Effectiveness of Lifestyle Counseling Versus Physical Therapy on Chronic Low Back Pain
Intervention Study to Examine the Effectiveness of Lifestyle Counseling Using the "Stage of Change" Model Versus Conventional Physical Therapy on Chronic Low Back Pain
1 other identifier
interventional
220
1 country
1
Brief Summary
Background: Low back pain is the leading cause of disability, affecting the quality of life and work productivity. It is the most common reason for seek medical help and advice. Low back pain creates huge economical burden worldwide. To date, most ( 90%) of low back pain cases are not clinically defined with no preferred medical treatment
- 1.Study objectives:
- 2.Study hypotheses:
- 3.Pain reduction.
- 4.Less disability - improvement in daily activities.
- 5.Better feeling of health and well-being.
- 6.Increased and better compliance to daily sport activities.
- 7.BMI reduction.
- 8.Reduction of cigarette smoking.
- 9.Reduction of usage of anti-analgesics and anti-inflammatory medications.
- 10.Reduction in number of visits to Physical Therapy clinics due to low back pain.
- 11.Methods:
- 12.Conventional Physical Therapy.
- 13.Physical Therapy focused on healthy lifestyle using the "Stage of Change" model.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable low-back-pain
Started Feb 2011
Longer than P75 for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 7, 2012
CompletedFirst Posted
Study publicly available on registry
June 29, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
January 8, 2019
CompletedJanuary 10, 2019
January 1, 2019
6.4 years
June 7, 2012
January 9, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change from baseline of Disability using the Roland Morris Disability Questionnaire at 3 months, 1, 2 and 5 years
3 months, 1, 2 and 5 years
Secondary Outcomes (1)
Change from baseline of Pain using the Numerical pain scale at 3 months, 1, 2 and 5 years
3 months, 1, 2 and 5 years
Study Arms (2)
Physical Therapy
NO INTERVENTIONConventional Physical Therapy
Daily physical activity consultation, Using Stage of change
EXPERIMENTALInterventions
Consultation of daily physical activity is provided, including selection of up to four pain relief exercises
Eligibility Criteria
You may qualify if:
- Men and women
- Age 25-55 years old
- Chronic / recurrent low back pain (over 3 months)
- With or without radiation
You may not qualify if:
- Rheumatoid disease
- Tumors
- Fibromyalgia
- Back surgery
- Road / work accidents
- Non Hebrew speaking
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Maccabi Healthcare Services Clinics
Tel Aviv, Israel
Related Publications (3)
Canaway A, Pincus T, Underwood M, Shapiro Y, Chodick G, Ben-Ami N. Is an enhanced behaviour change intervention cost-effective compared with physiotherapy for patients with chronic low back pain? Results from a multicentre trial in Israel. BMJ Open. 2018 Apr 10;8(4):e019928. doi: 10.1136/bmjopen-2017-019928.
PMID: 29643158DERIVEDBen-Ami N, Shapiro Y, Pincus T. Outcomes in Distressed Patients With Chronic Low Back Pain: Subgroup Analysis of a Clinical Trial. J Orthop Sports Phys Ther. 2018 Jun;48(6):491-495. doi: 10.2519/jospt.2018.7670. Epub 2018 Mar 27.
PMID: 29587572DERIVEDBen-Ami N, Chodick G, Mirovsky Y, Pincus T, Shapiro Y. Increasing Recreational Physical Activity in Patients With Chronic Low Back Pain: A Pragmatic Controlled Clinical Trial. J Orthop Sports Phys Ther. 2017 Feb;47(2):57-66. doi: 10.2519/jospt.2017.7057.
PMID: 28142364DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yair Shapiro, MD.
Maccabi Healthcare Services, Israel
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 7, 2012
First Posted
June 29, 2012
Study Start
February 1, 2011
Primary Completion
July 1, 2017
Study Completion
January 8, 2019
Last Updated
January 10, 2019
Record last verified: 2019-01