| Unique ID issued by UMIN | UMIN000056092 |
|---|---|
| Receipt number | R000064088 |
| Scientific Title | Low Back Pain Related to Hip Joint Motion Range Limitations and Preventative Measures |
| Date of disclosure of the study information | 2024/12/01 |
| Last modified on | 2025/11/08 09:30:15 |
Low back pain associated with hip range of motion limitation and preventive measures
Measures to prevent lower back pain by improving the range of motion of the hip joint
Low Back Pain Related to Hip Joint Motion Range Limitations and Preventative Measures
Investigation of hip joint range of motion and lower back pain
| Japan |
non-specific low back pain
| Orthopedics |
Others
NO
Reserch1: To evaluate the effectiveness of a rehabilitation therapy that focuses on improving flexibility in the range of motion of the hip joint for patients who visited an orthopedic clinic with low back pain as their chief complaint and decreased flexibility in hip and lower leg extension. In this study, I will verify whether hip joint range of motion measurement is effective as a simple method for predicting the risk of low back pain.
Reserch2: Based on the results of Reserch1, I will instruct nurses and caregivers working in nursing care facilities to practice stretching on their own with the main purpose of improving hip joint flexibility, and I will aim to improve low back pain and prevent its onset.
Efficacy
Confirmatory
Back pain evaluation will be performed at the first visit and four weeks after rehabilitation using the NRS (numerical rating scale) and JOABPEQ (Japanese Orthopedic Association back pain evaluation questionnaire).The evaluation criteria for JOABPEQ are: 1) if the post-intervention score increases by 20 points or more compared to pre-intervention, 2) if the pre-intervention score was less than 90 points and the post-intervention score reached 90 points or more; if either 1 or 2 is met, it will be judged as "effective," and the relationship between the rate of stretching implementation and hip joint range of motion and improvement in back pain will be compared.
Both Reserach1 and 2 will also consider the effects of treatments other than rehabilitation and stretching, such as the use of oral medications and external medications.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Maneuver |
Research1: Measurement of hip joint range of motion (flexion angle, external rotation angle, internal rotation angle), Thomas test, and SLR (Straight Leg Raising) (=measured with a goniometer) at the first consultation, approximately 2 weeks after rehabilitation intervention, and approximately 4 weeks after rehabilitation intervention. ). Regarding rehabilitation, physical therapists and occupational therapists provide exercise therapy to improve trunk and lower limb flexibility (especially improving hip joint range of motion), trunk and buttocks circumference, and antigravity muscle strength, as well as instruction on independent exercises to improve trunk and lower limb flexibility.
Research2: Participants were instructed on eight types of stretching exercises that can be performed by themselves and are effective in increasing hip joint range of motion.Have them practice it at home or at work at least once a day for about four weeks.Using the same method as in Research 1, hip joint range of motion was measured before and after practicing the stretching exercises.
| 18 | years-old | <= |
| 70 | years-old | > |
Male and Female
Research1: Men and women aged 18 to 70 years old who visited a clinic in Sendai (Shirakihara Clinic, Minamikoudai, Izumi Ward) with a primary complaint of lower back pain, were diagnosed with non-specific lower back pain (X-ray imaging showed no osteoarthritis of the hip), and received treatment as part of insurance-covered medical care, and who agreed with the purpose of this study and cooperated in providing medical information.
Research2:Male and female nurses and caregivers aged 18 to 70 years old (regardless of whether they have back pain) who work at a care facility (currently undecided) and agree with the purpose of this study.
Those who are pregnant or may be pregnant.For Research 2, those who have been diagnosed with lumbar disc herniation, lumbar spinal canal stenosis, lumbar spondylolisthesis, or other lumbar diseases, or those with a history of spinal or hip surgery, were excluded.
50
| 1st name | Toshiya |
| Middle name | |
| Last name | Irokawa |
Tohoku Univercity Graduate School of Medicine
Occupational Health Departmant
980-8575
2-1 Seiryo-machi, Aoba-ku, Sendai City, Tohoku University School of Medicine, Building 1, 5th floor, Occupational Health Department
022-717-7874
toshiya.irokawa.a2@tohoku.ac.jp
| 1st name | Akane |
| Middle name | |
| Last name | Takahashi |
Tohoku Univercity Graduate School of Medicine
Occupational Health Department
980-8575
2-1 Seiryo-machi, Aoba-ku, Sendai City, Tohoku University School of Medicine, Building 1, 5th floor,
022-717-7874
takahashi.akane.q4@dc.tohoku.ac.jp
Tohoku University
Tohoku University
Other
Ethics Committee Tohoku University Graduate School of Medicine
2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi
022-728-4105
ec-med@grp.tohoku.ac.jp
NO
| 2024 | Year | 12 | Month | 01 | Day |
Unpublished
9
Enrolling by invitation
| 2024 | Year | 12 | Month | 01 | Day |
| 2025 | Year | 01 | Month | 24 | Day |
| 2025 | Year | 02 | Month | 01 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2026 | Year | 11 | Month | 30 | Day |
| 2024 | Year | 11 | Month | 07 | Day |
| 2025 | Year | 11 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000064088