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Back Pain in Medical Students at The University of the West Indies, Mona, Jamaica

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03707288
Recruitment Status : Unknown
Verified October 2018 by Paula Dawson, MBBS, The University of The West Indies.
Recruitment status was:  Not yet recruiting
First Posted : October 16, 2018
Last Update Posted : October 16, 2018
Sponsor:
Information provided by (Responsible Party):
Paula Dawson, MBBS, The University of The West Indies

Brief Summary:
The purpose of this study is to identify the prevalence of back pain in preclinical second year and clinical fourth/fifth year medical students at the University of the West Indies; to assess their knowledge, attitude and practice of good spine health; and to determine the outcome of a standardize spine exercise program on one group, the clinical second year medical students, using a prospective randomized control design.

Condition or disease Intervention/treatment Phase
Back Pain Other: Spine Exercise Program Not Applicable

Detailed Description:

There is a surfeit of literature on musculoskeletal pain especially that of back pain, which are commonly associated with lifestyle practices including varied occupations that affect individuals of all ages.

Medical students in the clinical years of training are more likely to be involved in strenuous activities such as prolonged standing for ward rounds, bending forward to examine patients and sometimes being engaged in manual handling of patients, as compared to medical students in the preclinical years. During the early period of preclinical training, medical students primarily sit for extended periods in lectures, use computers or tablets, or in the library, studying and completing assignments. These practices can all be attributable to the increased risk of developing low back among other musculoskeletal problems; especially in instances where the strength and stability of the spine is not maintained and safe spine precautions are not done.

There is no published study in Jamaica or to the researcher's knowledge in the Caribbean which looks at the prevalence of musculoskeletal pain, specifically low back pain in medical students. This study is to determine the prevalence of low back pain in second and fourth/fifth year medical students at the University of the West Indies (UWI); assess their knowledge, attitude and practice toward good spine health in preventing back and neck pain; and using a prospective randomized control study model, evaluate the outcome of a standardized spine exercise program on back pain in the preclinical second year medical students over an eight (8) week period from September 7, 2015 to November 2, 2015.

Both groups will be followed up over the stipulated period. The identity of all participants will be protected and will only be identified by an assigned study number. Basic demographics, presenting complaints and outcome information will be obtained for the purposes of the study. Questionnaires will be carefully constructed from the objectives of the study to determine the presence of back and neck pain in the medical students and their knowledge, attitude and practice towards the musculoskeletal problem of the back.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Back Pain in Preclinical and Clinical Medical Students at The University of the West Indies, Mona, Jamaica
Estimated Study Start Date : October 2018
Estimated Primary Completion Date : March 2019
Estimated Study Completion Date : March 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Spine exercise program

The preclinical second year medical students will be prospectively randomized into two (2) groups, a control group (Group A) and an intervention group (Group B) that will be given a standardized spine exercise program. They will be asked to complete a Questionnaire B to evaluate changes in knowledge, attitude and practice towards musculoskeletal problem of the back and neck pain after intervention; the numeric rating scale (NRS), and the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) at eight (8) weeks.

The standardized spine exercise program will be provided in a handout and given only to the intervention Group B subjects, these are basic low back exercises to be done three (3) times per week for 20mins, as well as a few very brief stretching exercises to be done during periods of sitting for greater than sixty (60) minutes.

Other: Spine Exercise Program
Spine exercises should be done 20 minutes/ 3 days per week Desk stretches should be done when exposed to prolonged sitting for greater than 60 mins
Other Name: Desk stretches




Primary Outcome Measures :
  1. To assess the change of Cornell Musculoskeletal Discomfort Questionnaire CMDQ [ Time Frame: Change of CMDQ at 8 weeks ]
    The Cornell Musculoskeletal Discomfort Questionnaire is an outcome measure used widely when examining musculoskeletal disorders in various occupational groups and students alike.The Cornell Musculoskeletal Discomfort Questionnaire was taken from the instruments provided by Human Factors and Ergonomics Laboratory at Cornell University. It is from public domains and permission for its use is not required.


Secondary Outcome Measures :
  1. To assess the change in Questionnaire A [ Time Frame: Change in Questionnaire A at 8 weeks ]
    It is a self-administered general questionnaire used to evaluate knowledge, attitude and practice towards musculoskeletal problem of back pain.

  2. To assess the change in Questionnaire B [ Time Frame: Change in Questionnaire B at 8 weeks ]
    Questionnaire B will be used to evaluate changes in knowledge, attitude and practice towards musculoskeletal problem of the back after intervention

  3. To assess the change in Numeric Rating Scale [ Time Frame: Change in Numeric Rating Scale at 8 weeks ]
    The Numeric Rating Scale is an 11-point scale for patient self reporting of pain. It is from public domains and permission for its use is not required.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. All second and forth/fifth year students enrolled in the medical program at UWI, Jamaica during the period September 7, 2015 to November 2, 2015.
  2. Willingness to consent to the study.
  3. Preclinical medical students' willingness to adhere to standardized exercise program for the stipulated period.

Exclusion Criteria:

  1. History of having spine surgery
  2. Previously diagnosed with spine pathology and currently receiving rehabilitation therapy.
  3. Unwillingness to participate in study

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): NCT03707288


Contacts
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Contact: Paula UA Dawson, MBBS 1-876-927-1297 ext 8049 paula.dawson@uwimona.edu.jm
Contact: Rishika V Banhan-Chin, MBBS 1-876-927-1660-9 ext 8050 rishika.banhan@gmail.com

Locations
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Jamaica
Faculty of Medical Sciences Teaching and Research Complex,The University of the West Indies, University Hospital of the West Indies
Kingston, Jamaica, JMAAW15
Contact: Paula UA Dawson, MBBS    1-876-927-1297 ext 8049    paula.dawson@uwimona.edu.jm   
Contact: Rishika V Banhan-Chin, MBBS    1-876-927-1660-9 ext 8050    rishika.banhan@gmail.com   
Sponsors and Collaborators
The University of The West Indies
Investigators
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Principal Investigator: Paula UA Dawson, MBBS Division of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, The University of the West Indies, Mona, Jamaica.
Principal Investigator: Maxim US Christmas, DM (Ortho) Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care. University Hospital of the West Indies, Kingston 7, Jamaica.
Publications:

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Responsible Party: Paula Dawson, MBBS, Head, Physical Medicine and Rehabilitation. Principal Investigator, The University of The West Indies
ClinicalTrials.gov Identifier: NCT03707288    
Other Study ID Numbers: ECP 248, 13/14
First Posted: October 16, 2018    Key Record Dates
Last Update Posted: October 16, 2018
Last Verified: October 2018

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Back Pain
Pain
Neurologic Manifestations