A Trial Comparing Mechanical Diagnosis and Treatment to Manual Therapy
| Status: | Recruiting |
|---|---|
| Conditions: | Back Pain, Back Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - 89 |
| Updated: | 2/11/2017 |
| Start Date: | February 1, 2017 |
| End Date: | September 30, 2017 |
| Contact: | Paul E Dougherty, DC |
| Email: | paul.dougherty@va.gov |
| Phone: | 585-463-2673 |
Management of Chronic Lower Back Pain: A Randomized Controlled Trial Comparing Mechanical Diagnosis and Treatment to Manual Therapy Utilizing a Point of Care Methodology
Mechanical diagnosis and treatment (MDT) and Manual Therapy (MT) have both demonstrated
efficacy in the management of CLBP. The use of a Point of Care (POC) design in this study
will allow for comparison of these two treatment modalities in a clinical setting. The
purpose of this study is to demonstrate the feasibility of recruiting, enrolling and
collecting outcome data on CLBP patients utilizing the POC methodology.
efficacy in the management of CLBP. The use of a Point of Care (POC) design in this study
will allow for comparison of these two treatment modalities in a clinical setting. The
purpose of this study is to demonstrate the feasibility of recruiting, enrolling and
collecting outcome data on CLBP patients utilizing the POC methodology.
20 new patients entering the chiropractic clinic who meet inclusion criteria including
demonstrating a directional preference upon physical examination during their initial
evaluation will be recruited. Patients will be queried as to interest and those interested
will be consented. Patients will then be randomized utilizing a computer generated
randomization chart to receive either MDT or MT delivered in a pragmatic manner. Outcomes
will include: Pain (PEG), Quality of Life (PROMIS Global Health Survey (GHS)), psychosocial
questions and Self Efficacy (2 Question). Outcomes will be collected at baseline, 4 weeks
and 8 weeks post baseline.
demonstrating a directional preference upon physical examination during their initial
evaluation will be recruited. Patients will be queried as to interest and those interested
will be consented. Patients will then be randomized utilizing a computer generated
randomization chart to receive either MDT or MT delivered in a pragmatic manner. Outcomes
will include: Pain (PEG), Quality of Life (PROMIS Global Health Survey (GHS)), psychosocial
questions and Self Efficacy (2 Question). Outcomes will be collected at baseline, 4 weeks
and 8 weeks post baseline.
Inclusion Criteria:
- Chronic Lower back pain (CLBP) (>12 weeks)
- Veteran
- At least 18 years of age
- Directional preference on physical examination
Exclusion Criteria:
- Non Veteran
- >89 years of age
- Non Mechanical Cause of LBP
- Unable to identify directional preference on physical examination
- Contraindications to manual therapy (cauda equina syndrome, spinal neoplasia or
metastatic disease, destructive joint pathology such as rheumatoid arthritis,
bowel/bladder dysfunction (associated with the back pain), peripheral neuropathy or
progressive lumbosacral radiculopathy, progressive myelopathy or neurogenic
claudication or any absolute contraindications to MT such as acute fracture of the
lumbar spine)
- Open Worker's compensation case
We found this trial at
1
site
Rochester, New York 14620
Principal Investigator: Paul Dougherty, DC
Phone: 585-463-2673
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