Primary Osteoarthritis Lumbar Spine: Establishing Its Cause, Pathogenesis and Treatment.

Knee Pain Clinic154 enrolled

Overview

The study was about a root cause of Primary Osteoarthritis Lumbar Spine producing disabilities in sitting, climbing and walking etc. In advance stage the person is bereft of his/her personal physical activities. The prevalent treatment is temporary and dis-satisfactory. A new treatment was designed and a trial was conducted on 154 patients (100 in the trial group, 50 in the control group) for a duration of six months.

The study was focused on establishing the cause, pathogenesis and treatment of painful Lumbar Spine disease (Primary Osteoarthritis Lumbar Spine = OA Lumbar Spine) at present the exact cause and treatment are not known. It was aimed to find out to latter through a hypothesis by designing a treatment and testing it with a clinical trial. This established that the deficient full extension of the spinal joints (intervertebral joints between the adjacent vertebrae from T12 to S1) producing contracture in their capsules in front, was the cause and the correction (Contracture Correction Therapy = CCT) was the cure of the disease. The correction was carried out by intermittent and sustained extension of the lumbar spin through three designed body postures.

Study Type

OBSERVATIONAL

Enrollment

154

Conditions

Lumbar Osteoarthritis

Eligibility

Sex: ALLMin age: 30 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age =\>30 and \<=90 years * Back/leg pain or both combined, which appears without any apparent cause, exacerbated by exertion and subsides by rest. * Presence of limited morning stiffness * No history of infection, inflammation or trauma to rule out secondary OA * Disability in sitting, climbing stairs or walking Exclusion Criteria: * Neckache * Frozen shoulder * Central obesity * Acute Lumbago * X-ray spine with no OA signs

Locations (6)

Arogya Sadan Nursing Home

Bhind, Madhya Pradesh, India

Sai Baba Dharmarth Chikitsalaya

Gwalior, Madhya Pradesh, India

Knee Pain Clinic

Gwalior, Madhya Pradesh, India

Lok Hitkari Trust Health Camp

Gwalior, Madhya Pradesh, India

Outcomes

Primary Outcomes

The Western Ontario and McMaster Universities Arthritis Index (WOMAC)

It is a self-administered questionnaire consisting of 24 items divided into 3 subscales

Time frame: Change from baseline The Western Ontario and McMaster Universities Arthritis Index Osteoarthritis score at 6, 12, 24 weeks

Secondary Outcomes

Oswestry Disability Index

Patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain.

Time frame: Change from baseline Oswestry Disability Index score at 6, 12, 24 weeks

EuroQol Visual Analogue Scale score

The EQ-VAS is a vertical visual analogue scale that takes values between 100 (best imaginable health) and 0 (worst imaginable health), on which patients provide a global assessment of their health.

Time frame: Change from baseline EuroQol Visual Analogue Scale score at 6, 12, 24 weeks

Data from ClinicalTrials.gov

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