The Manual Therapy and Strengthening for the Hip (MASH) Trial: Protocol for a Multisite Randomized Trial of a Subgroup of Older Adults with Chronic Back and Hip Pain.

dc.contributor.author

Pugliese, Jenifer M

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Coyle, Peter C

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Knox, Patrick J

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Sions, J Megan

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Patterson, Charity G

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Pohlig, Ryan T

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Simon, Corey B

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Weiner, Debra K

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George, Steven Z

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Piva, Sara

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Hicks, Gregory E

dc.date.accessioned

2021-12-02T12:17:22Z

dc.date.available

2021-12-02T12:17:22Z

dc.date.issued

2021-11-08

dc.date.updated

2021-12-02T12:17:21Z

dc.description.abstract

Objective

Chronic low back pain (CLBP) is a disabling and costly condition for older adults that is difficult to properly classify and treat. In a cohort study, a subgroup of older adults with CLBP who had elevated hip pain and hip muscle weakness was identified; this subgroup differentiated itself by being at higher risk for future mobility decline. The primary purpose of this clinical trial is to evaluate whether a hip-focused low back pain (LBP) treatment provides better disability and physical performance outcomes for this at-risk group when compared to a spine-focused LBP treatment.

Methods

This study is a multisite, single-blinded, randomized controlled, parallel arm, Phase II trial conducted across 3 clinical research sites. A total of 180 people between 60 and 85 years of age with CLBP and hip pain are being recruited. Participants undergo a comprehensive baseline assessment and are randomized into 1 of 2 intervention arms: hip-focused or spine-focused. They are treated twice weekly by a licensed physical therapist for 8 weeks and undergo follow-up assessments at 8 weeks and 6 months after randomization. Primary outcome measures include the Quebec Low Back Disability Scale and the 10-Meter Walk Test, which are measures of self-report and performance-based physical function, respectively.

Impact

This multicenter, randomized clinical trial will determine whether a hip-focused or spine-focused physical therapist intervention results in improved disability and physical performance for a subgroup of older adults with CLBP and hip pain who are at increased risk of mobility decline. This trial will help further the development of effective interventions for this subgroup of older adults with CLBP.
dc.identifier

6420898

dc.identifier.issn

0031-9023

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1538-6724

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https://hdl.handle.net/10161/24031

dc.language

eng

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Oxford University Press (OUP)

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Physical therapy

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10.1093/ptj/pzab255

dc.subject

Hip pain

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Low Back Pain

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Older adults

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Osteoarthritis

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Physical Function

dc.title

The Manual Therapy and Strengthening for the Hip (MASH) Trial: Protocol for a Multisite Randomized Trial of a Subgroup of Older Adults with Chronic Back and Hip Pain.

dc.type

Journal article

duke.contributor.orcid

Simon, Corey B|0000-0002-6121-9511

duke.contributor.orcid

George, Steven Z|0000-0003-4988-9421

pubs.organisational-group

School of Medicine

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Duke Clinical Research Institute

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Orthopaedics

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Duke

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Institutes and Centers

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Clinical Science Departments

pubs.publication-status

Published

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