- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03324659
Meditation and Exercise to Treat Chronic Back Pain (MedExT)
Combined Meditation and Exercise as a Treatment for Patients With Chronic Back Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Exercise and mindfulness based mediation can both produce analgesic effects in patients with chronic pain, but the mechanisms are not clear.
Combining treatments could produce analgesic effects that are additive, synergistic, or counteractive to each other. Here, the investigators examine the effects of a 4-week intervention in patients with chronic low back pain. Patients are assigned to a meditation/exercise group or a control group. The investigators will measure pain and disability using a variety of tools including surveys (disability, anxiety, mindfulness, and pain), pain VAS scales, and quantitative sensory testing.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, United States, 15282
- Duquesne University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Presence of clinically diagnosed nonspecific low back pain for at least 6 months
- Body mass index within the normal to overweight range (18.5-29.9)
- Resting heart rate 60 to 100 beats per minute
- Resting blood pressure less than or equal to 140/90
Able to independently ambulate community distances without external support (e.g., walker, cane)
Exclusion Criteria:
- Age less than 18 or greater than 60 years
- BMI ≥ 30 or ≤ 18.4
- Cardiovascular or respiratory disease
- Neurological disease, unrelated to low back pain
- Radicular low back pain
- Back pain associated with neuropathy
- Diabetes mellitus, Types 1 and 2
- Diagnosed with a chronic pain condition, unrelated to low back pain
- Acute pain
- Regular participation in high intensity athletic/sporting activities
- Sedentary lifestyle
- Currently pregnant
- Current cigarette smoker
- On-going litigation associated with back pain
- Inability to walk independently without external support (e.g. walker).
- Regular participation in meditation techniques or training in Mindfulness-based stress reduction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exercise and Meditation
The Exercise and Meditation group will practice mindfulness meditation immediately before walking treadmill exercise, five days per week for four weeks.
|
The Exercise and Meditation group will listen to recorded meditations (15 minutes) that are based on mindfulness.
They will then walk on a treadmill for 30 minutes at a moderate intensity.
The intervention is completed five days per week for four weeks.
|
Sham Comparator: Control
The Control group will listen to an audio book followed by quiet rest, five days per week for four weeks.
|
The Control group will listen to a recorded audio book for 15 minutes, They will then sit quietly for 30 minutes.
The intervention is completed five days per week for four weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Roland Morris Disability Questionnaire
Time Frame: baseline and 4 weeks
|
The Roland-Morris Disability Questionnaire is designed to assess self-rated physical disability caused by low back pain.
The patient is asked to tick a statement when it applies to him that specific day, this makes it possible to follow changes in time.
The end score is the sum of the ticked boxes.
The score ranges from 0 (no disability) to 24 (max.
disability).
|
baseline and 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Cutaneous Sensation
Time Frame: baseline and 4 weeks
|
Subjects will be examined using cutaneous sensory filaments on the forearm with data recorded in grams.
|
baseline and 4 weeks
|
Fear Avoidance Beliefs Questionnaire
Time Frame: baseline and 4 weeks
|
The Fear-Avoidance Beliefs Questionnaire (FABQ) is a questionnaire based on the Fear-Avoidance Model of Exaggerated Pain Perception, a model created in attempts to explain why some patients with acute painful conditions can recover while other patients develop chronic pain from such conditions.
The FABQ measures patients' fear of pain and consequent avoidance of physical activity because of their fear.
This questionnaire consists of 16 items, with each item scored from 0-6.
Higher scores on the FABQ are indicative of greater fear and avoidance beliefs
|
baseline and 4 weeks
|
Freiburg Mindfulness Inventory
Time Frame: baseline and 4 weeks
|
The FMI is a 14-item questionnaire for measuring mindfulness.
It is most suitable in generalized contexts, where knowledge of the Buddhist background of mindfulness cannot be expected.
The 14 items cover all aspects of mindfulness.
The purpose is to characterize the experience of mindfulness.
The subject is asked to answer every statement as honestly and spontaneously as possible.
