Back Pain, Low Back Pain
Conditions
Brief summary
The investigators hypothesize that the utilization of Incrediwear's Back Brace, compared to a sham brace and a standard-issue brace, will lead to better brace adherence, increased patient satisfaction, reduced pain medication usage, and improved functional disability among non-surgical chronic LBP patients.
Detailed description
Problem: Chronic low back pain (LBP) affects a substantial portion of the population and often leads to decreased functional ability and increased pain medication usage. While back braces have been recommended as part of LBP management, their efficacy and impact on patient outcomes remain uncertain. Research Hypothesis: The investigators hypothesize that the utilization of Incrediwear's Back Brace, compared to a sham brace and a standard-issue brace, will lead to better brace adherence, increased patient satisfaction, reduced pain medication usage, and improved functional disability among non-surgical chronic LBP patients. Importance of the Research: This randomized clinical trial aims to assess the efficacy of Incrediwear's Back Brace in improving patient outcomes for chronic LBP. The study will provide valuable insights into the utilization patterns and adherence of back braces, patient satisfaction with treatment protocols, and the impact of brace usage on pain medication consumption and functional disability. By evaluating these factors through a controlled trial, the investigators seek to enhance the understanding of effective LBP management strategies, potentially reducing the burden of chronic LBP on patients and healthcare systems. The study will be conducted under the guidance of Dr. Akhil Chhatre, Principal Investigator at the Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine. The research will involve 100 non-surgical chronic LBP patients meeting specific inclusion criteria. The patients will be randomly assigned to one of four study groups, and data will be collected through phone calls over a full 4-week duration.
Interventions
DEVICEIncrediwear Daytime Back Brace
Incrediwear Daytime Back Brace
DEVICEIncrediwear Sham Daytime Back Brace
Incrediwear Sham Daytime Back Brace
DEVICEControl Daytime Back Brace
Control Daytime Back Brace
DEVICEIncrediwear 24 Hour Back Brace
Incrediwear 24 Hour Back Brace
Sponsors
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male or female, age \> 18 * Has undergone treatment for an initial episode of nonspecific low back pain (LBP) lasting \> 1 month, with one of the following causative Principle Diagnoses: * Disc herniation * Facet arthropathy * Compression fracture * Spondylolisthesis * Sacroiliac joint dysfunction * Scoliosis * Mild to moderate central spinal stenosis * Lumbar spondylosis * Degenerative changes, not otherwise specified * Utilize pain medication (including Step I or II analgesics, NSAIDs, Benzodiazepines) at least weekly for their LBP * Subject report a VAS pain score at the time of consent greater than three (\>3) out of ten (10) * Recommended a back brace for LBP management * Provide written consent for participation * Subject available for phone calls after 6PM
Exclusion criteria
* Severe central spinal stenosis * Focal lower extremity weakness * LBP radiating beyond the knee and/or accompanied by neurological signs (including sciatica) * Spinal operation within 5 years preceding the study date * Secondary LBP due to a work accident (e.g. workers comp) * History of spinal arthrodesis * LBP with an inflammatory, tumor, or infectious cause * Contraindications to: Step I or II analgesics, NSAIDs, Benzodiazepines * Diagnosed peripheral arterial disease * Diabetes * Higher functions do not enable proper comprehension of protocol or reliable data recording
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain medication name | 1 month | The investigators aim to explore the effects of brace utilization on pain medication use. The investigators will document the pain medication name |
| User Evaluation of Satisfaction as assessed by the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST 2.0) | 1 month | Satisfaction (Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 \[QUEST 2.0\] score). The score ranges from 1-5 with 1 being not satisfied at all to 5 being very satisfied |
| Brace and sleeve utilization | 1 month | Self-reported hours worn |
| Functional disability status as assessed by the Oswestry Disability Index (ODI) | 1 month | Oswestry Disability Index (ODI). A total score of 0-4 (no disability), 5-14 (mild disability), 15-24 (moderate disability), 25-34 (severe disability), 35-50 (completely disabled) |
| Pain as assessed by the Visual Analogue Scale (VAS) | 1 month | Visual Analogue Scale (VAS) and frequency (ordinal scale). 0 = no pain and 10 = pain as bad as it could possibly be |
| Pain medication dosage used | 1 month | The investigators aim to explore the effects of brace utilization on pain medication use. The investigators will document the pain medication dosage used |
Countries
United States
Outcome results
None listed