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Back Pain clinical trials

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NCT ID: NCT05639270 Not yet recruiting - Low Back Pain Clinical Trials

Pilot Study of Vagal Stimulation in Chronic Low Back Pain

VALOM
Start date: January 2023
Phase: N/A
Study type: Interventional

Low back pain is a major public health problem. It is the leading cause of disability in the world. The factors that lead to chronicity of low back pain are multi-factorial and are essentially represented by psychosocial factors (catastrophism, kinesiophobia, algophobia job dissatisfaction, emotional problems such as depression, anxiety, stress, injustice, etc.). Pain is a multimodal experience that involves different brain structures that are activated by the pain signal and involve the autonomic nervous system (ANS). The vagus nerve is the main actor of one of the two branches of the ANS, the parasympathetic system, which acts as a "slow-down". The vagus nerve participates in the inter-neuronal transmission of key neurotransmitters for mood, alertness, attention and motivation. Vagal stimulation has been used for many years as an analgesic device in chronic pain (vascular pain (facial vascular pain, fibromyalgia, visceral pain, gastrointestinal and pelvic pain...) To date, no study has been conducted on the value of vagal stimulation in chronic low back pain.

NCT ID: NCT05638997 Completed - Clinical trials for Chronic Low-back Pain

Effects of Different Treatment Methods Applied to Spine in Chronic Non-Spesific Low Back Pain

Start date: August 1, 2019
Phase: N/A
Study type: Interventional

We aimed to investigate the effects of instrument assisted manipulation (IAM) and Mulligan mobilization with movement (MWM) on joint range of motion (ROM), pain, proprioception, endurance, back awareness and disability in individuals with chronic non-specific low back pain (CNSLBP). Fifthy one participants were randomly divided into 3 groups. The first was the Mulligan group, the second was the IAM group, and the third was the core exercise group. Visual Analogue Scale (VAS) was used to assess pain severity. Lumbal flexibility was evaluated with the fingertip-to-floor test. Oswestry disability index (ODI) and Roland Morris Disability Questionnaire (RMDQ) used to evaluate the disability. Fremantle back awareness questionnaire (FBAQ) used to evaluate back awareness. Joint ROM (lumbal flexion, lumbal extension and lumbal lateral flexion) and proprioception (30° lumbal flexion in standing, 30° lumbal flexion in sitting, 15° lumbal extension standing and lumbal neutral position) evaluated with JTECH digital dual inclinometer. McGill core endurance tests were used for core endurance assessment. McGill core endurance assessment consists of 3 tests. These: Flexor endurance test, lateral endurance test and extensor endurance test.

NCT ID: NCT05636423 Not yet recruiting - Low Back Pain Clinical Trials

Sexual Disability in Low Back Pain and Physiotherapy

Start date: January 1, 2023
Phase:
Study type: Observational

A treatment centered on the person uses an approach capable of considering all the components of disability, from a physical, psychological and social point of views. Some studies have shown that sexual function is disturbed in subjects with low back pain (LBP) and sexual disability can contribute to a deterioration in quality of life. It has also been shown that, in sexually active patients complaining of LBP, sexuality is a significant mediator of the relationship between pain intensity and depressive symptoms. The Oswestry Disability Index (ODI) includes a specific item to investigate sexual function (item #8). A previous study of ours confirmed the relationship between sexual disability detected by the ODI and the presence of depression, avoidance of activities and rumination (Ferrari et al. 2019 - Digital Object Identifier: 10.1589/jpts.31.360). The discussion on sexual disability among patients and healthcare professionals is very limited, although patients require more involvement from clinicians, especially physiotherapists, as evidenced by our previous qualitative study (Ferrari et al. 2020 - Digital Object Identifier: 10.1080/09638288.2020 .1817161). Although studies on this topic have highlighted the importance of this disability in the life of subjects complaining of LBP, little has been investigated on clinical behaviors of the physiotherapists in this area.

NCT ID: NCT05630196 Not yet recruiting - Clinical trials for Chronic Low-back Pain

A Chronic Pain Master Protocol (CPMP): A Study of LY3857210 in Participants With Chronic Low Back Pain

Start date: December 1, 2022
Phase: Phase 2
Study type: Interventional

The main purpose of this study is to assess whether LY3857210 is safe and efficacious in relieving chronic low back pain (CLBP). This trial is part of the chronic pain master protocol (H0P-MC-CPMP) which is a protocol to accelerate the development of new treatments for chronic pain.

