Health Trials

Implementation of the Specific Treatment Of Problems of the Spine Approach in Bangladesh

ConditionChronic Low-back Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorMohammad Ali

About this trial

The goal of this implementation trial is to evaluate the clinical outcomes associated with usual physiotherapy care compared to individualized physiotherapy in accordance with the Specific Treatment of Problems of the Spine (STOPS) approach in patients with chronic low back pain (CLBP). The main questions it aims to answer are:

* Is the STOPS approach more effective than usual care physiotherapy among patients with CLBP? * Is STOPS physiotherapy cost-effective compared to usual physiotherapy care for patients with CLBP. * Does STOPS training improve the quality of care among Bangladeshi physiotherapists?

Eligibility criteria

Qualifiers

low back pain, defined as pain between the inferior costal margin and the inferior gluteal fold with or without referral into the leg(s)

referred leg pain, defined as predominately unilateral posterior leg pain extending below the knee, or anterior thigh pain, with or without back pain

Duration of the current episode of primary complaint lasting for greater than 3 months (chronic stage of the injury)

Aged between 18 and 65 (inclusive)

Disqualifiers

Red flag pathologies such as active cancer under current treatment, risk of spinal fracture, signs of potential infection, and major systemic inflammatory disease.

Signs of cauda equina syndrome based on bladder or bowel disturbance and/or imaging

Current pregnancy, or childbirth within the last 6 months, as this could impair the ability to undertake exercises, and could also cause back and leg symptoms that are not related to the subgroups under investigation

Spinal injections within the last 6 weeks, as we wish to study treatment effects independent of the effects of injections

Trial design

Treatments tested in this trial

  • Usual physiotherapy care
  • Individualized (STOPS) physiotherapy

Treatment groups

154 Participants
are divided into 2 treatment groups

Locations

1
Uttara Adhunik Medical College Hospital1230, DhakaUttara, Bangladesh

Sponsors and collaborators

Mohammad Ali

Lead sponsor

Uttara Adhunik Medical College

Sponsor institution

Hasna Hena Pain, Physiotherapy and Public Health Research Center (HPRC)

Collaborator

La Trobe University

Collaborator

Source ClinicalTrials.gov