The UK Back pain, Exercise Active management and Manipulation trial

Conditions

Primary care Musculoskeletal Diseases Dorsalgia

Dissing KB, Vach W, Hartvigsen J, Wedderkopp N, Hestbæk L.

2019-12-102 citations

10.1186/s12998-019-0282-7

Critique of a practice-based pilot study in chiropractic practices in Western Australia

Lyndon Amorin-Woods, Gregory F. Parkin-Smith, Lee Nedkoff, Colleen Fisher

Chiropractic & Manual Therapies2016-08-173 citations

10.1186/s12998-016-0117-8

Back pain outcomes in primary care following a practice improvement intervention:- a prospective cohort study.

Breen AC, Carr E, Langworthy JE, Osmond C, Worswick L.

2011-01-2713 citations

10.1186/1471-2474-12-28

Estimating the number needed to treat from continuous outcomes in randomised controlled trials: methodological challenges and worked example using data from the UK Back Pain Exercise and Manipulation (BEAM) trial.

Froud R, Eldridge S, Lall R, Underwood M.

2009-06-1136 citations

10.1186/1471-2288-9-35

Interventions

General practices randomised between: I. An active management training programme and conventional management Patients within practices randomised between: II. A spinal manipulation package agreed rec

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Primary care back pain consultors aged between 18 and 65 years 2. Non-specific back pain 3. Referred leg pain must be predominantly above knee 4. Fluent in English - able to read and write 5. No physical therapies in previous 3 months 6. Duration at least 4 weeks 7. Roland Disability Questionnaire (RDQ) score of 4 or more

Exclusion criteria

Exclusion criteria: 1. People over 65 2. Clinical indications for the investigation of possible serious spinal or neurological pathology, or for urgent surgical referral 3. Nerve root pain 4. Previous spinal surgery 5. Major psychological complication or abnormal illness behaviour, referred to a tertiary pain management programme 6. Other musculoskeletal disorders which would interfere with therapy 7. History of psychosis or major alcohol abuse 8. Other concurrent medical conditions, including cardiovascular disease 9. Moderate to severe hypertension 10. Long-term steroid use 11. Anti-coagulant therapy 12. Perceived inability to walk 100 metres when free of pain 13. Unable to get up and down off floor unaided 14. Physical therapy (including acupuncture) in the previous 3 months 15. Unable to read and write fluently in English 16. Roland Disability questionnaire score of 3 or less on the day of randomisation

Design outcomes

Primary

Measure	Time frame
The primary outcome measure is the change in Roland Disability Questionnaire (RDQ) score at 3 and 12 months. A change of 2.5 points on the scale has been agreed by the UK BEAM Working Party and Trial Steering Committee as clinically significant.	—

Secondary

Measure	Time frame
Not provided at time of registration	—

Countries

United Kingdom

Outcome results

None listed