Global Postural Reeducation (GPR) for chronic non-specific low back pain
Global Postural Reeducation (GPR) in the Treatment of Patients With Non-Specific Chronic Low Back Pain: A Randomized Sham-Controlled Clinical Trial
This trial will test whether weekly Global Postural Reeducation (GPR) sessions help adults aged 18–55 with chronic non-specific low back pain reduce pain and improve posture.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 42 (estimated) |
| Ages | 18 Years to 55 Years |
| Sex | All |
| Sponsor | Federal University of Bahia Academic / other |
| Locations | 1 site (Salvador, Estado de Bahia) |
| Trial ID | NCT06928597 on ClinicalTrials.gov |
What this trial studies
This is a randomized, sham-controlled trial at the Clínica Escola de Fisioterapia da UFBA in Salvador enrolling 42 adults aged 18–55 with chronic non-specific low back pain. Participants are randomized to receive real GPR or a simulated (sham) GPR session for 30 minutes once a week over 8 weeks. Outcomes will include measures of pain and postural control, with descriptive statistics reported as means and standard deviations. Key exclusions include recent acute lumbar pain, extruded or sequestrated disc herniation, prior spinal prosthesis surgery, active cancer, and significant sensory or cognitive impairments.
Who should consider this trial
Good fit: Adults 18–55 with chronic non-specific low back pain who have not previously done GPR and who have not had physiotherapy in the past two months are the ideal candidates.
Not a fit: People with acute lumbar pain, extruded or sequestrated disc herniation, recent spinal prosthetic surgery, active cancer, or significant sensory or cognitive impairments are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, GPR could reduce pain and improve posture and function for adults with chronic non-specific low back pain without surgery or long-term medication.
How similar studies have performed: Smaller trials and observational studies have reported pain and posture improvements with GPR, but high-quality randomized sham-controlled evidence is still limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged between 18 and 55 years with chronic non-specific low back pain, * Participants who voluntarily agree to participate and sign the Free and Informed Consent Form, * Participants who have never done any treatment with the GPR method, and * Participants who have not been undergoing physiotherapy treatment for at least 2 months. Exclusion Criteria: * Patients with pain lumbar acute, or it is, with symptoms gifts there is less of dose weeks, what carried out blocking medicinal in the column us last six months; * Patients with hernia of disk of type extruded and/or kidnapped; * Patients in possess or be in investigation of any kind of neoplasia; * Patients who have undergone any type of surgery with placement of any type of prosthesis in the spine; * Intellectual or sensory disability that prevents them from understanding commands or describing symptoms; * Patients who have a significant change in tactile sensitivity that prevents them from reporting any symptoms; * Patients who have any type of vestibular changes; * Serious pathologies of the spine; * Amputation of upper or lower limbs; * Spinal Cord Injury; * Low back pain with sacroiliac irradiation; any type of rheumatic diseases, such as: Rheumatoid Arthritis, Fibromyalgia, and others; * Patients that be performing or carried out last two months any type of conservative treatments, such as: Acupuncture, hydrotherapy, manual therapy, Pilates, conventional physiotherapy, and others; and * Patients who have travel plans in the coming months.
Where this trial is running
Salvador, Estado de Bahia
- Clínica Escola de Fisioterapia da UFBA - CEF/UFBA — Salvador, Estado de Bahia, Brazil (Recruiting)
Study contacts
- Principal investigator: KAREN V TRIPPO, PhD, PT — Federal University of Bahia
- Study coordinator: Ramon J Santos, Master, PT
- Email: ramonjesus@ufba.br
- Phone: +5571987495136
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.