Why some people with disc-related low back pain don't improve with rehabilitation

The contributions of neural control and mechanosensation to rehabilitation induced spine muscle recovery

['FUNDING_R01'] · UNIVERSITY OF CALIFORNIA, SAN DIEGO · NIH-11327335

This project compares brain activity, nerve function, and muscle health in people with chronic disc-related low back pain who do or do not get better from exercise-based rehab.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF CALIFORNIA, SAN DIEGO (nih funded)
Locations1 site (LA JOLLA, UNITED STATES)
Trial IDNIH-11327335 on ClinicalTrials.gov

What this research studies

If you have chronic low back pain from a disc injury, researchers will compare people who respond well to exercise rehabilitation with those who don't. They will use tests such as brain activation recordings/imaging, peripheral nerve studies, muscle imaging and biopsies, and muscle activation measurements during exercises. The team aims to pinpoint whether problems arise from the brain, the nerves, or the muscle itself and how those issues affect recovery. Results are intended to guide more personalized rehab or new treatments for people who currently do not improve.

Who could benefit from this research

Good fit: Ideal candidates are adults with chronic low back pain due to a lumbar disc injury who have undergone or plan to undergo structured exercise-based rehabilitation.

Not a fit: People with low back pain not related to disc injury, those with only short-term acute pain, or individuals unable to undergo nerve or imaging tests may not receive direct benefit from this research.

Why it matters

Potential benefit: If successful, this work could help doctors tailor rehabilitation and develop treatments to restore spine muscle function and reduce disability from chronic low back pain.

How similar studies have performed: Prior studies have documented muscle and neural changes in low back pain, but directly comparing brain, nerve, and muscle contributors in rehab responders versus non-responders is relatively novel.

Where this research is happening

LA JOLLA, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.