Determine whether feedback by means of motivational gaming can (partially) restore cognition-related deviations in motor performance as seen in back challenging conditions in CLBP patients.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
chronische a-specifieke lage rugpijn
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Motor performance expressed in the amount of time needed to complete a series
of predefined reaching movements
Secondary outcome
- Attention to task performance and attention to back sensation both measured
by a numerical rating scale (NRS) ranging from 0 (*no attention at all*) to 10
(*full attention*).
- Expected and experienced pain rating both measured by a NRS ranging from 0
(*no pain at all*) to 10 (*worst pain imaginable*)
Background summary
Previous studies proved that chronic low back pain (CLBP) patients* motor
performance is deviated compared to healthy subjects. This applies for
performance of low back motor task, but also tasks that do not involve the
back. In addition, the deteriorating effect increases when tasks have to be
performed in a back challenging condition - which has been proven to provoke
pain-related cognitions.
Recent research has shown that giving knowledge of performance (KP) feedback on
a simple motor task can dissolve the difference between patients* and healthy
subjects* performance in a neutral sitting condition. Yet in a back challenging
condition - that provoked pain-related cognitions - there remained differences
between patients and healthy subjects.
Some studies have related pain-related cognitions (especially catastrophizing)
to an increased attention towards back sensations, known as hypervigilance. It
is plausible that hypervigilance distracts attention from performance in a back
challenging condition. Apparently, simple KP feedback is not capable to
counterbalance this. Therefore, a more enriched feedback strategy should be
applied.
Gaming might be such a feedback strategy. It has proven to have a positive
effect on attention towards performance (probably via motivation) and has
proven to even be able to distract attention from pain in burn patients. In
sum, gaming feedback seems to be a promising manner to compensate for the
deviations in motor performance as seen is back challenging conditions.
Therefore, the goal in the present study is to determine whether feedback by
means of motivating gaming can counterbalance the deteriorations in motor
performance cause by provocation of pain-related cognitions in CLBP patients.
Study objective
Determine whether feedback by means of motivational gaming can (partially)
restore cognition-related deviations in motor performance as seen in back
challenging conditions in CLBP patients.
Study design
Prospective intervention study
Intervention
provoking position (i.e. lying prone without trunk support)
Study burden and risks
The burden associated with participation comprises a once-only visit of
approximately 30-45 minutes at Roessingh Research and Development.
Both with respect to duration and actual load the burden on participants is
relatively low. In essence, the burden does not deviate from (back challenging
or otherwise confronting) situations that subject are confronted with in daily
life. Besides, results in a previous study showed that the burden/load was
considered rather low by the participants themselves.
The excpected risks are negligible. The motor task and the conditions in which
it has to be performed are based on clinical tests and have proven to be
executed without any problems by patiënts in a previous study.
However, it is neither expected that subjects (patients in particular) will
experience any benefits as a result of study participation.
Roessinghsbleekweg 33b
7522 AH Enschede
NL
Roessinghsbleekweg 33b
7522 AH Enschede
NL
Listed location countries
Age
Inclusion criteria
Between 18 and 70 years of age
Able to speak and understand the Dutch language
Length between 1m50 and 2m00 (necessary for task feasability)
Capable of performing the experiments in the study (according to therapist's judgement for patients)
Patients have low back pain without a specific physiopathological origin, for at least 12 weeks
Exclusion criteria
Presence of upper-extremity disorders - or other pathologies compromising manual motor performance
Insufficient mastering of the Dutch language.
Control subjects will be excluded if they have had an episode of (back) pain complaints in the 6 months previous to study participation
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL32578.044.10 |