Feasibility of Using Functional Progression to Guide the Treatment of Adolescent Low Back Pain

Completed · Not applicable

Conditions studied: Low Back Pain, Spondylolysis, Spondylolisthesis

In brief

The goal of the proposed research is to test the feasibility of a functional progression program to reduce cost and possible radiation exposure for adolescent athletes with low back pain. Specifically the investigators plan to test the feasibility of using progression in rehabilitation to pragmatically differentially diagnose and treat adolescent athletes with low back pain, instead of using advanced imaging which is the current practice. The investigators propose to recruit 20 participants, with 10 of usual care (advanced imaging) and 10 of proposed intervention (functional progression) to assess the feasibility of using functional progress to guide treatment. The outcomes measured will be number of days for rest, time to start regular rehabilitation, pain experienced, functional outcomes, ability to return to sport, time needed to return to sport. If this pilot demonstrates the feasibility and a decreased rate of advanced imaging and similar clinical outcomes the investigators plan to progress this work into larger trials.

Key facts

Study ID

NCT02861456

Run by

Nationwide Children's Hospital

People needed

16

Starts

2016-08-01

Expected to finish

2018-08-01

Last updated by the study team

2018-10-02

Who can join

Age: 12 and older, up to 19. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 12-19 years old
• Primary complaint of acute low back pain (<3months)
• Participates in some type of athletic activity on a regular basis (>2 times a week)
• Pain increases with lumbar extension

You may not qualify if…

• Advanced imaging performed already (MRI, SPECT, CT)
• Red flags present (bowel/bladder problems, saddle anesthesia, progressive neurological deficits, recent fever or infection, unexplained weight loss, unable to change symptoms with mechanical testing)
• Numbness and tingling in any lumbar dermatome
• Previous rest from sport >4 weeks without improved symptoms
• Other orthopedic injury or condition that would alter the plan of care for LBP (i.e. pregnancy, concomitant anterior cruciate ligament tear)
• History of lumbar surgery

Where it is running

• Nationwide Children's Hospital Sports and Ortho PT East Broad — Columbus, Ohio, United States
• Nationwide Children's Hospital Sports and Ortho PT Dublin — Dublin, Ohio, United States
• Nationwide Children's Hospital Sports and Ortho PT New Albany — New Albany, Ohio, United States
• Nationwide Children's Hospital Sports and Orthopedic PT Westerville location — Westerville, Ohio, United States

Full record on ClinicalTrials.gov

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