Standardizing Management of Patients With Low Back Pain in Primary Care and Physical Therapy
Stopped early · Phase 3
Conditions studied: Back Pain, Low Back Pain
In brief
The purpose of this study is to compare the clinical outcomes and costs associated with two different management strategies for patients with acute low back pain who consult their primary care physician. The investigators hypothesize that management using a brief, standardized physical therapy intervention will result in better outcomes than management based on current practice guideline recommendations of watchful waiting for the first 4 weeks following consultation.
Key facts
- Study ID
- NCT00769626
- Run by
- Intermountain Health Care, Inc.
- People needed
- 15
- Starts
- 2008-09-01
- Expected to finish
- 2010-05-01
- Last updated by the study team
- 2011-07-18
Who can join
Age: 18 and older, up to 60. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Symptoms of pain and/or numbness between the 12th rib and buttocks with or without symptoms into one or both legs, which, in the opinion of the primary care provider, originate from the lumbar region.
- Age 18 - 60 years
- Oswestry disability score > 20%
- Both of the clinical decision rule criteria: Duration of current symptoms < 16 days, and patient report of no symptoms (pain, numbness, etc.) distal to the knee since onset.
You may not qualify if…
- Prior surgery to the lumbosacral spine
- Current pregnancy
- Neurogenic LBP defined as the presence of either: a positive straight leg raise test (symptom reproduction at <450) or reflex, sensory, or strength consistent with lumbar nerve root compression
- Judgment of the primary care provider of "red flags" of a potentially serious condition including cauda equina syndrome, major or rapidly progressing neurological deficit, fracture, cancer, or infection
Where it is running
- Intermountain Healthcare, South Jordan Health Center — South Jordan, Utah, United States
- Intermountain Healthcare Taylorsville Health Center — Taylorsville, Utah, United States
- Intermountain Healthcare West Jordan Health Center — West Jordan, Utah, United States
Full record on ClinicalTrials.gov
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