Status:
TERMINATED
Standardizing Management of Patients With Low Back Pain in Primary Care and Physical Therapy
Lead Sponsor:
Intermountain Health Care, Inc.
Conditions:
Back Pain
Low Back Pain
Eligibility:
All Genders
18-60 years
Phase:
PHASE3
Brief Summary
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 physici...
Detailed Description
The Institute of Medicine recognizes low back pain (LBP) as a top 15 priority condition, calling for health care organizations to develop new, evidence-based management strategies. Most patients with ...
Eligibility Criteria
Inclusion
- 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.
Exclusion
- 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
Key Trial Info
Start Date :
September 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2010
Estimated Enrollment :
15 Patients enrolled
Trial Details
Trial ID
NCT00769626
Start Date
September 1 2008
End Date
May 1 2010
Last Update
July 18 2011
Active Locations (3)
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1
Intermountain Healthcare, South Jordan Health Center
South Jordan, Utah, United States, 84095
2
Intermountain Healthcare Taylorsville Health Center
Taylorsville, Utah, United States, 84118
3
Intermountain Healthcare West Jordan Health Center
West Jordan, Utah, United States, 84088