Development of an evidence-based, theory-driven group education and exercise intervention to promote self-management for people with osteoarthritis of the lumbar spine, hip or knee and/or chronic low back pain in primary care physiotherapy: a single-blinded feasibility cluster randomized controlled trial within the MRC Framework for Complex Interventions

Health Research Board (Ireland)0 个研究点目标入组 120 人开始时间: 2014年3月26日最近更新: 2020年10月5日

适应症

试验速览

•Current inclusion criteria as of 02/10/2014:
•1. Age = 30 years for people with non-specific low back pain of mechanical origin with or without radiation to the lower limb
•2. NICE (2014) working diagnosis of osteoarthritis of any of the joints of the lumbar spine, hip or knee defined as: age 45 years old or over, and activity-related joint pain and either no morning joint-related stiffness or morning stiffness that lasts no longer than 30 minutes or
•3. Non-specific low back pain of mechanical origin with or without radiation to the lower limb =3 months
•4. English speaking and English literate
•5. Access to a telephone for screening and assessment
•6. Willing to attend 6-week group education and exercise class
•Previous inclusion criteria:
•1. = 45 years of age
•2. NICE (2014) working diagnosis of osteoarthritis of any of the joints of the lumbar spine, hip or knee defined as: age 45 years old or over, and activity-related joint pain and either no morning joint-related stiffness or morning stiffness that lasts no longer than 30 minutes or
•3. Non-specific low back pain of mechanical origin with or without radiation to the lower limb =3 months
•4. English speaking and English literate
•5. Access to a telephone for screening and assessment
•6. Willing to attend 6-week group education and exercise class

•1. Suspected or confirmed serious spinal pathology (fracture, metastatic, inflammatory or infective diseases of the spine, cauda equina syndrome/widespread neurological disorder)
•2. Nerve root compromise (2 of strength, reflex or sensation affected for same nerve root)
•3. Lower limb arthroplasty
•4. Past medical history
•5. Spinal surgery or history of systemic/inflammatory disease
•6. Current medical status
•7. Scheduled for major surgery during treatment
•8. Contraindications
•9. Unstable angina/uncontrolled cardiac dysrhythmias/severe aortic stenosis/acute systemic infection accompanied by fever
•10. No confounding conditions, such as a neurological disorder, intellectual disorder or unstable psychiatric condition.
•11. Bladder or bowel incontinence
•12. People who are assessed to be at high risk of falls
•13. Physiotherapy in the preceding 6 months
•14. Unable or unwilling to attend
•15. Ongoing litigation related to the pain condition

发起方

Health Research Board (Ireland)