Actively Recruiting
Implementation of the Specific Treatment Of Problems of the Spine Approach in Bangladesh
Led by Mohammad Ali · Updated on 2026-05-04
154
Participants Needed
1
Research Sites
152 weeks
Total Duration
On this page
Sponsors
M
Mohammad Ali
Lead Sponsor
H
Hasna Hena Pain, Physiotherapy and Public Health Research Center (HPRC)
Collaborating Sponsor
AI-Summary
What this Trial Is About
The goal of this implementation trial is to evaluate the clinical outcomes associated with usual physiotherapy care compared to individualized physiotherapy in accordance with the Specific Treatment of Problems of the Spine (STOPS) approach in patients with chronic low back pain (CLBP). The main questions it aims to answer are: * Is the STOPS approach more effective than usual care physiotherapy among patients with CLBP? * Is STOPS physiotherapy cost-effective compared to usual physiotherapy care for patients with CLBP. * Does STOPS training improve the quality of care among Bangladeshi physiotherapists?
CONDITIONS
Official Title
Implementation of the Specific Treatment Of Problems of the Spine Approach in Bangladesh
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients with primary complaint of low back pain or referred leg pain
- Current episode lasting longer than 3 months (chronic stage)
- Aged between 18 and 65 years inclusive
- Able to speak English or Bengali to complete questionnaires and understand treatment
- Willing to avoid other interventions during the 10-week treatment period except medical consultations, medication, and existing exercises
- Physiotherapists and assistants in Bangladesh involved in low back pain management who agree to participate in all study phases and complete STOPS training
You will not qualify if you...
- Presence of red flag conditions such as active cancer, risk of spinal fracture, infection signs, or major systemic inflammatory disease
- Signs of cauda equina syndrome
- Current pregnancy or childbirth within the last 6 months
- Spinal injections within the last 6 weeks
- History of lumbar spine surgery
- Pain intensity below 2 out of 10 on numerical rating scale
- Minimal activity limitation (able to walk, sit, and stand for one hour or more without sleep disturbance)
- Inability to walk safely (e.g., severe foot drop causing frequent tripping)
- Planned absence longer than one week during treatment period
- Physiotherapists unwilling to participate in all three phases of the study
AI-Screening
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Trial Site Locations
Total: 1 location
1
Uttara Adhunik Medical College Hospital
Dhaka, Uttara, Bangladesh, 1230
Actively Recruiting
Research Team
M
Mohammad Ali, MPhil
CONTACT
A
Andrew Hahne, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
2
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