Most People With Low Back Pain Have Associated Cervicothoracic Musculoskeletal Dysfunction: an Observational Study

Low Back Pain Clinical Trial

Official title:

Most People With Low Back Pain Have Associated Cervicothoracic Musculoskeletal Dysfunction: an Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02128438
• Other study ID #: mohanty0202
• Status: Completed
• Phase: N/A
• First received: April 25, 2014
• Last updated: April 29, 2014
• Start date: February 2007
• Est. completion date: September 2012

Study information

• Verified date: April 2014
• Source: Swami Vivekanand National Institute of Rehabilitation Training and Research
• Contact: n/a
• Is FDA regulated: No
• Health authority: India: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

In general , the diagnosis of back pain can be broken into three major categories:

Mechanical ( Osteoarthritis , Spinal stenosis , Spondylolisthesis) ; Non- mechanical ( Tumor , Infection , Inflammatory arthritis ) and Miscellaneous (Osteoporosis , Psychosomatic disorders , neuropathic joints , visceral diseases ). Although 98% of LBP may be caused by mechanical factors, it is the other 2% caused by malignancy, infection, visceral diseases and other red herrings that must be considered most seriously.

The investigators have observed in their practice that lateral pressure on 5th lumbar vertebra sometimes gives rise to cervicothoracic pain and central PA pressure over cervicothoracic spines reproduce original low back and leg pain. So the question arises whether Cervico-thoracic dysfunction is associated with low back pain with or without radiation to lower extremities?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 940
• Est. completion date: September 2012
• Est. primary completion date: September 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 30 Years to 60 Years

Eligibility

Inclusion Criteria:

• mechanical low back pain with or without radiation to lower limb.

Exclusion Criteria:

• any recent trauma or fractures to cervico-thoracic junction, osteoporosis, inflammatory arthritis, tuberculosis, bone disease, congenital deformity

• vascular disorders

• rapidly progressing neurological deficits

• sudden onset of neurological deficits and all red flags to manual therapy.

Study Design

Time Perspective: Retrospective

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Locations

Country	Name	City	State
India	SVNIRTAR	Olatpur, Cuttack Dt	Odisha

Sponsors (1)

Lead Sponsor	Collaborator
Swami Vivekanand National Institute of Rehabilitation Training and Research

Country where clinical trial is conducted

India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	incidence of cervico-thoracic dysfunction in patients with low back pain	incidence of cervico-thoracic dysfunction in patients with low back pain with or without radiation down the lower extremity, which is characterized by reproduction of the original symptom by central PA pressure of cervicothoracic spines and digital pressure by algometer over levator scapulae	The outcome measure, viz. the incidence of cervico-thoracic dysfunction was ascertained immediately at the time of initial physical assessment. No follow-up was required.	No