Trial Outcomes & Findings for Benefit of Lumbar Bracing for Chronic Low Back Pain Due to Degenerative Disc Disease (NCT NCT03484403)

NCT ID: NCT03484403

Last Updated: 2024-01-08

Results Overview

Patients rate their weekly pain on a scale from 0-10. Lower values indicate better outcomes. Average weekly pain scores were compared from baseline to 6 week mark.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

61 participants

Primary outcome timeframe

Change between baseline and each week for 6 weeks

Results posted on

2024-01-08

Participant Flow

Participants with a diagnosis of lumbar degenerative disc disease or joint disease were recruited from the Physical Medicine and Rehabilitation clinic at the Veterans Affairs Medical Center, and were included in the study if they met the study criteria.

2 participants withdrew after enrollment

Participant milestones

Participant milestones
Measure
Control Group
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
Overall Study
STARTED
34
25
Overall Study
COMPLETED
28
21
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Group
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
Overall Study
Withdrawal by Subject
6
4

Baseline Characteristics

Benefit of Lumbar Bracing for Chronic Low Back Pain Due to Degenerative Disc Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group
n=34 Participants
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
n=25 Participants
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
Total
n=59 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
30 Participants
n=5 Participants
21 Participants
n=7 Participants
51 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Continuous
49.5 years
STANDARD_DEVIATION 13.1 • n=5 Participants
47.6 years
STANDARD_DEVIATION 15.1 • n=7 Participants
48.9 years
STANDARD_DEVIATION 14.2 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
22 Participants
n=7 Participants
48 Participants
n=5 Participants
Race/Ethnicity, Customized
African American/Black
17 Participants
n=5 Participants
16 Participants
n=7 Participants
33 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian/White
12 Participants
n=5 Participants
8 Participants
n=7 Participants
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
United States
34 participants
n=5 Participants
25 participants
n=7 Participants
59 participants
n=5 Participants
Pain Disability Questionnaire
79.26 units on a scale
STANDARD_DEVIATION 23.29 • n=5 Participants
80.65 units on a scale
STANDARD_DEVIATION 23.33 • n=7 Participants
79.96 units on a scale
STANDARD_DEVIATION 23.31 • n=5 Participants

PRIMARY outcome

Timeframe: Change between baseline and each week for 6 weeks

Patients rate their weekly pain on a scale from 0-10. Lower values indicate better outcomes. Average weekly pain scores were compared from baseline to 6 week mark.

Outcome measures

Outcome measures
Measure
Control Group
n=34 Participants
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
n=25 Participants
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
Pain Diary
6.71 units on a scale
Standard Deviation 1.56
5 units on a scale
Standard Deviation 1.78

PRIMARY outcome

Timeframe: These assessments were made at baseline (T₀), 6 wks (T₁), 12 wks (T₂), and 6 mos (T₃). Change between baseline and each follow-up visit (6 weeks, 12 weeks and 6 months).

Measures how pain affects the patients lifestyle and participation in activities. Ranges from 0-150. Higher values indicate worse outcome.

Outcome measures

Outcome measures
Measure
Control Group
n=34 Participants
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
n=25 Participants
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
Pain Disability Questionnaire
Baseline
79.26 units on a scale
Standard Deviation 23.29
80.65 units on a scale
Standard Deviation 23.33
Pain Disability Questionnaire
6-weeks
73 units on a scale
Standard Deviation 24
78.2 units on a scale
Standard Deviation 24
Pain Disability Questionnaire
12-weeks
68 units on a scale
Standard Deviation 24
79.2 units on a scale
Standard Deviation 25
Pain Disability Questionnaire
6-months
59.6 units on a scale
Standard Deviation 25
80 units on a scale
Standard Deviation 25.1

PRIMARY outcome

Timeframe: Change between baseline and each follow-up visit (6 weeks, 12 weeks and 6 months)

Patient reported outcome measure that measures how their pain problem is interfering with their quality of life and function. Higher scores indicate worse outcomes. Higher scores = more pain interference with function, range = 0-112

Outcome measures

Outcome measures
Measure
Control Group
n=34 Participants
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
n=25 Participants
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
PROMIS Instrument Questionnaire
6-months
42.2 units on a scale
Standard Deviation 22.2
61.9 units on a scale
Standard Deviation 24
PROMIS Instrument Questionnaire
Baseline
53.82 units on a scale
Standard Deviation 20.74
52.7 units on a scale
Standard Deviation 18.37
PROMIS Instrument Questionnaire
6-weeks
49 units on a scale
Standard Deviation 21
53 units on a scale
Standard Deviation 19
PROMIS Instrument Questionnaire
12-weeks
47 units on a scale
Standard Deviation 21.2
56 units on a scale
Standard Deviation 22

PRIMARY outcome

Timeframe: Change between baseline and each follow-up visit (6 weeks, 12 weeks and 6 months)

Measures quality of life for pre- and post comparisons. Higher scores indicate better outcomes. higher scores = poorer quality of life, range = 0-10

Outcome measures

Outcome measures
Measure
Control Group
n=34 Participants
Study participants will not receive a back brace but will receive back school education and the same physical therapy exercise instruction as the treatment group. Back school: Back school consists of patient education physical therapy exercise instruction.
Treatment Group
n=25 Participants
Study participants in this group will receive a lumbar support back brace and will receive back school education and the same physical therapy exercise instruction as the control group. Lumbar back brace: A brace that supports the lumbar region of the spine. Back school: Back school consists of patient education physical therapy exercise instruction.
European Qualify of Life (EQ-5D) Questionnaire
Baseline
3.82 units on a scale
Standard Deviation 1.6
4.13 units on a scale
Standard Deviation 1.75
European Qualify of Life (EQ-5D) Questionnaire
6-weeks
3.6 units on a scale
Standard Deviation 1.5
4.3 units on a scale
Standard Deviation 1.8
European Qualify of Life (EQ-5D) Questionnaire
12-weeks
3.4 units on a scale
Standard Deviation 1.7
4.8 units on a scale
Standard Deviation 1.9
European Qualify of Life (EQ-5D) Questionnaire
6-months
3 units on a scale
Standard Deviation 1.5
5 units on a scale
Standard Deviation 2.2

Adverse Events

Control Group

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

Treatment Group

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

Dr Thiru Annaswamy

Dallas VA Medical Center

Phone: 214-857-0273

Results disclosure agreements

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