Back Pain Clinical Trial
Official title:
The Role of Disc Nutrition in the Etiology and Clinical Treatment of Disc Degeneration
The purpose of this research study is to examine the effects of physical therapy on the spinal discs. Back pain is the number one cause of disability in the US, and the spine is the most common location of chronic pain in Veterans. Physical therapy is often very effective at improving patients' back pain, but it does not work for everyone, and it is not understood how physical therapy alters the tissues within the spine. With this research the investigators hope to learn if the investigative team can measure changes to the spinal discs on MRI scans that might predict if a patient's back pain will improve with physical therapy or not.
Status | Not yet recruiting |
Enrollment | 15 |
Est. completion date | February 2, 2026 |
Est. primary completion date | February 2, 2026 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 30 Years to 70 Years |
Eligibility | Inclusion Criteria: - Current activity limiting low back pain - With symptoms of any duration - With or without symptoms extending distal to the buttocks - Medically stable - Candidate for physical therapy Exclusion Criteria: - Documented history of prior spinal surgery - Contraindications to MRI including: - claustrophobia - pregnancy - implanted electronic devices - pacemakers, cochlear implant, insulin pumps, etc - metallic foreign bodies - i.e. shrapnel - documented history of contraindications to gadodiamide (Omniscan) administration: - chronic severe kidney disease - acute kidney injury - impaired elimination of gadolinium based contrast agents - pre-existing renal insufficiency - a prior hypersensitivity reaction to MRI contrast |
Country | Name | City | State |
---|---|---|---|
United States | Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Disc T2 relaxation time | Subjects will undergo MRI scanning to obtain T2-maps of the lumbar spine before and after 6 weeks of physical therapy. T2 relaxation times of the disc tissues are calculated from the images. | 0 to 6 weeks | |
Primary | Change in Visual Analog Scale (VAS) score | Subjects will complete a visual analog scale (VAS) for their back pain before and after 6 weeks of physical therapy. This is a scale from 0 (no pain) to 15 (the worst imaginable pain). | 0 to 6 weeks | |
Primary | Change in Lumbar Range of Motion | Lumbar range of motion will be measured using inclinometers placed on the subject's upper and lower back, at both the index and final in-office physical therapy visit. | 0 to 6 weeks | |
Primary | Change in Disc T1 relaxation time | Subjects will undergo MRI scanning to obtain post-contrast enhanced T1 maps of the lumbar spine before and after 6 weeks of physical therapy. To obtain the T1 maps, an intravenous catheter will be placed, and 0.1 mmols/kg of Omniscan will be administered. T1 MRIs will be acquired prior to and 2 hours following Omniscan administration. T1 relaxation times of the disc tissues are calculated from the images. | 0 to 6 weeks | |
Primary | Change in Oswestry Disability Index (ODI) score | Subjects will complete the ODI questionnaire before and after 6 weeks of physical therapy. This is a scale from 0 (no disability) to 50 (bed bound). | 0 to 6 weeks |
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