The RELIEF Study - Researching the Effectiveness of Lumbar Interventions for Enhancing Function

NCT ID: NCT01854892

Last Updated: 2017-05-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2017-05-05

Brief Summary

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Low back pain (LBP) is one of the most common reasons for seeking medical care and accounts for over 3.7 million physician visits/year in the U.S. alone. Ninety percent of adults will experience low back pain in their lifetime, 50% will experience recurrent LBP, and 10% will develop chronic pain and related disability.

While there is growing evidence for the clinical effectiveness of alternative and complementary therapies to treat low back pain, little is known on the physiologic consequences and effects of these treatments. Further, additional data is needed to understand how these different treatment techniques effect clinical changes in pain and disability. The lack of empirical data hinders acceptance by the wider scientific and health-care communities, and it also limits the development of rational strategies for using alternative and complementary therapies.

Detailed Description

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Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Investigators

Study Groups

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Manipulation

Spinal manipulation

Group Type EXPERIMENTAL

Manipulation

Intervention Type OTHER

High velocity short amplitude thrust spinal manipulation applied to the lumbar spine.

Mobilization

Spinal mobilization

Group Type EXPERIMENTAL

Mobilization

Intervention Type OTHER

Static isometric contractions of the lumbar spine to induce spinal mobilization

Laser Therapy

Cold laser therapy

Group Type EXPERIMENTAL

Laser Therapy

Intervention Type OTHER

Cold laser applied to the paravertebral muscles in the lumbar region

Interventions

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Manipulation

High velocity short amplitude thrust spinal manipulation applied to the lumbar spine.

Intervention Type OTHER

Mobilization

Static isometric contractions of the lumbar spine to induce spinal mobilization

Intervention Type OTHER

Laser Therapy

Cold laser applied to the paravertebral muscles in the lumbar region

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Report history consistent with chronic low back pain
* Average pain intensity at least mild when assessed with a numerical pain scale
* At least mild disability when assessed with a questionnaire
* Meets criteria for clinical prediction rule

Exclusion Criteria

* A history of certain neurological, cardiorespiratory, and musculoskeletal disorders
* Have active cancer or be blind
* Report recent use of certain medications and treatments
* Report being pregnant, lactating, or that she anticipates becoming pregnant in the next 3-months
* Have too high body mass or unexplained weight loss
* Have clinical depression
* Have pending litigation related to the low back pain or are receiving any type of disability services
* Current drug or alcohol use that would interfere with adherence to study requirements
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohio University

OTHER

Sponsor Role lead

Responsible Party

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James Thomas

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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James S Thomas, Ph.D., PT

Role: PRINCIPAL_INVESTIGATOR

Ohio University

Brian C Clark, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Ohio University

Locations

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Ohio University

Athens, Ohio, United States

Site Status

Countries

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United States

References

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Stamenkovic A, Clark BC, Pidcoe PE, van der Veen SM, France CR, Russ DW, Kinser PA, Thomas JS. Distinguishing chronic low back pain in young adults with mild to moderate pain and disability using trunk compliance. Sci Rep. 2021 Apr 7;11(1):7592. doi: 10.1038/s41598-021-87138-6.

Reference Type DERIVED
PMID: 33828171 (View on PubMed)

Thomas JS, Clark BC, Russ DW, France CR, Ploutz-Snyder R, Corcos DM; RELIEF Study Investigators. Effect of Spinal Manipulative and Mobilization Therapies in Young Adults With Mild to Moderate Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Netw Open. 2020 Aug 3;3(8):e2012589. doi: 10.1001/jamanetworkopen.2020.12589.

Reference Type DERIVED
PMID: 32756930 (View on PubMed)

Clark BC, Russ DW, Nakazawa M, France CR, Walkowski S, Law TD, Applegate M, Mahato N, Lietkam S, Odenthal J, Corcos D, Hain S, Sindelar B, Ploutz-Snyder RJ, Thomas JS. A randomized control trial to determine the effectiveness and physiological effects of spinal manipulation and spinal mobilization compared to each other and a sham condition in patients with chronic low back pain: Study protocol for The RELIEF Study. Contemp Clin Trials. 2018 Jul;70:41-52. doi: 10.1016/j.cct.2018.05.012. Epub 2018 May 21.

Reference Type DERIVED
PMID: 29792940 (View on PubMed)

Other Identifiers

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AT006978

Identifier Type: -

Identifier Source: org_study_id

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