Hip-spine Intervention for Older Adults With Chronic Low Back Pain

NCT03031158 | Completed

• 1 other identifier: 943328
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain (LBP) is extremely common in older adults and is associated with a host of negative consequences, including decreased physical function and increased healthcare utilization. Among older adults with LBP, hip impairments indicative of hip joint disease are more prevalent and associated with greater disability than among older adults without LBP. This study will investigate a novel intervention designed to improve LBP-related disability by combining a typical spine-focused exercise program with a hip-focused intervention.

Conditions

Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Quebec Low Back Pain Disability Scale

  Change in disability score from pre-intervention to 20 weeks later

• Patient-Specific Functional Scale

  Change in pain-related function score from pre-intervention to 20 weeks later

Secondary Outcomes (2)

• Walking Endurance as measured by the 6 minute walk test

  Change in walking endurance from pre-intervention to 20 weeks later

• Walking speed

  Change in walking endurance from pre-intervention to 20 weeks later

Study Arms (2)

SFEX+H

EXPERIMENTAL

Participants will receive an intervention consisting of heat to the low back, manual therapy to the hip (including movement of the hip by the therapist), hip-focused strengthening exercises and a trunk muscle training program including exercises for the abdominal and low back muscles.

Behavioral: SFEX+H

SFEX

ACTIVE COMPARATOR

Participants will receive an intervention consisting of heat to the low back, manual therapy to the hip (including movement of the hip by the therapist) and a trunk muscle training program including exercises for the abdominal and low back muscles.

Behavioral: SFEX

Interventions

SFEX+H BEHAVIORAL

Participants will receive an intervention consisting of heat to the low back, manual therapy to the hip (including movement of the hip by the therapist), hip-focused strengthening exercises and a trunk muscle training program including exercises for the abdominal and low back muscles. The intervention will be delivered twice weekly for 8 weeks.

SFEX+H

SFEX BEHAVIORAL

Participants will receive an intervention consisting of heat to the low back, manual therapy to the hip (including movement of the hip by the therapist) and a trunk muscle training program including exercises for the abdominal and low back muscles. The intervention will be delivered twice weekly for 8 weeks.

SFEX

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60-85
• Low Back Pain for ≥ 3 months with pain of at least moderate intensity every day or almost every day that requires activity modification.
• Presence of at least 1 hip impairment denoted by the American College of Rheumatology as potential indicators of hip osteoarthritis: hip pain, pain on hip internal rotation or morning stiffness of the hip of \<60 minutes.

You may not qualify if:

• Previous hip fracture repair or total hip replacement
• Prominent component of radicular pain: CLBP with distal radiation below the knee
• Known spinal pathology other than osteoarthritis: (e.g., a history of back surgery or recent trauma, spinal stenosis, vertebral compression fractures, ankylosing spondylitis, carcinoma metastatic to the spine)
• Non-ambulatory, or severely impaired mobility (i.e., require the use of a wheelchair)
• Folstein Mini-Mental State Examination score of \<24
• Severe visual or hearing impairment.
• Red flags indicative of a serious disorder underlying the LBP: Red flags that would require specialized medical attention include fever, significant unintentional weight loss, a sudden recent change in the character or intensity of pain, trauma that preceded the onset of pain, or signs and symptoms of caudae equinae (i.e. loss of sensation over saddle region, significant disturbances in bowel and bladder function).
• Significant pain in parts of the body other than the back or acute LBP.
• Acute, ongoing illness.
• Inability to participate in the study for the full six months for any known reason.(i.e. moving away, extended vacation)
• Received physical therapy for their LBP within in the last 3 months.

Sponsors & Collaborators

• University of Delaware: lead

Study Sites (1)

University of Delaware

Newark, Delaware, 19713, United States

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: January 23, 2017
• First Posted: January 25, 2017
• Study Start: February 1, 2017
• Primary Completion: March 13, 2018
• Study Completion: March 13, 2018
• Last Updated: October 9, 2018

Record last verified: 2018-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)