NCT ID: NCT05626049 Not yet recruiting - Pain, Back Clinical Trials

Implementation of the ACP Guideline for Low Back Pain: A Cluster Randomized Trial (IMPACt-LBP)

IMPACt-LBP
Start date: November 2022
Phase: Phase 4
Study type: Interventional

The purpose of this study is to assess whether the primary spine practitioner (PSP) model of care will lead to improvements in patient outcomes, as compared to usual care, based on change in patient-reported PROMIS Pain Interference and Physical Function from baseline to 3 months in patients aged 18 years and older with a primary complaint of low back pain (LBP).

NCT ID: NCT05625984 Enrolling by invitation - Back Pain Clinical Trials

Study With Fascigel

Start date: October 19, 2022
Phase: N/A
Study type: Interventional

The product is a Class III Medical Device. Structure is made by 1% sodium hyaluronate polysaccharide in normal saline solution. The device intended use is to help treat back pain by lubricating fascia.

NCT ID: NCT05624307 Not yet recruiting - Clinical trials for Pain;Back Low;Chronic

SELECTION OF CHRONIC LOW BACK PAIN PATIENTS FOR NEUROTOMY SURGERY RADIOFREQUENCY

RaFr
Start date: November 15, 2022
Phase:
Study type: Observational

Chronic low back pain is one of the leading causes of disability associated with significant health care costs. One possible management of chronic low back pain of facet origin is neurotomy-radiofrequency (NT-RF) intervention. Currently, to determine whether a patient is eligible for NT-RF, two positive block tests are required. Clinical examination with a homolateral extension-rotation-tilt maneuver of the spine (ERI maneuver) would have the potential to identify subjects with pain of facet origin. It could therefore be a simple and effective diagnostic tool in the evaluation of a patient with low back pain and help in the decision whether or not to perform a test block by local infiltration of the zygapophyseal joint prior to an NT-RF procedure. The purpose of this longitudinal, prospective, observational, single-center study is to evaluate the performance of the combined extension-rotation-lateral tilt maneuver (ERI maneuver) in predicting the response to neurotomy-radiofrequency intervention in patients with chronic low back pain. The included patients will answer 5 questionnaires, in addition to the usual clinical data: - Hospital Anxiety and Depression scale (HAD) questionnaire, - Quality of life questionnaire EQ-5D-5L, - Brief Pain Inventory - French version: Questionnaire Concis de la Douleur (QCD), - Functional Impotence Scale for Low Back Pain: The Quebec Back Pain Disability Scale - Clinical Global Impression of Change (CGI-C)

NCT ID: NCT05623735 Not yet recruiting - Clinical trials for Chronic Low-back Pain

Comparison of the Effects of Instrument Assisted Soft Tissue Mobilization Techniques Low Back Pain

Start date: November 20, 2022
Phase: N/A
Study type: Interventional

The aim of this study is to determine whether the effectiveness of instrument-assisted soft tissue mobilization technique is different from passive prone lying when performed with a functional exercise in individuals with chronic nonspecific low back pain.

NCT ID: NCT05617924 Not yet recruiting - Low Back Pain Clinical Trials

Efficacy of Mechanical Traction and Spinal Decompression Treatments in Patients With Low Back Pain

Start date: November 15, 2022
Phase:
Study type: Observational

Motorized traction and non-surgical spinal decompression treatments are relatively new treatments for which there is insufficient evidence in the literature. The aim of this study is to retrospectively compare the effectiveness of these treatments, which are in the field of our routine practice in our clinic.

NCT ID: NCT05616702 Recruiting - Low Back Pain Clinical Trials

Effectiveness of Pressure Biofeedback Therapy and Progressive Muscle Relaxation Technique in Improving Pain and Disability Among Patients With Non-Specific Low Back Pain

Start date: October 15, 2022
Phase: N/A
Study type: Interventional

Low back pain is common MSK disease with prevalence of 60 to 70 percent. Patients with low back discomfort are typically treated conservatively by physical therapists. Progressive muscles relaxation technique has been shown in several studies to reduce chronic back pain and increase flexibility. pressure biofeedback therapy works on Intra abdominal pressure.it helps to alleviate compression on lumbar spine and support the adjacent lumbar spine.The aim of this randomized controlled trial is to determine the effectiveness of pressure biofeedback training (Pr.BFB) in combination with progressive muscles relaxation technique (PMR) & progressive muscles relaxation training alone on pain, disability, ROM & endurance of muscles among nonspecific chronic low back pain patients.