A Comparative Study: Non-Surgical Spinal Decompression and Spinal Manipulative Therapy- Utilizing a Quantifiable Musculoskeletal Functional Assessment Risk Analysis Tool (MSDR®) in Patients With Chronic Low Back Pain
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Purpose
To administer the MSDR® (Musculoskeletal Disorder Reporting) instrument to document the musculoskeletal profile of patients with chronic low back pain, a prospective, non-randomized, multicenter treatment trial
| Condition | Intervention |
|---|---|
|
Chronic Low Back Pain |
Other: MSDR |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Screening |
| Official Title: | This is a Study is for the Purpose of Quantifying Function of the Back and Lower Extremities, and to Assess the Inter-Regional Biomechanical Relationships of the Neck, Upper Extremities, Back, and Lower Extremities in Patients Suffering From Chronic Low Back Pain. |
- To document the musculoskeletal profile of patients with low back pain [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- To determine if a particular lower back diagnosis or MSDR® score can predict which patients will respond particularly well to the DRX9000™ treatment protocol and spinal manipulative therapy. [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 200 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | January 2010 |
| Estimated Primary Completion Date: | August 2009 (Final data collection date for primary outcome measure) |
-
Other: MSDR
- Musculoskeletal Disorder Reporting Tool
- MSDR
The MSDR® questionnaire establishes an individual's musculoskeletal functional status using information gathered from 1) a questionnaire the patient fills out regarding medical history, chronic medical conditions, and health risk factors; 2) anatomic pain survey completed by the patient; and 3) evaluation by a trained researcher of various patient biometric parameters related to range of motion. Stratifying an individual into a risk category with this evidence-based assessment tool then permits an assessment of which patients respond long term to therapy.
MSDR® demonstrates the ability to benchmark specific musculoskeletal findings (both clinical and sub-clinical) to ICD-9 Diagnoses supported by diagnostic, radiographic and/or MRI findings where clinically indicated.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Must have Informed Consent Signed
- Lumbar Disc Herniations under 5mm without Sequestered Fragments
- Lumbar Disc Bulging
- Lumbar Degenerative Disc Disease (mild and moderate severity)
- Non-pregnant Females and Males suffering from Chronic Low Back Pain from 18 to 65 years of age
- Segmental Dysfunction Secondary to Dyskinesia
- Unresolved Nerve Entrapment Syndrome
- Patients must be able to comply with study protocol
- Joint Fixation Syndrome
- Premenopausal Female Patients, excluding patients who have undergone a hysterectomy, oophorectomy, or tubal ligation, must have one of the following methods of contraception and must have a negative serum or urine b-HCG pregnancy test performed within 48 hours before initiating protocol specified treatment.
Exclusion Criteria:
- Contraindications to Spinal Manipulative Therapy
- Lumbar Canal Stenosis resulting in significant neurological comprimise
- Any Spinal Cord Compression resulting in significant neurological comprimise
- Cauda Equina Syndrome
- Infection
Osteomyelitis
->65 years of age
- History of Back or Neck Surgery
- Acute Arthritis
- Signs or Symptoms of Arterial Aneurysm
- History of Active Cancer with Bone Metastasis
- Widespread Staphyloccal and/or Strepococcal Infection
- Acute Gout
- Serious unstable medical illness such as cardiovascular, renal, respiratory, endocrine, gastrointestinal, or psychiatric.
- Unstable Spondylosis, Spondylolisthesis, or Spondylolysis
- Prior adverse experience with Spinal Manipulation Therapy
- Uncontrolled Diabetic Neuropathy
- Gonorreal Spinal Arthritis
- Tuberculosis to the Bone
- Maligancy with Metatasis to Bone
- Excessive Spinal Osteoporosis
- Osteomalacia
- Ankylosis
- Syphlitic Articular or Peri-Articular Lesions
- Active Low Back Injury Resulting from a Motor Vehicle Accident or Work Related Injury
Contacts and Locations| Contact: Eric K Groteke, DC | 727-797-0500 | egroteke@medappraise.com |
| Contact: Damon J Stafford, DC | 727-797-0500 | drdamon7@aol.com |
| United States, Florida | |
| Back2Life of Florida, Inc. | Recruiting |
| Clearwater, Florida, United States, 33761 | |
| Contact: Tammy Cravotta 727-797-0500 | |
| Contact: Matt Erickson, DC 727-797-0500 | |
| Study Chair: | Eric K Groteke, DC | MedAppraise, Inc. |
| Principal Investigator: | Luis Crespo, MD | Crespo and Associates |
| Study Director: | Mark Scinico, MD | Concentra |
| Principal Investigator: | Damon J Stafford, DC | Back2Life of Florida, Inc. |
More Information
No publications provided
| Responsible Party: | Damon J. Stafford, D.C., Back2Life of Florida, Inc. |
| ClinicalTrials.gov Identifier: | NCT00732394 History of Changes |
| Other Study ID Numbers: | TCT06-002 |
| Study First Received: | August 8, 2008 |
| Last Updated: | August 8, 2008 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Back Pain Low Back Pain Pain |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013