Status:
UNKNOWN
Group-based Exercise Training Programs for Military Members With Musculoskeletal Conditions
Lead Sponsor:
Laval University
Collaborating Sponsors:
Canadian Institutes of Health Research (CIHR)
Conditions:
Musculoskeletal Pain
Low Back Pain
Eligibility:
All Genders
18-60 years
Phase:
NA
Brief Summary
This randomized controlled trial will compare the mid- and long-term effects of group-based training programs with usual individual physiotherapy care for the treatment of musculoskeletal disorders in...
Detailed Description
Musculoskeletal disorders are a leading cause of morbidity and the most prevalent source of disability among soldiers. Their high prevalence in armed forces and limited resources have led to problems ...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Aged between 18-60 years
- Present one of the four targeted musculoskeletal disorders:
- Low back pain:
- Inclusion - 1) Low back pain with or without radiation to the lower limbs, 2) minimal score of 17% on the Modified Oswestry Disability Index (ODI).
- Exclusion - 1) history of surgery or fracture to the spinal column, 2) signs of upper motor neuron lesions (bilateral paresthesia, hyperreflexia or spasticity) or other red flags (e.g. fracture).
- Patellofemoral pain syndrome:
- Inclusion - 1) anterior knee pain during running or during at least two activities among: kneeling, squatting, and resisted knee extension 2) score lower than 85/100 on the Knee Outcomes Survey - Activity of Daily Living Scale (KOS- ADLS).
- Exclusion - 1) history of knee surgery or patellar dislocation; 2) pain believed to originate either from meniscus (presence of joint line fullness and tenderness, McMurray sign, and positive Thessaly test) or from any knee ligament.
- Rotator cuff-related shoulder pain:
- Inclusion - 1) at least one positive finding in each of the following categories: a) painful arc of movement; b) positive Neer's or Kennedy-Hawkins Test; c) pain on resisted external rotation, resisted abduction or Empty Can Test 2) minimal score of 14 points on the Disabilities of the Arm, Shoulder and Hand (QuickDASH).
- Exclusion - 1) history of shoulder surgery, fracture, capsulitis, or dislocation, 2) full thickness rotator cuff tear identified by imagery or clinical tests 3) cervicobrachialgia or shoulder pain reproduced by neck movements.
- Lateral ankle sprain:
- Inclusion - 1) unilateral lateral ankle sprain of \<6 weeks, 2) minimal score of 9 points on the Lower Extremity Functional Scale (LEFS).
- Exclusion - 1) ankle fracture, 2) lateral ligaments not the principal injury (a high ankle/tibiofibular sprain).
- Exclusion Criteria for all diagnosis:
- Are unavailable to participate in a 12-week intervention;
- Have a diagnosis of rheumatoid, inflammatory, neurological or neurodegenerative disease;
- Received a corticosteroid injection in the previous 6 weeks in the affected region;
- Have had more than 6 months of work restriction for their current musculoskeletal pain;
- Acute conditions (Constant and intense pain \[\>5/10\];Severely limited range of motion \[more than 50% in at least 2 directions\]; Obvious lateral shift for low back pain or Unable to bear weight \[for lateral ankle sprain\])
Exclusion
Key Trial Info
Start Date :
January 28 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
August 31 2023
Estimated Enrollment :
120 Patients enrolled
Trial Details
Trial ID
NCT05235152
Start Date
January 28 2022
End Date
August 31 2023
Last Update
March 2 2022
Active Locations (1)
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1
Laval University
Québec, Canada, G1V 0A6