Telerehabilitation for chronic low back pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of telerehabilitation, which involves physical therapy delivered via video visits, compared to traditional in-clinic physical therapy for patients suffering from chronic low back pain. The study will enroll 1000 patients and utilize a mixed methods approach, including electronic surveys and semi-structured interviews, to assess patient engagement and the impact of both treatment options on healthcare utilization. The trial aims to provide insights into the quality of care and barriers faced by patients in managing their condition.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Primary care visit in the past 90 days with an LBP-related ICD-10 diagnosis.
* At least moderate levels of pain and disability requiring Oswestry score ≥24% and average pain rating ≥ 4/10 points.
* Meets NIH Task Force2 definition of chronic LBP based on two questions: 1) How long has LBP has been an ongoing problem? and 2) How often has LBP been an ongoing problem over the past 6 months? A response of greater than 3 months to question 1, and "at least half the days in the past 6 months" to question 2 is required to satisfy the NIH definition of chronic LBP.
* Can speak and understand English or Spanish (Utah sites only).

Exclusion Criteria:

* Recent history (last 6 months) of lumbar spine surgery.
* Possible non-musculoskeletal cause for low back pain symptoms (e.g., pregnancy).
* Evidence of serious pathology as a cause of LBP including neoplasm, inflammatory disease (e.g., ankylosing spondylitis), vertebral osteomyelitis, etc.
* Neurological disorder resulting in severe movement disorder, or schizophrenia or other psychotic disorder.
* Knowingly pregnant

Where it's running

• Johns Hopkins University School of Medicine
  Baltimore, Maryland, United States Recruiting
• Intermountain Healthcare
  Salt Lake City, Utah, United States Recruiting
• University of Utah
  Salt Lake City, Utah, United States Recruiting

Study contacts

• Principal investigator: Richard L. Skolasky, Sc.D. — Johns Hopkins University
• Study coordinator: Richard L Skolasky, Sc.D.
• Email: rskolas1@jhmi.edu
• Phone: 410-502-7975

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.