Clinical Trial Details
— Status: Not yet recruiting
Administrative data
NCT number |
NCT05657964 |
Other study ID # |
60640 |
Secondary ID |
|
Status |
Not yet recruiting |
Phase |
|
First received |
|
Last updated |
|
Start date |
September 1, 2023 |
Est. completion date |
December 31, 2026 |
Study information
Verified date |
April 2023 |
Source |
Stanford University |
Contact |
Ruopeng Sun, PHD |
Phone |
6507217600 |
Email |
rusun[@]stanford.edu |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
The study aims to compare the effectiveness of the Gokhale Method posture therapy for low
back pain (LBP) management to standard physical therapy (PT) with posture training. The
second aim of this study is to evaluate usability and user adherence of the online/digital
intervention through the Gokhale Method Foundation Class (online delivery with smartphone
App).
The investigator hopes to learn:
The effectiveness of the Gokhale Method posture therapy for low back pain management, in
comparison to the effectiveness of standard physical therapy with posture training.
the usability and user adherence of the online/digital intervention through the Gokhale
Method Foundation Class (online delivery with smartphone App).
Description:
100 participants with chronic low back pain will be recruited through the Stanford PMR
clinics (Redwood City, Emeryville, Los Gatos, and Palo Alto). Information about the study
will also be disseminated to the Stanford Primary Care clinics and through community
advertisements.
Patients will be referred to the reaserch team by the providers who is been recommended for
Physical Therapy.
Research team personnel will approach the recommended patients via email and will screen them
prior to consenting for eligibility criteria by sending out a set of questionnaires via
Redcap.
Eligible patients will be consented remotely via Redcap and will be subjected to
randomization.
Eligible and consented participants will be randomly assigned (1:1) into one of the two
intervention groups. Prior to intervention, participants will be asked to complete
questionnaires on demographics, self-reported levels of pain, functional status, and
disability levels. The questionnaires include:
Roland Morris Disability Questionnaire (RMDQ), Numeric Pain Rating Scale (NPRS),
Patient-Reported Outcomes Measurement Information System (PROMIS-29),
Participants will be randomized (1:1) into the Gokhale method posture treatment (Gokhale) arm
will receive a 18-sessions coaching under the Gokhale Elements course (may spread between
6-12 weeks, 1- 2 times per week, online delivery). Participants randomized into the standard
care/physical therapy (PT) arm will similarly receive a standardized PT prescription during a
6-12 weeks period, meeting 1-2 times per week, to include posture education and training,
therapeutic exercise instructions and development of an independent home exercise program.
Participants enrolled in the Gokhale Arm will be provided the Gokhale PostureTracker, a
wearable posture monitoring sensor developed for interactive posture coaching, and a loaner
smartphone with pre-installed App. Participants will be provided instruction to apply the
sensor on their lumbar area and receive real-time visual feedback on their posture kinematic
during the class. Participants can also perform normal daily activities while wearing the
device. Data collected by the sensor will be sent to a HIPAA compliance server and shared
with Stanford researchers.
Participant will complete remote follow-up assessments upon completion of their respective
intervention, and at 6, and 12-month post intervention.
Primary outcomes assessed at baseline and each follow-up include the RMDQ,NPRS, PROMIS-29,
PCS Secondary outcomes at each timepoint include 1) patient satisfaction and adherence. 2)
Type, incidence and severity of complications and adverse events. 3) Concurrent pain
medication use (including opioids) All collected data will be stored in a Stanford-secured
server. No data would be transmitted to a third party. Access to the data will be limited
exclusively to members of the research team.