Pilot Trial of a Hip-spine Intervention for Older Adults With a Primary Complaint of Low Back Pain
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Low Back Pain
- 发起方
- University of Delaware
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Quebec Low Back Pain Disability Scale
- 状态
- 已完成
- 最后更新
- 7年前
概览
简要总结
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.
研究者
Gregory Evan Hicks
Associate Professor
University of Delaware
入排标准
入选标准
- •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.
排除标准
- •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)
结局指标
主要结局
Quebec Low Back Pain Disability Scale
时间窗: Change in disability score from pre-intervention to 20 weeks later
Patient-Specific Functional Scale
时间窗: Change in pain-related function score from pre-intervention to 20 weeks later
次要结局
- 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)