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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00864422
Registration number
NCT00864422
Ethics application status
Date submitted
17/03/2009
Date registered
18/03/2009
Date last updated
18/03/2009
Titles & IDs
Public title
Changes in Motor Cortex Following Exercises for Chronic Low Back Pain
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Scientific title
Driving Plasticity in the Motor Brain in Chronic Back Pain
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Secondary ID [1]
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NHMRC-ID401599
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Secondary ID [2]
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NHMRC-ID351656
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Low Back Pain
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Skilled motor training
BEHAVIORAL - Walking exercise
Experimental: 1 -
Active comparator: 2 -
BEHAVIORAL: Skilled motor training
This involves training subjects to independently and cognitively activate the deep abdominal muscles, transversus abdominis, with minimal or no activity in other trunk muscles. The contraction is held for 10 seconds and subjects complete three blocks of ten contractions, twice per day for two weeks. This training protocol is commonly used clinically for people with chronic back pain.
BEHAVIORAL: Walking exercise
The control intervention involves walking exercises for ten minutes, twice per day. Subjects are advised to walk at their own pace with no instructions on activation of specific trunk muscles. The exercise is performed over two weeks.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Motor cortical map and excitability from transcranial magnetic stimulation
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Assessment method [1]
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Timepoint [1]
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Pre and 2 weeks post-intervention
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Secondary outcome [1]
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Motor activation of the abdominal muscles during functional arm movement task
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Assessment method [1]
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Timepoint [1]
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Pre and 2 weeks post-intervention
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Secondary outcome [2]
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Self-reported pain (VAS scale) and functional scale (patient-specific functional scale)
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Assessment method [2]
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Timepoint [2]
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Pre and 2 weeks post-intervention
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Eligibility
Key inclusion criteria
* Sustained or episodic non-specific low back pain lasting longer than 3 months
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Orthopaedic, neurological, circulatory or respiratory conditions
* History or family history of epilepsy
* Recent or current pregnancies
* Previous surgery to the abdomen or back
* Abdominal or back exercises in the preceding 12 months
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2007
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Sample size
Target
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Centre for Clinical Research Excellence in Spinal Pain, Injury and Health - Brisbane
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Recruitment postcode(s) [1]
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4072 - Brisbane
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Funding & Sponsors
Primary sponsor type
Other
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Name
The University of Queensland
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The motor cortex of the brain changes following chronic pain and injury, and this is linked to pain-associated changes in motor behaviour. This study aimed to investigate whether therapeutic exercises in patients with chronic pain can induce reorganisation of the motor cortex and restore normal motor behaviour. The investigators hypothesised that motor training can induce reorganisation of the motor cortex and that these changes are related to improved motor behaviour.
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Trial website
https://clinicaltrials.gov/study/NCT00864422
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Paul W Hodges, MedDr (Neurosci) PhD BPhty
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Address
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The University of Queensland
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00864422
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