Clinical Practice Guidelines for Neck and Low Back Pain in Outpatient Physical Therapy
NCT03523793 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1441
Last updated 2023-10-23
Summary
This study will investigate implementation of a process to enhance Clinical Practice Guideline (CPG) adherence to limit unwarranted variability in initial treatment decisions with high potential for providing more effective and efficient physical therapy management for patients with neck and low back pain.
Conditions
- Neck Pain
- Low Back Pain
Interventions
- BEHAVIORAL
-
Clinical Practice Guideline Implementation
The Study team will use several methods from the implementation strategy taxonomy of the Effective Practice and Organization of Care (EPOC) classification system to improve our likelihood for successful neck and low back pain implementation consisting of: 1) educational materials, workshops and outreach visits from trainers; 2) external consultant testimonials; 3) iterative quality improvement processes (including ongoing analysis of clinician feedback to improve process); 4) routine collection of patient reported outcomes to engage discussion among clinician groups and outpatient division leaders) and 5) local organization consensus process (including feedback from key outpatient division stakeholders).
- OTHER
-
Standard Care
Considering the stepped wedge design with a 12-week washout phase, clinics will be providing standard physical therapy prior to receiving clinical practice guideline training.
Sponsors & Collaborators
-
Foundation for Physical Therapy Research
collaborator OTHER -
Brooks Rehabilitation
collaborator OTHER -
University of Florida
lead OTHER
Principal Investigators
-
Jason Beneciuk, DPT,PhD,MPH · University of Florida; Brooks Rehabilitation
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-08-14
- Primary Completion
- 2022-03-08
- Completion
- 2022-03-08
Countries
- United States
Study Locations
More Related Trials
-
Preliminary Neck Classification Study
NCT02850549 ·Status: COMPLETED ·Phase: NA
-
Validating a Clinical Prediction Rule to Guide Manual Therapy and Exercise for Neck Pain Relief
NCT06906107 ·Status: RECRUITING ·Phase: NA
-
Effect of Kinetic Control Training on Flexion Relaxation Phenomenon and Craniovertebral Angle in Cervical Radiculopathy Patients
NCT06732037 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Effect of Cognition Targeted Physical Therapy in People With Non-specific Neck Pain
NCT05127603 ·Status: COMPLETED ·Phase: NA
-
Stratified Physiotherapeutic (Blended) Care in Neck and Shoulder Complaints
NCT05680753 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of a Mechanical Manual Therapy Device in the Treatment of Neck Pain
NCT01168986 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Development of a Clinical Prediction Rulefor Neck Manipulation
NCT01620905 ·Status: COMPLETED ·Phase: NA
-
Global Postural Reeducation Exercises Versus Deep Neck Flexor Activation on Non Specific Neck Pain With Forward Head Posture
NCT06711497 ·Status: COMPLETED ·Phase: NA
-
Manual Therapy and Movement Control Exercises for Chronic Neck Pain. A Pilot Randomized Controlled Trial
NCT06189612 ·Status: RECRUITING ·Phase: NA
-
Exercise and Pain Neuroscience Education for Patients With Neck Pain: Impact on Pain and Disability
NCT03667209 ·Status: UNKNOWN ·Phase: NA
-
The Effects of Thoracic Spine Manipulation in Individuals With Non-traumatic Cervical Pain
NCT01760590 ·Status: UNKNOWN ·Phase: NA
-
Effects of Therapeutic Intervention Through Selective Functional Movement Assessment on Pain, Function, Balance and Gait in Patients With Chronic Nonspecific Neck Pain
NCT05871775 ·Status: UNKNOWN ·Phase: NA
-
Scapular Repositioning for Neck Pain and Scapular Dysfunction
NCT07083570 ·Status: COMPLETED ·Phase: NA
-
Predictive Model of Recovery in Patients With Chronic Nonspecific Neck Pain Undergoing Manual Therapy and Exercise
NCT03562338 ·Status: UNKNOWN ·Phase: NA
-
Effects of Adding Photobiomodulation to a Specific Therapeutic Exercise Program for the Treatment of Individuals With Chronic Nonspecific Neck Pain.
NCT05400473 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of Patient-tailored Treatment in Patients With (Sub)Acute Neck Pain
NCT04182035 ·Status: COMPLETED ·Phase: NA
-
Influence of Cervical Stabilization Exercises on Neural Tissue Mechanosensitivity in Patients With Chronic Nonspecific Neck Pain
NCT07339683 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Value of Traction in the Treatment of Cervical Radiculopathy
NCT00979108 ·Status: COMPLETED ·Phase: PHASE3
-
Normalizing Cervical Intersegmental Kinematics With Spinal Manipulative Therapy
NCT06312696 ·Status: RECRUITING ·Phase: NA
-
Feasibility Study of Short-Term Effects of Chiropractic Manipulation on Older Adults With Impaired Balance
NCT00497510 ·Status: COMPLETED ·Phase: NA
-
The Effects of Thoracic Spine Mobilizations in Individuals With Neck Pain.
NCT02356380 ·Status: UNKNOWN ·Phase: NA
-
Effectiveness of a Self-rehabilitation Program
NCT02549274 ·Status: COMPLETED ·Phase: NA
-
Effect of Teletherapy-supported Training on Nursing Students
NCT06295276 ·Status: COMPLETED ·Phase: NA
-
Preventive Care of Chronic Cervical Pain and Disabilities
NCT00566930 ·Status: COMPLETED ·Phase: NA
-
Responses of People With Neck Pain Being Treated With Varying Doses of Manual Therapy: A Pilot Study
NCT01957033 ·Status: COMPLETED ·Phase: NA