Trial Outcomes & Findings for Restorative Exercise for Strength Training and Operational Resilience (RESTORE) for Chronic or Recurrent Low Back Pain (NCT NCT02132910)

NCT ID: NCT02132910

Last Updated: 2019-11-25

Results Overview

Participants will choose a pain score using the Defense and Veteran's Pain Rating Scale 2.0 Rate the severity of your CURRENT pain: 0 - No Pain 1. \- Hardly notice pain 2. \- Notice pain, does not interfere with activities 3. \- Sometimes distracts me 4. \- Distracts me, can do usual activities 5. \- Interrupts some activities 6. \- Hard to ignore, avoid usual activities 7. \- Focus of attention, prevents doing daily activities 8. \- Awful, hard to do anything 9. \- Can't bear pain, unable to do anything 10. \- As bad as it could be, nothing else matters Higher values represent worse outcomes

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

68 participants

Primary outcome timeframe

Baseline, Midtreatment, Posttreatment, 3 month follow-up, 6 month follow-up

Results posted on

2019-11-25

Participant Flow

Participant milestones

Participant milestones
Measure
RESTORE Intervention
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Control Group 2
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
Overall Study
STARTED
34
34
Overall Study
COMPLETED
34
34
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Restorative Exercise for Strength Training and Operational Resilience (RESTORE) for Chronic or Recurrent Low Back Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RESTORE Intervention
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Control Group 2
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
Total
n=68 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
33 Participants
n=7 Participants
65 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
24 Participants
n=7 Participants
43 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
10 Participants
n=7 Participants
25 Participants
n=5 Participants
Region of Enrollment
United States
34 Participants
n=5 Participants
34 Participants
n=7 Participants
68 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Midtreatment, Posttreatment, 3 month follow-up, 6 month follow-up

Participants will choose a pain score using the Defense and Veteran's Pain Rating Scale 2.0 Rate the severity of your CURRENT pain: 0 - No Pain 1. \- Hardly notice pain 2. \- Notice pain, does not interfere with activities 3. \- Sometimes distracts me 4. \- Distracts me, can do usual activities 5. \- Interrupts some activities 6. \- Hard to ignore, avoid usual activities 7. \- Focus of attention, prevents doing daily activities 8. \- Awful, hard to do anything 9. \- Can't bear pain, unable to do anything 10. \- As bad as it could be, nothing else matters Higher values represent worse outcomes

Outcome measures

Outcome measures
Measure
Control Group 2
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
RESTORE Intervention
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Pain Scores
3 month follow up
3.35 units on a scale
Standard Deviation 1.79
2.75 units on a scale
Standard Deviation 2.43
Pain Scores
6 month follow up
2.86 units on a scale
Standard Deviation 2.01
2.79 units on a scale
Standard Deviation 2.34
Pain Scores
Baseline
4.32 units on a scale
Standard Deviation 1.61
4.68 units on a scale
Standard Deviation 1.51
Pain Scores
Midtreatment
3.97 units on a scale
Standard Deviation 1.71
2.60 units on a scale
Standard Deviation 1.83
Pain Scores
Posttreatment
3.67 units on a scale
Standard Deviation 1.86
2.48 units on a scale
Standard Deviation 2.34

SECONDARY outcome

Timeframe: Baseline, Midtreatment, Posttreatment, 3 month follow up, 6 month follow up

The Roland Morris Disability Questionnaire is reliable at measuring level of disability and is sensitive to change over time for groups of patients with lower back pain. Scale: 0-24 (24 total statements) -Greater levels of disability are reflected by higher numbers on a 24-point scale See link for complete statements: https://www.worksafe.qld.gov.au/\_\_data/assets/pdf\_file/0009/76851/roland-morris-low-back-pain-and-disability-questionnaire-rmq1.pdf

