Tonal Exercise System to Improve Short and Long Term Low Back Pain
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ClinicalTrials.gov Identifier: NCT04543396 |
Recruitment Status :
Active, not recruiting
First Posted : September 10, 2020
Last Update Posted : April 9, 2024
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Tracking Information | |||||
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First Submitted Date ICMJE | August 27, 2020 | ||||
First Posted Date ICMJE | September 10, 2020 | ||||
Last Update Posted Date | April 9, 2024 | ||||
Actual Study Start Date ICMJE | November 1, 2020 | ||||
Estimated Primary Completion Date | July 2024 (Final data collection date for primary outcome measure) | ||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE | Same as current | ||||
Change History | |||||
Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE | Same as current | ||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||
Descriptive Information | |||||
Brief Title ICMJE | Tonal Exercise System to Improve Short and Long Term Low Back Pain | ||||
Official Title ICMJE | Utilization of Tonal Exercise System to Improve Short- and Long-term Low Back Pain (LBP) Outcomes | ||||
Brief Summary | This study will assess the effect of incorporating a tonal exercise device into clinical and chiropractic care for lower back pain. | ||||
Detailed Description | All accrued subjects will be assigned study ID numbers to de-identify subject data and keep research team members blinded to group assignments. The CRC will maintain a master keyfile of subject Group randomization that will be revealed to the research team after between-group statistical analyses have been performed. For all subjects: The active study period for this investigation will be 8 weeks in duration. Passive monitoring will then continue for 12 months after the initial 8 week period. All subjects will continue to receive standard of care treatments from their preferred clinical practitioner (physical therapist, chiropractor, none). All subjects will complete three progress assessments over the duration of the 8-week intervention period. These progress assessments will occur at baseline, week 4, and week 8 and will include the following elements:
For Standard of Care Subjects: Subjects will continue their preferred clinical care, but complete no additional Tonal training outside of the three progress evaluation sessions specified above. For Intervention Subjects: Subjects will continue their preferred clinical care and additionally be asked to perform the above specified Core Training Program two (2) times per week for a period of eight (8) weeks. This program will be performed on a Tonal device installed at Mayo Clinic. For every training session, the Tonal Subject Satisfaction and Visual Analog Scale questions indicated above will be answered relative to the workout. Intervention subjects will complete a total of 16 training sessions on the Tonal device, with full progress evaluations occurring on sessions 1, 8, and 16. Longitudinal Tracking: After the completion of the 8 week intervention period, all subjects from all Groups will be tracked by the CRC or research team members for up to one (1) year. The CRC or research team members will follow-up once per quarter with all subjects from all Groups. These follow-ups will be completed remotely via phone and/or email and will consist of quarterly interactions during which subjects will be asked to complete the same Clinical Questionnaires described above in the progress evaluations. Subjects will also indicate whether they have sought additional treatment for LBP. For Groups 1-4, those subjects that have had positive LBP recurrence will have their medical records evaluated for severity and outcome of LBP. |
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Study Type ICMJE | Interventional | ||||
Study Phase ICMJE | Not Applicable | ||||
Study Design ICMJE | Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: Four study groups will be assessed in parallel. Subjects will encompass patients who have sought physical therapy or chiropractic care for nonspecific lower back pain. Clinical care selection will be made by subject and clinical care team prior to study enrollment and will be made in the best interest of the subject. Intervention groups will consist of standard of care and an 8-week physical training supplement performed that will consist of concentric and eccentric resistance exercises as well as dynamic warm-up and cool-down periods. These interventions will be performed in addition to the standard regimen of clinical care. Masking: Single (Investigator)Masking Description: Investigator will be blinded to subject intervention group assignments. Primary Purpose: Supportive Care
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Condition ICMJE | Low Back Pain | ||||
Intervention ICMJE | Other: Resistance exercise
A training program designed to enhance core strength, stability, and function will be performed on the Tonal device. Training sessions will occur twice weekly for eight weeks. Performance of this program will be supervised by a designated and clinically trained research team member who will not conduct the statistical analysis and subsequently not be blinded to Group assignment. The program will last approximately 20 minutes in length and incorporate the a series of progressive exercises.
Other Name: Tonal
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Study Arms ICMJE |
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Publications * | Not Provided | ||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||
Recruitment Status ICMJE | Active, not recruiting | ||||
Estimated Enrollment ICMJE |
120 | ||||
Original Estimated Enrollment ICMJE | Same as current | ||||
Estimated Study Completion Date ICMJE | July 2024 | ||||
Estimated Primary Completion Date | July 2024 (Final data collection date for primary outcome measure) | ||||
Eligibility Criteria ICMJE | Subjects seeking treatment for nonspecific LBP will be recruited by their treating therapist, physiatrist, athletic trainer, or chiropractor then enrolled by a clinical research coordinator (CRC). The CRC will assign study IDs and randomize clinical patients into groups based on the each subject's selected treatment of choice. Care will be taken to match subject distribution between groups based on demographics (sex and age), activity level, and subjective pain scores. Lead investigators will remain blinded to group assignments. Subjects will have to complete 2 screening evaluations prior to participation in this study. The first screen will be that the treating physical therapist, physiatrist, athletic trainer, or chiropractor will approve the patient for participation. The second screen will consist of completing two basic activities on the Tonal at minimal weight without being restricted by pain. The two activities will be 10 repetitions on each arm of standing unilateral bicep curl and seated unilateral lateral pulldown. For both activities Tonal resistance will be set at 5 pounds, which is the minimum resistance for the device. This screen will affirm that the subject is capable of completing at least the minimum level of workout provided by the Tonal. Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years to 65 Years (Adult, Older Adult) | ||||
Accepts Healthy Volunteers ICMJE | No | ||||
Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects | ||||
Listed Location Countries ICMJE | United States | ||||
Removed Location Countries | |||||
Administrative Information | |||||
NCT Number ICMJE | NCT04543396 | ||||
Other Study ID Numbers ICMJE | 20-007281 | ||||
Has Data Monitoring Committee | No | ||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Current Responsible Party | Aaron Krych, Mayo Clinic | ||||
Original Responsible Party | Nathaniel (Nate) A. Bates, Mayo Clinic, Principal Investigator | ||||
Current Study Sponsor ICMJE | Mayo Clinic | ||||
Original Study Sponsor ICMJE | Same as current | ||||
Collaborators ICMJE | Not Provided | ||||
Investigators ICMJE |
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PRS Account | Mayo Clinic | ||||
Verification Date | April 2024 | ||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |