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

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ClinicalTrials.gov Identifier: NCT02128438
Recruitment Status : Completed
First Posted : May 1, 2014
Last Update Posted : May 1, 2014
Sponsor:
Information provided by (Responsible Party):
P.P.Mohanty, Swami Vivekanand National Institute of Rehabilitation Training and Research

Brief 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?


Condition or disease
Low Back Pain

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Study Type : Observational
Actual Enrollment : 940 participants
Time Perspective: Retrospective
Official Title: Most People With Low Back Pain Have Associated Cervicothoracic Musculoskeletal Dysfunction: an Observational Study
Study Start Date : February 2007
Actual Primary Completion Date : September 2012
Actual Study Completion Date : September 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Back Pain




Primary Outcome Measures :
  1. incidence of cervico-thoracic dysfunction in patients with low back pain [ Time Frame: 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. ]
    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



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Ages Eligible for Study:   30 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Persons with low back pain who had attended our hospital and sub centres with a complaint of low back pain
Criteria

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02128438


Locations
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India
SVNIRTAR
Olatpur, Cuttack Dt, Odisha, India, 754010
Sponsors and Collaborators
Swami Vivekanand National Institute of Rehabilitation Training and Research
Investigators
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Principal Investigator: Patitapaban Mohanty, PhD Swami Vivekanand National Institute of Rehabilitation Training and Research
Study Chair: Basant K Behera, M.S (Ortho) SCB medical college and hospital, Cuttack

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Responsible Party: P.P.Mohanty, Associate Professor in Physiotherapy, Swami Vivekanand National Institute of Rehabilitation Training and Research
ClinicalTrials.gov Identifier: NCT02128438     History of Changes
Other Study ID Numbers: mohanty0202
First Posted: May 1, 2014    Key Record Dates
Last Update Posted: May 1, 2014
Last Verified: April 2014

Additional relevant MeSH terms:
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Back Pain
Low Back Pain
Pain
Neurologic Manifestations
Signs and Symptoms