- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT00905112
Musculoskeletal and Obstetric Management Study (MOMS)
Musculoskeletal and Obstetric Management Study (MOMS)
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
Initially patients will have a Baseline Musculoskeletal Exam (BME) at 24-28 weeks pregnancy at which point self reported tests/questionnaires will be administered as well as functional testing (see below "procedures for research") performed. At this point patients will be randomized into either Standard Obstetric Management or Musculoskeletal and Obstetric Care (MOMS) groups:
Standard Obstetric Management : All patients (both groups) will be seen for standard obstetric care typically once every month. Complicated cases may need to be seen more frequently. There is no standard obstetric care approach to LBP/PP in pregnancy, thus, patients in the standard obstetric care group will receive limited, although realistic interventions for LBP/PP. In addition, patients will attend one-on-one educational sessions on pre-natal care. The women in this group will have a minimum of 4 pre-natal care sessions. These visits will be timed to match the additional time and care given to the MOM group. The timed sessions will be compared with the MOMS group at monthly intervals to maintain treatment attention equality. Patients will have a complete medical assessment including history and physical examination administered by their obstetrical provider. As part of their intervention for LBP/PP, evaluation of lifestyle and work activities may be taken into consideration. Modification of lifestyle may be recommended including, rest and general aerobic exercise. Short-lived heat treatment (i.e. heating pad for no more than 10 minutes) is another possibility. Use of analgesia may be prescribed, including acetaminophen and NSAID preparations, or narcotics if deemed necessary by the provider. Narcotic use and centrally acting muscle relaxants are typically not encouraged, but at times maybe necessary to help control pain. For pain that is debilitating and worsening, consultation with orthopedic or neurological services may be considered.
Musculoskeletal and Obstetric Management (MOM): In addition to their standard obstetric visits, patients in this group will see the MOM team every one to two weeks depending on severity of symptoms. We have found through treating pregnancy-related pain that visits every one to two weeks is sufficient as the majority of the cases are mild to moderate presentations of non-inflammatory pain. A standard history will be taken and the patient will be assessed for musculoskeletal conditions to identify signs of serious illness, neurological deficit and/or orthopedic instability. If any of these conditions are evident, the patient will be immediately referred for specialist consultation. The patients in this MOM group will be treated with biobehavioral management, manual therapy and spinal stabilization exercise as described in detail below. The obstetric physician and chiropractic physician will have coordinated schedules at each clinic. For pain that is debilitating and worsening, consultation with orthopedic or neurological services will be considered.
Patients will be assessed at 33 weeks gestation and 3 months post-partum and research end-points collected. Please see next cell for detailed description of these functional and endurance tests as well as self reported test.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
Missouri
-
St Louis, Missouri, Estados Unidos, 63110
- Center for Advanced Medicine
-
St. Louis, Missouri, Estados Unidos, 63110
- Barnes-Jewish Hospital
-
St. Louis, Missouri, Estados Unidos, 63131
- Missouri Baptist Medical Center
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Female Patients 15-45 years of age
- Pregnant - 24-28 weeks gestation
- LBP and/or PP
Exclusion Criteria:
- History of fracture, neoplasm, previous surgery of lumbar spine, pelvis, hip or femur
- Acute inflammatory or infectious disease
- Chronic pain prior to pregnancy (pain persisting for > 8 weeks prior to pregnancy)
- Mental health disorder requiring medication/treatment
- Back pain from visceral diseases
- Peripheral vascular disease and/or cardiac disease requiring medical treatment
- Severe disabling health problems
- Substance abuse
- Ongoing treatment for back pain by other health care providers
- Pending or current litigation
- Multiple birth pregnancies
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: MOMS
Receives manual therapy, stabilization exercise and patient education
|
Receives manual therapy, stabilization exercise and patient education
|
Comparador activo: STOB
Receive standard obstetrical care
|
Receive standard obstetrical care
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
---|---|
Quebec Task Force Disability Scale Questionnaire (QDQ)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Medidas de resultado secundarias
Medida de resultado |
Periodo de tiempo |
---|---|
Numerical Rating Scale (NRS)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Personal Pain History (PPH)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Straight Leg Raise (SLR)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Active Straight Leg Raise (ASLR)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Long Dorsal Ligament Test (LDLT)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Posterior Pelvic Pain in Pregnancy Test (P4)
Periodo de tiempo: Baseline, 33 weeks of gestation and 3 months postpartum
|
Baseline, 33 weeks of gestation and 3 months postpartum
|
Extensor Endurance Test (EET)
Periodo de tiempo: 3 months postpartum
|
3 months postpartum
|
Flexor Endurance Test (FET)
Periodo de tiempo: 3 months postpartum
|
3 months postpartum
|
Side Bridge (SB)
Periodo de tiempo: 3 months postpartum
|
3 months postpartum
|
Colaboradores e Investigadores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Anticipado)
Finalización del estudio (Anticipado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 06-0998
- 417 (DRD)
- 1 R18HP07640-01-00 (Award #)
- R18HP07640 (Grant #)
- RD1012060046 (Logan IRB #)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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