57 Participants Needed

Physical Therapy for Low Back Pain

Recruiting at 1 trial location
KR
Overseen ByKyle R Petrey, DPT
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Brooke Army Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how physical therapy might aid individuals with chronic low back pain by enhancing the body's natural pain management. Researchers believe that, for some, the body's pain control system may not function properly, potentially worsening their pain. The trial aims to determine whether physical therapy can address this issue and identify who will benefit most from therapy. It suits those who have experienced low back pain for over three months and can commit to at least six weeks of physical therapy. As an unphased trial, this study provides a unique opportunity to contribute to the understanding and improvement of pain management strategies.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that physical therapy is safe for treating low back pain?

Studies have shown that physical therapy for low back pain is generally safe and manageable. Research indicates that exercise therapy, often included in physical therapy, provides small benefits in managing pain and disability for those with low back pain. One study found that starting physical therapy early for sudden low back pain reduced healthcare use and spending within 30 days, suggesting it as a safe and effective initial treatment step. Overall, physical therapy is considered a low-risk option for managing long-term low back pain, with many patients experiencing successful outcomes.12345

Why are researchers excited about this trial?

Researchers are excited about physical therapy for chronic low back pain because it offers a non-invasive approach that focuses on strengthening and flexibility, which can lead to long-term relief without medication side effects. Unlike standard treatments like pain medications or surgery, physical therapy aims to address the root cause of pain through personalized exercise plans. This treatment empowers patients to manage their pain actively, potentially reducing reliance on medications and improving overall quality of life.

What evidence suggests that physical therapy might be an effective treatment for low back pain?

Studies have shown that physical therapy can help people with chronic low back pain, especially in the short term. One study found that the benefits of physical therapy and exercise lasted up to a year after treatment. This suggests that physical therapy might not only relieve pain immediately but also offer long-term benefits. Another study suggests that combining physical therapy with exercise and other treatments might be the most effective way to reduce pain. Overall, physical therapy is generally considered a helpful approach for managing chronic low back pain.26789

Who Is on the Research Team?

KP

Kyle Petrey, DPT

Principal Investigator

BAMC

Are You a Good Fit for This Trial?

This trial is for English-speaking DEERS-eligible individuals aged 18-64 with chronic low back pain lasting over 3 months. Participants must have a disability index of at least 25% and pain intensity score of 3/10 or higher, and commit to six weeks of physical therapy.

Inclusion Criteria

I have had low back pain for more than 3 months.
I can commit to six weeks of physical therapy.
I am eligible for DEERS.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a typical physical therapy plan of care to assess improvement in conditioned pain modulation

6 weeks
Weekly visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Physical therapy
Trial Overview The study tests if standard physical therapy can improve the body's natural pain inhibition (conditioned pain modulation) in people with chronic low back pain. It also examines whether this modulation predicts the success of physical therapy treatment.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: chronic low back painExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Brooke Army Medical Center

Lead Sponsor

Trials
134
Recruited
28,100+

Published Research Related to This Trial

Early physical therapy (PT) for acute low back pain significantly reduces short-term pain and disability compared to non-PT care, with a moderate effect size based on a meta-analysis of 7 studies involving various participants.
However, early PT does not show significant advantages over delayed PT in terms of pain or disability outcomes, indicating that while early intervention is beneficial compared to no therapy, the timing of PT may not greatly impact long-term recovery.
Effect of physical therapy timing on patient-reported outcomes for individuals with acute low back pain: A systematic review with meta analysis of randomized controlled trials.McDevitt, AW., Cooper, CG., Friedrich, JM., et al.[2023]
In a study of 6,523 patients with low back pain, 42.7% achieved a 30% improvement in disability by the third physical therapy visit, and this increased to 49% by the sixth visit, indicating that many patients benefit from early intervention.
The initial and third visit disability scores were strong predictors of improvement, with excellent diagnostic accuracy (area under the curve values of 0.84 and 0.85) for forecasting significant clinical progress by the sixth visit, highlighting the importance of routine outcome assessments in physical therapy.
Significant Clinical Improvement Was Predicted in a Cohort of Patients With Low Back Pain Early in the Care Process.Brennan, GP., Snow, G., Minick, KI., et al.[2023]
Patients with low back pain (LBP) who had symptoms for more than 6 months showed significantly less functional improvement after physical therapy compared to those with symptoms lasting less than 1 month, indicating that longer symptom duration may hinder recovery.
The study found that age, symptom duration, and specific types of exercises (mobilization/manipulation, strengthening, and flexibility) significantly influenced functional improvement, explaining over 55% of the variance in recovery outcomes.
Changes in disability following physical therapy intervention for patients with low back pain: dependence on symptom duration.Badke, MB., Boissonnault, WG.[2015]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/31794508/
Comparative Effectiveness of an Interdisciplinary Pain ...The aim of this study was to compare the effectiveness of PT to an interdisciplinary treatment approach in patients with chronic low back pain (CLBP).
Improving Long-Term Outcomes for Chronic Low Back PainThe best evidence suggests that current physical therapy interventions for CLBP are likely to be helpful for many people in the short term.
Cognitive Functional Therapy for Chronic Low Back PainLow to moderate certainty of evidence was found that CFT is effective for pain in the short and medium terms and probably in the long term.
Physiotherapeutic and non-conventional approaches in ...Adapted physical exercise, physical agent modalities, and a multidisciplinary approach might represent the most effective strategy to reduce pain and ...
Effectiveness of physical therapy and exercise on pain ...Our study results showed that improvements were able to be sustained for one year after the treatment. Therefore, combined treatment with exercise, medical ...
Benefits and harms of exercise therapy and physical ...Exercise therapy and leisure-time physical activity provide small benefits for managing pain and disability in low back pain (LBP) and preventing recurrence.
Initial presentation for acute low back pain: is early physical ...Early PT for acute LBP was associated with less 30-day and 1-year healthcare utilization and less 30-day LBP-related spending.
Effect of Low Back Pain Chronicity on Patient Outcomes ...Overall, this study shows patients experiencing shorter duration of LBP symptoms before starting a PT episode of care experience significantly better outcomes ...
The Influence of an Active Treatment Approach in Patients ...Furthermore, 64.7% of patients in the adherent group reported successful outcomes in physical therapy versus only 36.5% in the nonadherent group. Another study ...
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