The Role of Disc Nutrition in the Etiology and Clinical Treatment of Disc Degeneration
NCT04134910 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-02-27
Summary
The purpose of this research study is to examine the effects of physical therapy on the spinal discs. Back pain is the number one cause of disability in the US, and the spine is the most common location of chronic pain in Veterans. Physical therapy is often very effective at improving patients' back pain, but it does not work for everyone, and it is not understood how physical therapy alters the tissues within the spine. With this research the investigators hope to learn if the investigative team can measure changes to the spinal discs on MRI scans that might predict if a patient's back pain will improve with physical therapy or not.
Conditions
- Back Pain
- Intervertebral Disc Degeneration
Interventions
- PROCEDURE
-
Physical Therapy
Subjects will be prescribed a 6-week physical therapy regimen consisting of one 45 minute in office visit per week, and home exercises performed daily. The in-office visits with a physical therapy provider will consist of the application of manual therapy, particularly high-velocity, low amplitude thrust mobilization in the anterior/posterior direction of the lumbar spine. In office visits will also include supervised repeated motion of the lumbar spine into extension (McKenzie therapy, 3 sets of 10 repetitions, in prone and standing positions) Patients will be instructed to complete these repeated extension exercises at home daily for the 6 week period.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Sarah E. Gullbrand, PhD · Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
Study Design
- Allocation
- NA
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 30 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-02-03
- Primary Completion
- 2025-02-03
- Completion
- 2025-02-03
Countries
- United States
Study Locations
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