Personalized Back Rx Exercise Program as a Treatment for Discogenic Low Back Pain
| Status: | Completed |
|---|---|
| Conditions: | Back Pain, Back Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 2/10/2018 |
| Start Date: | January 2016 |
| End Date: | September 2017 |
Personalized Back Rx Exercise Program With Coaching, Social Support, and Sensor-assisted Assessments as a Treatment for Discogenic Low Back Pain: A Prospective Pilot Study
The prevalence and disability associated with discogenic low back pain are significant, and
there is a general lack of widely accepted conservative treatments for the condition. A
majority of previous studies that have assessed the efficacy of self-directed exercise-based
rehabilitation programs did not include comprehensive metrics to confirm whether participants
actually participated in the exercises prescribed. In this pilot study, the investigators
hope to determine whether proxies of compliance with a daily, self-directed rehabilitation
program for discogenic low back pain are correlated with participant-reported improvements in
pain and function. The feasibility of a mobile interface designed to help patients with
chronic low back pain track the daily management of their conditions will also be evaluated.
there is a general lack of widely accepted conservative treatments for the condition. A
majority of previous studies that have assessed the efficacy of self-directed exercise-based
rehabilitation programs did not include comprehensive metrics to confirm whether participants
actually participated in the exercises prescribed. In this pilot study, the investigators
hope to determine whether proxies of compliance with a daily, self-directed rehabilitation
program for discogenic low back pain are correlated with participant-reported improvements in
pain and function. The feasibility of a mobile interface designed to help patients with
chronic low back pain track the daily management of their conditions will also be evaluated.
Inclusion Criteria:
- Low back pain with predominantly axial symptoms (axial pain > leg pain) that are
exacerbated with sitting and alleviated with walking
- Persistence of symptoms for at least 3 months
- Lumbar intervertebral disc pathology evident on magnetic resonance imaging
- 18 to 65 years old
- Computer literate; have smartphone (iPhone 5S or up, Android 2.3 or up)
- English speaking
Exclusion Criteria:
- Concurrent pathology that may contribute to patients' axial low back symptoms (e.g.,
spondylolysis, spondylolisthesis, facet arthropathy)
- Severe lumbar disc degeneration prior to beginning Back Rx exercise program
- History of lumbar spine surgery or other interventions prior to beginning Back Rx
exercise program
- History of trauma
- Cases involving workers' compensation or other legal claims
- Non-English speaking
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