Effectiveness of Physical Therapy Interventions for Low Back Pain Targeting the Low Back Only or Low Back Plus Hips



Status:Recruiting
Conditions:Back Pain, Back Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - Any
Updated:7/13/2018
Start Date:July 2, 2018
End Date:May 14, 2020
Contact:Scott A Burns, DPT
Email:scott.burns@temple.edu
Phone:215-204-9016

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The Effect of Physical Therapy Interventions Directed at the Low Back Versus Low Back and Hips for Individuals With a Primary Complaint of Low Back Pain: A Randomized Clinical Trial

Low back pain (LBP) is the leading cause of disability worldwide and has substantial impacts
on pain and function for an individual. Some individuals with LBP seek physical therapy for
their condition. The purpose of the study is to determine whether individuals with LBP have
improved pain and disability following physical therapy targeting either the low back only or
low back plus hip(s).

Often, individuals with LBP also have concurrent impairments in strength and/or range of
motion of one or both hips. Physical therapists may or may not decide to treat the concurrent
hip impairments for an individual with LBP based on their clinical decision making.
Currently, it is unknown which approach leads to superior patient outcomes in terms of pain
and disability.

Inclusion Criteria:

- Modified Oswestry Disability Index (ODI) ≥ 20%

- Numeric Pain Rating Scale (NPRS) of ≥ 2 points

- Primary complaint of low back pain with at least one hip impairment in one or both
hips

Exclusion Criteria:

- Contraindications to manual therapy

- Severe trauma to the lumbar spine or hip(s) in the last 6 weeks

- 'Red flag' symptoms including:

- Tumor

- Metabolic disease

- Rheumatoid arthritis or other systemic rheumatologic disorders

- Acute fracture

- Bowel/Bladder dysfunction

- Prolonged history of corticosteroid use

- Evidence of central nervous system involvement

- Two or more positive neurologic signs consistent with nerve root compression:

- Diminished muscle stretch reflexes of lower extremity

- Muscle weakness in any lower extremity myotome

- Diminished or absent sensation in any lower extremity dermatome

- Spinal surgery in the last 6 months

- Total Hip Arthroplasty

- Currently pregnant or post-partum ≤ 6 months

- Osteoporosis

- History of cancer within the last 12 months

- Inability to understand the English language
We found this trial at
7
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530 NE Glen Oak Ave
Peoria, Illinois 61637
(309) 655-2000
Phone: 309-282-1630
OSF St. Francis Medical Center OSF Saint Francis Medical Center, licensed for 616 beds and...
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Barnegat, New Jersey 08005
Phone: 609-698-1073
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Collegeville, Pennsylvania 19426
Phone: 908-319-6636
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Green Bay, Wisconsin 54311
Phone: 920-433-6796
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Indianapolis, Indiana 46237
Phone: 317-528-5800
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Indianapolis, IN
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Manahawkin, New Jersey 08050
Phone: 609-549-5015
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1801 N Broad St
Philadelphia, Pennsylvania 19122
(215) 204-7000
Phone: 215-204-9016
Temple University Temple University is many things to many people. A place to pursue life's...
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