Outcome measures

Outcome measures
Measure
Control Group 2
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
RESTORE Intervention
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Disability
Baseline
8.68 units on a scale
Standard Deviation 4.82
9.21 units on a scale
Standard Deviation 4.91
Disability
3 month follow up
7.04 units on a scale
Standard Deviation 4.55
4.43 units on a scale
Standard Deviation 4.62
Disability
Midtreatment
8.03 units on a scale
Standard Deviation 5.46
5.90 units on a scale
Standard Deviation 4.52
Disability
Posttreatment
6.70 units on a scale
Standard Deviation 4.59
4.41 units on a scale
Standard Deviation 4.67
Disability
6 month follow up
6.52 units on a scale
Standard Deviation 5.33
3.25 units on a scale
Standard Deviation 3.15

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Midtreatment, Posttreatment, 3 month follow up, 6 month follow up

Physical functioning was assessed using the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS)-29 Physical Functioning subscale (0-100) Total scores are transformed to standardized t scores (mean=50; SD=10). Higher scores indicate higher physical functioning.

Outcome measures

Outcome measures
Measure
Control Group 2
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
RESTORE Intervention
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Physical Functioning
Posttreatment
42.72 units on a scale
Standard Deviation 5.55
47.44 units on a scale
Standard Deviation 7.44
Physical Functioning
Baseline
42.03 units on a scale
Standard Deviation 5.29
40.67 units on a scale
Standard Deviation 3.71
Physical Functioning
Midtreatment
42.71 units on a scale
Standard Deviation 6.16
45.79 units on a scale
Standard Deviation 7.10
Physical Functioning
3 month follow up
43.38 units on a scale
Standard Deviation 4.82
47.34 units on a scale
Standard Deviation 7.43
Physical Functioning
6 month follow up
44.06 units on a scale
Standard Deviation 6.66
47.05 units on a scale
Standard Deviation 8.00

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Midtreatment, Posttreatment, 3 month follow up, 6 month follow up

Symptom burden was assessed using the PROMIS-29 Sleep Disturbance, Pain Interference, Anxiety, Depression, and Fatigue subscales (0-100) Subscales are averaged into a composite score.The Composite scale ranges from 0 to 100, with higher scores indicating higher symptom burden.

Outcome measures

Outcome measures
Measure
Control Group 2
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform so simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. You will be contacted once a week for eight weeks by phone or email to answer questions about your pain level. 3. At weeks four and eight, you will repeat the assessment of pain, physical function and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 4. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavior health.
RESTORE Intervention
n=34 Participants
1. First you will receive an initial assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about yourself, your pain and your current medication use. 2. For the first four weeks you will receive twice-weekly, individualized, hour-long RESTORE sessions from a specially trained RESTORE instructor. 3. For the next four weeks, you will receive weekly, individualized, hour-long RESTORE sessions from a RESTORE instructor. 4. At weeks four and eight, you will repeat the assessment of pain, physical function, and behavioral health. You will be asked to take a computer questionnaire, perform some simple physical assessments, and answer questions about pain and medication use. 5. At three and six months, you will be contacted by telephone or email to answer questionnaires about pain, physical function, and behavioral health. RESTORE Intervention
Symptom Burden
Posttreatment
52.59 units on a scale
Standard Deviation 5.69
49.42 units on a scale
Standard Deviation 7.05
Symptom Burden
Baseline
53.90 units on a scale
Standard Deviation 5.23
54.90 units on a scale
Standard Deviation 5.72
Symptom Burden
Midtreatment
53.28 units on a scale
Standard Deviation 4.99
51.63 units on a scale
Standard Deviation 6.55
Symptom Burden
3 month follow up
52.04 units on a scale
Standard Deviation 4.65
49.04 units on a scale
Standard Deviation 6.81
Symptom Burden
6 month follow up
51.80 units on a scale
Standard Deviation 7.32
48.11 units on a scale
Standard Deviation 7.48

Adverse Events

RESTORE Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Chester Buckenmaier

DVCIPM

Phone: 301-816-4710

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place