Back Pain, Low, Back Pain Without Radiation
Conditions
Brief summary
Participants with low back pain who are referred for physical therapy will be randomized to routine physical therapy or routine physical therapy plus receiving a postural training device
Detailed description
Participants with low back pain who are referred for physical therapy will be randomized to routine physical therapy or routine physical therapy plus receiving a postural training device. Physical therapy will be completed 1-2 times per week over 4-6 weeks. If randomized to the group that also receives a postural training device, one of the physical therapy sessions will instruct the patient on use of the device, which can be used thereafter as tolerated by the patient. At 6 weeks and 3 months, questionnaires that assess patients pain and function will be completed to assess outcomes
Interventions
DEVICEUPRIGHT
A small externally wearable device that is placed on the back, which gently vibrates when correct posture is not maintained. The device is removable, and used for only portions of the day
OTHERphysical therapy
routine physical therapy
Sponsors
Vanderbilt University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age 18 - 65, capable of understanding and providing consent in English, capable of complying with the outcome instruments used, and capable of attending all planned therapy sessions * Primary complaint of lumbar or thoracic pain thought to be at least in part due to mechanical/postural etiologies based on clinical presentation * 7 day average numeric pain rating score (NPRS) of at least 4 on a 0-10 scale at baseline evaluation * Pain duration of at least 2 months * Patient owns and is familiar with the use of a personal smart phone * Patient consents to treatment with postural based physical therapy. In order to maintain blinding, patients will not be provided with details of the treatment plan until after the randomization process has been performed. They will only be informed of the treatment protocol for the group to which they have been assigned.
Exclusion criteria
* \*History of prior thoracic or lumbar fusion surgery * Acute Spine fracture * Current pregnancy * BMI over 40 * Inability to sense UPRIGHT vibration * Active Systemic inflammatory arthritis (e.g. rheumatoid arthritis, ankylosing spondylitis, lupus) * Medical conditions causing significant functional disability (e.g. stroke, spinal cord injury, amputation) * Severe Chronic widespread pain or somatoform disorder (e.g. fibromyalgia) * Severe clinical depression, or psychotic features * Implanted electrical medical device (i.e. cardiac pacemaker/defibrillator, spinal cord stimulator, bladder stimulator) * Allergic skin reaction to tapes or adhesives * Worker's compensation claim or legal action related to the thoracic or lumbar pain * Patients unable to read English and complete the assessment instruments * Patients unable to attend assigned physical therapy sessions * Incarcerated patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement/Change in Pain | Primary outcome is at 6 weeks, secondary time point 12 weeks | 0-10 pain scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement/Change Disability | 6 weeks, 12 weeks | Modified Oswestry Disability Index |
Countries
United States
Outcome results
None listed