Status:
COMPLETED
Chiropractic and Exercise for Seniors With Low Back Pain
Lead Sponsor:
Northwestern Health Sciences University
Collaborating Sponsors:
Health Resources and Services Administration (HRSA)
Berman Center for Outcomes and Clinical Research
Conditions:
Low Back Pain
Eligibility:
All Genders
65+ years
Phase:
PHASE2
Brief Summary
The purpose of this randomized clincal trial is to assess the relative effectiveness of three conservative treatment approaches for seniors with chronic low back pain: 1) chiropractic manual treatment...
Detailed Description
Low back pain (LBP) is a significant health problem for both young and geriatric individuals. Of particular concern is that conditions associated with LBP, such as impaired strength and flexibility, c...
Eligibility Criteria
Inclusion
- Sub-Acute and chronic low back pain (Defined as current episode more than 6 weeks duration.)
- Quebec Task Force classifications 1, 2, 3 and 4. (This includes patients with back pain, stiffness or tenderness, with or without musculoskeletal signs and neurological signs.{1570})
- 65 years of age and older
- Independent ambulation
- Community dwelling (residency outside nursing home)
- Score of 20 or more on Folstein Mini-Mental State Examination{13246}
- Stable prescription medication plan (no changes in prescription medications that affect musculoskeletal pain in previous month)
Exclusion
- Referred low back pain from local joint lesions of the lower extremities or from visceral diseases
- Significant infectious disease Determined by history or by referral to supplementary diagnostic tests
- Ongoing treatment for low back pain by other health care providers
- Mean baseline low back pain score of 20 percentage points or less
- Contraindications to exercise Determined by history or by referral to supplementary diagnostic tests (i.e., uncontrolled arrhythmias, third degree heart block, recent ECG changes, unstable angina, acute myocardial infarction, acute congestive heart failure, cardiomyopathy, valvular heart disease, poorly controlled blood pressure, uncontrolled metabolic disease
- Contraindications to spinal manipulation (i.e. Progressive neurological deficits blood clotting disorders; infectious and non-infectious inflammatory or destructive tissue changes of the spine; severe osteoporosis)
Key Trial Info
Start Date :
October 1 2003
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2008
Estimated Enrollment :
240 Patients enrolled
Trial Details
Trial ID
NCT00269321
Start Date
October 1 2003
End Date
March 1 2008
Last Update
June 28 2013
Active Locations (1)
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1
Wolfe-Harris Center for Clinical Studies, Northwestern Health Sciences University
Bloomington, Minnesota, United States, 55438