| title_fullStr | Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial |
| title_full_unstemmed | Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial |
| title_short | Effect of thermal therapy and exercises on acute low back pain: a protocol for a randomized controlled trial |
| title_sort | effect of thermal therapy and exercises on acute low back pain a protocol for a randomized controlled trial |
| topic | Acute low back pain Thermal therapy Exercises Randomized controlled trials |
| url | https://doi.org/10.1186/s12891-020-03829-7 |
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