Most People With Low Back Pain Have Associated Cervicothoracic Musculoskeletal Dysfunction: an Observational Study

In general , the diagnosis of back pain can be broken into three major categories: Mechanical ( Osteoarthritis , Spinal stenosis , Spondylolisthesis) ; Non- mechanical ( Tumor , Infection , Inflammatory arthritis ) and Miscellaneous (Osteoporosis , Psychosomatic disorders , neuropathic joints , visceral diseases ). Although 98% of LBP may be caused by mechanical factors, it is the other 2% caused by malignancy, infection, visceral diseases and other red herrings that must be considered most seriously.

The investigators have observed in their practice that lateral pressure on 5th lumbar vertebra sometimes gives rise to cervicothoracic pain and central PA pressure over cervicothoracic spines reproduce original low back and leg pain. So the question arises whether Cervico-thoracic dysfunction is associated with low back pain with or without radiation to lower extremities?

Study Overview

• Status: Completed
• Conditions: Low Back Pain

• Study Type: Observational
• Enrollment (Actual): 940

Contacts and Locations

Study Locations

• India
  • Odisha
    • Olatpur, Cuttack Dt, Odisha, India, 754010
      • SVNIRTAR

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 30 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Persons with low back pain who had attended our hospital and sub centres with a complaint of low back pain

Description

Inclusion Criteria:

• mechanical low back pain with or without radiation to lower limb.

Exclusion Criteria:

• any recent trauma or fractures to cervico-thoracic junction, osteoporosis, inflammatory arthritis, tuberculosis, bone disease, congenital deformity
• vascular disorders
• rapidly progressing neurological deficits
• sudden onset of neurological deficits and all red flags to manual therapy.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
incidence of cervico-thoracic dysfunction in patients with low back pain	incidence of cervico-thoracic dysfunction in patients with low back pain with or without radiation down the lower extremity, which is characterized by reproduction of the original symptom by central PA pressure of cervicothoracic spines and digital pressure by algometer over levator scapulae	The outcome measure, viz. the incidence of cervico-thoracic dysfunction was ascertained immediately at the time of initial physical assessment. No follow-up was required.

Collaborators and Investigators

• Sponsor: Swami Vivekanand National Institute of Rehabilitation Training and Research
• Investigators: Principal Investigator: Patitapaban Mohanty, PhD, Swami Vivekanand National Institute of Rehabilitation Training and Research; Study Chair: Basant K Behera, M.S (Ortho), SCB medical college and hospital, Cuttack

Study record dates

Study Major Dates

• Study Start: February 1, 2007
• Primary Completion (Actual): September 1, 2012
• Study Completion (Actual): September 1, 2012

Study Registration Dates

• First Submitted: April 25, 2014
• First Submitted That Met QC Criteria: April 29, 2014
• First Posted (Estimate): May 1, 2014

Study Record Updates

• Last Update Posted (Estimate): May 1, 2014
• Last Update Submitted That Met QC Criteria: April 29, 2014
• Last Verified: April 1, 2014

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: mohanty0202