Each statement is scored on a 1 to 4 scale and a composite score is calculated from all statements.
|
baseline and 4 weeks
|
VAS back pain (intensity & unpleasantness)
Time Frame: baseline, daily (pre and post intervention), and 4 weeks
|
Participants will be asked to rate their current level of back pain intensity on a Visual Analog Scale (VAS) ranging from 0 to 10
|
baseline, daily (pre and post intervention), and 4 weeks
|
State-Trait Anxiety Inventory (STAI)
Time Frame: baseline and 4 weeks
|
The STAI is an introspective psychological inventory consisting of 40 self-report items pertaining to anxiety affect.
It distinguishes between a person's state and trait anxiety levels.
The A-Trait and A-State scales comprise 20 items each, scored on a 4-point Likert-type response scale.
Higher STAI scores suggest higher levels of anxiety.
|
baseline and 4 weeks
|
Change in Pressure Sensation
Time Frame: baseline and 4 weeks
|
Subjects will be examined using a pressure algometer to determine a pressure pain threshold, measured in Newtons
|
baseline and 4 weeks
|
Change in Heat unpleasantness
Time Frame: baseline and 4 weeks
|
Subjects will be examined using a heat block with a determined temperature threshold.
Subjects will report unpleasantness using a VAS scale.
|
baseline and 4 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Matthew C. Kostek, PhD, Duquesne University
- Principal Investigator: Benedict J Kolber, PhD, Duquesne University
- Principal Investigator: Eric Helm, MD, University of Pittsburgh
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Protocol50
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Chronic Low Back Pain
-
Dow University of Health SciencesRecruitingLow Back Pain | Chronic Low-back Pain | Low Back Pain, Mechanical | Mechanical Low Back Pain | Pain, Chronic | Pain, Back | Lower Back Pain Chronic | CLBP - Chronic Low Back PainPakistan
-
Iran University of Medical SciencesNot yet recruitingLow Back Pain | Chronic Low-back Pain | Chronic Non-specific Low Back Pain | Cupping Therapy
-
Federal University of Minas GeraisRecruitingBack Pain | Low Back Pain | Chronic Low-back Pain | Back Pain Lower Back ChronicBrazil
-
Federal University of ParaíbaCompletedChronic Low Back Pain | Nonspecific Chronic Low Back Pain
-
Faculdade de Ciências Médicas da Santa Casa de...CompletedLow Back Pain, Mechanical | Low Back Pain, Postural | Lower Back Pain Chronic | Low Back Pain, Posterior CompartmentBrazil
-
University of Colorado, BoulderNational Institutes of Health (NIH); Radiological Society of North America; Psychophysiologic... and other collaboratorsCompletedChronic Pain | Back Pain Lower Back Chronic | Back Pain, LowUnited States
-
Presidio Medical, IncRecruitingChronic Pain | Chronic Low-back PainAustralia
-
Spaulding Rehabilitation HospitalHighland Instruments, Inc.Active, not recruitingChronic Pain | Chronic Low Back PainUnited States
-
University of WashingtonNational Center for Complementary and Integrative Health (NCCIH)Active, not recruiting
-
Dan RhonNational Center for Complementary and Integrative Health (NCCIH); 59th Medical... and other collaboratorsRecruitingLow Back Pain | Chronic Pain | Surgery | Back Pain Lower Back Chronic | Back Pain, LowUnited States
Clinical Trials on Exercise and Meditation
-
University of Wisconsin, MadisonNational Center for Complementary and Integrative Health (NCCIH)CompletedAcute Respiratory InfectionUnited States
-
University of PittsburghMcGill University; National Institute on Deafness and Other Communication Disorders... and other collaboratorsCompleted
-
Chulalongkorn UniversityCompleted
-
York UniversityTerminated
-
M.D. Anderson Cancer CenterNational Center for Complementary and Integrative Health (NCCIH)Recruiting
-
McMaster UniversityCompleted
-
University of Wisconsin, MadisonNational Center for Complementary and Integrative Health (NCCIH)CompletedAcute Respiratory InfectionUnited States
-
Beth Israel Deaconess Medical CenterHebrew SeniorLifeRecruiting