Brace Versus No Brace for the Treatment of Thoracolumbar Burst Fractures Without Neurologic Injury
2012年11月30日 更新者：The London Spine Centre
TLSO Versus No Orthosis for the Treatment of Thoracolumbar Burst Fractures Without Neurologic Injury: A Multicenter Prospective Randomized Equivalence Trial
Braces have been used o treat stable (not requiring surgery) burst fractures with much success.
Recently questions have been raised in regards to the importance of the brace.
Some studies have results that suggest a brace is not important in having a good outcome.
However, this has never been proven.
This study is being conducted to see whether or not wearing a brace is important to having a good outcome.
研究概览
详细说明
The purpose of this study is to prospectively compare the outcome between patients randomly assigned to a thoracolumbosacral orthosis (TLSO) treatment group or no orthosis (NO) treatment group, for the management of an acute AO type A3 thoracolumbar fracture.
研究类型
介入性
注册 (实际的)
97
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Ontario
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London、Ontario、加拿大、N6A 5W9
- London Spine Centre
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
16年 至 60年 (孩子、成人)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- AO A3 burst fracture between T10 and L3 with associated kyphotic deformity <35 degrees
- neurologically intact or isolated nerve root deficit
- age 16-60 years
- enrollment within 3 days of injury
Exclusion Criteria:
- neurological deficit
- can not comply with brace wearing (pregnancy/body mass index >40)
- mobilized with or without a brace prior to recruitment
- suffered a pathologic or open fracture
- alcohol or drug abusers
- had previous injury or surgery to the thoracolumbar region
- unable to complete the questionnaires
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：TLSO
TLSO brace 8-10 weeks
|
Patients in the TLSO arm will remain on bed rest until fitted with a TLSO.
They will wear the TLSO for 8-10 weeks and mobilized in the brace by a physiotherapist.
其他名称：
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|
实验性的：No Orthosis
|
Patients in the No Orthosis group will be mobilized immediately as tolerated by a physiotherapist with restrictions to limit bending or rotating through their trunk.
They will be encouraged to return to normal activities after 8 weeks.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Roland Morris Disability Questionnaire
大体时间：3 months post fracture
|
The primary outcome measure is the Roland Morris Disability Questionnaire (RMDQ) administered at 3 months post fracture.
The RMDQ evaluates physical disability secondary to low back pain and is validated, simple to administer, sensitive, and reliable.
The questionnaire evaluates 24 items to derive a score that varies between zero (no disability) and twenty-four (severe disability).
Three months was chosen because it is the time point at which we expect a significant functional recovery and readiness to resume most normal activities.
|
3 months post fracture
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
SF-36 physical component summary score
大体时间：enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 1 year, 2years
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enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 1 year, 2years
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SF-36 mental component summary score
大体时间：enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 1 year, 2 years
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enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 1 year, 2 years
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VAS pain score
大体时间：enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
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enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
|
|
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Satisfaction with Treatment
大体时间：enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
|
Overall satisfaction with treatment was assessed on a seven point scale, using the sentence, "All things considered, how satisfied are you with the results of your recent treatment for your spine fracture?"
This is a recommended tool for assessing global satisfaction.
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enrollment, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2005年6月1日
初级完成 (实际的)
2010年9月1日
研究完成 (实际的)
2011年9月1日
研究注册日期
首次提交
2012年11月22日
首先提交符合 QC 标准的
2012年11月30日
首次发布 (估计)
2012年12月4日
研究记录更新
最后更新发布 (估计)
2012年12月4日
上次提交的符合 QC 标准的更新
2012年11月30日
最后验证
2012年11月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.