Hip-focused rehabilitation intervention for Arthrosis

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University of Delaware, Newark, DE
Arthrosis+5 More
Hip-focused rehabilitation intervention - Behavioral
Eligibility
18+
All Sexes
What conditions do you have?
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Study Summary

Manual Therapy and Strengthening for the Hip in Older Adults With Chronic Low Back Pain

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Eligible Conditions

  • Arthrosis
  • Chronic Lower Back Pain (CLBP)
  • Hip Impairments
  • Hip-spine Syndrome

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Hip-focused rehabilitation intervention will improve 1 primary outcome and 15 secondary outcomes in patients with Arthrosis. Measurement will happen over the course of Change from baseline to 8-weeks (i.e. post-intervention).

Baseline, 8-weeks (i.e. post-intervention), and 6-months
30 Second Chair Stand Test
Hip Disability and Osteoarthritis Outcome Score (HOOS)
Hip Strength
Low Back Activity Confidence Scale (LOBACS)
Movement-evoked Pain from the 30 Second Chair Stand Test
Movement-evoked Pain from the 6MWT
Pain Catastrophizing Scale (PCS)
Patient Health Questionnaire-9 (PHQ-9)
Patient-Reported Outcomes Measurement Information System (PROMIS)-29
Quantitative Sensory Testing
Six-Minute Walk Test (6MWT)
Timed Up-and-Go (TUG)
Change from baseline to 6-months
10-Meter Walk Test (10MWT)
10-Meter Walk Test at Fast Speed (10MWT)
Quebec Back Pain Disability Scale
Change from baseline to 8-weeks (i.e. post-intervention)
10-Meter Walk Test at Self-Selected Speed (10MWT)

Trial Safety

Trial Design

2 Treatment Groups

Spine-focused
1 of 2
Hip-focused
1 of 2
Active Control
Experimental Treatment

This trial requires 180 total participants across 2 different treatment groups

This trial involves 2 different treatments. Hip-focused Rehabilitation Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Hip-focused
Behavioral
Hip-focused rehabilitation intervention
Spine-focused
Behavioral
Spine-focused rehabilitation intervention

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 8-weeks (i.e. post-intervention), and 6-months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 8-weeks (i.e. post-intervention), and 6-months for reporting.

Who is running the study

Principal Investigator
G. E. H.
Prof. Gregory Evan Hicks, Professor, Chair of the Department of Physical Therapy
University of Delaware

Closest Location

University of Delaware - Newark, DE

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
LBP that lasts 3 or more months. show original
LBP is an ongoing problem that has been present for at least half of the days in the past six months. show original
People who have: 1) hip internal rotation strength (normalized to body weight) in at least one hip that is < 0.26; and, 2) from the Hip Disability and Osteoarthritis Outcome Score (HOOS) Pain items P4-P8, a raw score sum of >5 (0-20 range, where higher scores indicate more pain interference with daily activities) 1) are classified into the "weak+painful" hip-spine subgroup; and, 2) are more likely to experience pain interference with their daily activities. show original
The person is experiencing pain that is greater than 3 on a scale from 0 to 10. show original

Patient Q&A Section

What causes low back pain?

"This database provides insight into the epidemiology of low back pain based on two large population-based studies. To date, this is the only population-based study that has used a large database of low back pain cases. The observed trend of increasing LBP occurrence with age may be explained by an increase in aging population in the US. The associations found in this analysis suggest the possibility of a causal factor that needs to be further explored. Identifying the cause is important because low back pain is the most common musculoskeletal disorder in the US and causes a major problem for society." - Anonymous Online Contributor

Unverified Answer

Can low back pain be cured?

"Most patients with low [back pain](https://www.withpower.com/clinical-trials/back-pain) who return to the clinic after 4 weeks of conservative care do not need definitive intervention. Pain can be resolved with medication and physiotherapy of the soft tissue." - Anonymous Online Contributor

Unverified Answer

How many people get low back pain a year in the United States?

"Approximately 2 in 30 Americans have low [back pain](https://www.withpower.com/clinical-trials/back-pain) in any given year. About one person in 19 gets a diagnosis based on pain. Most pain resolves without treatment, but some individuals don't." - Anonymous Online Contributor

Unverified Answer

What are the signs of low back pain?

"Most common signs of low [back pain](https://www.withpower.com/clinical-trials/back-pain) are pain, lower back stiffness, and decreased range of motion of the low back. Patients should know to get in, and out of bed when they do not feel well or are too tired." - Anonymous Online Contributor

Unverified Answer

What is low back pain?

"In a recent study, findings of this study demonstrate the association between the work and lifestyle characteristics and the risk of low back pain in the general population of employees, and with regard to its severity. LBP was more prevalent in men than in women. For both sexes the likelihood of being a patient with low back pain was higher with increasing duration of time spent at work." - Anonymous Online Contributor

Unverified Answer

What are common treatments for low back pain?

"Low back pain is common in the primary care setting. Most cases can be effectively managed using nonpharmacological means such as physiotherapy or bracing. Physicians are often not familiar with the use of these methods for treatment of chronic low back pain. The authors conclude that clinicians need education in the use of these techniques if chronic low back pain continues to be an unsolved problem." - Anonymous Online Contributor

Unverified Answer

Is hip-focused rehabilitation intervention typically used in combination with any other treatments?

"We discovered that the use of hip-focused rehabilitation combined with other treatments is often not recommended. Further studies on effective strategies that maximize combination treatment may result in efficient use of healthcare resources." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving hip-focused rehabilitation intervention?

"Previous research by NICE has recommended hip-focused rehabilitation for adults with chronic hip pain, but we did not find any other clinical research in this area (with the exception of a study involving the short-term use of exercise therapy, which demonstrated short-term improvement in function of the hip joint when compared to placebo) to support this recommendation. It is unclear if hip-focused rehabilitation is effective for chronic hip pain." - Anonymous Online Contributor

Unverified Answer

How serious can low back pain be?

"The number of LBP cases that result in disability is significant. Only 8% had to quit work to treat it. Many of the cases with LBP did not meet the criteria for LBP on either the original (n = 1301) or the modified (n = 493) NIH criteria for the diagnosis of LBP." - Anonymous Online Contributor

Unverified Answer

How does hip-focused rehabilitation intervention work?

"Patients' baseline scores on a functional activity of daily living questionnaire, activity level index, and physical activity level index are significant predictors of hip-focused rehabilitation outcomes. Hip-focused rehabilitation intervention was associated with reduced disability and a reduced need for assistive devices. Future randomized controlled trials using these standardized outcome measure modules to assess hip-focused rehabilitation in the workplace setting should be carried out." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of low back pain?

"There is no single etiology of low back pain, but the primary cause of chronic low back pain may be compression of the nerves. In a small number of people, however, the primary cause of chronic low back pain is spondylolisthesis. Although lumbar spondylolisthesis is usually a cause of mild to moderate low back pain, a minority of people with chronic low back pain progress to radiologic spondylolisthesis. Patients may be advised to increase the use of a cane while walking outside or to use a stick to relieve pressure on the back. Because compression of the anterior radicular nerve causes numbness of the inferior iliosacral region, epidural steroid injections may be indicated." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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