UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056092
Receipt number R000064088
Scientific Title Low Back Pain Related to Hip Joint Motion Range Limitations and Preventative Measures
Date of disclosure of the study information 2024/12/01
Last modified on 2025/11/08 09:30:15

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Basic information

Public title

Low back pain associated with hip range of motion limitation and preventive measures

Acronym

Measures to prevent lower back pain by improving the range of motion of the hip joint

Scientific Title

Low Back Pain Related to Hip Joint Motion Range Limitations and Preventative Measures

Scientific Title:Acronym

Investigation of hip joint range of motion and lower back pain

Region

Japan


Condition

Condition

non-specific low back pain

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Reserch1: To evaluate the effectiveness of a rehabilitation therapy that focuses on improving flexibility in the range of motion of the hip joint for patients who visited an orthopedic clinic with low back pain as their chief complaint and decreased flexibility in hip and lower leg extension. In this study, I will verify whether hip joint range of motion measurement is effective as a simple method for predicting the risk of low back pain.
Reserch2: Based on the results of Reserch1, I will instruct nurses and caregivers working in nursing care facilities to practice stretching on their own with the main purpose of improving hip joint flexibility, and I will aim to improve low back pain and prevent its onset.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Back pain evaluation will be performed at the first visit and four weeks after rehabilitation using the NRS (numerical rating scale) and JOABPEQ (Japanese Orthopedic Association back pain evaluation questionnaire).The evaluation criteria for JOABPEQ are: 1) if the post-intervention score increases by 20 points or more compared to pre-intervention, 2) if the pre-intervention score was less than 90 points and the post-intervention score reached 90 points or more; if either 1 or 2 is met, it will be judged as "effective," and the relationship between the rate of stretching implementation and hip joint range of motion and improvement in back pain will be compared.

Key secondary outcomes

Both Reserach1 and 2 will also consider the effects of treatments other than rehabilitation and stretching, such as the use of oral medications and external medications.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Research1: Measurement of hip joint range of motion (flexion angle, external rotation angle, internal rotation angle), Thomas test, and SLR (Straight Leg Raising) (=measured with a goniometer) at the first consultation, approximately 2 weeks after rehabilitation intervention, and approximately 4 weeks after rehabilitation intervention. ). Regarding rehabilitation, physical therapists and occupational therapists provide exercise therapy to improve trunk and lower limb flexibility (especially improving hip joint range of motion), trunk and buttocks circumference, and antigravity muscle strength, as well as instruction on independent exercises to improve trunk and lower limb flexibility.
Research2: Participants were instructed on eight types of stretching exercises that can be performed by themselves and are effective in increasing hip joint range of motion.Have them practice it at home or at work at least once a day for about four weeks.Using the same method as in Research 1, hip joint range of motion was measured before and after practicing the stretching exercises.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

70 years-old >

Gender

Male and Female

Key inclusion criteria

Research1: Men and women aged 18 to 70 years old who visited a clinic in Sendai (Shirakihara Clinic, Minamikoudai, Izumi Ward) with a primary complaint of lower back pain, were diagnosed with non-specific lower back pain (X-ray imaging showed no osteoarthritis of the hip), and received treatment as part of insurance-covered medical care, and who agreed with the purpose of this study and cooperated in providing medical information.
Research2:Male and female nurses and caregivers aged 18 to 70 years old (regardless of whether they have back pain) who work at a care facility (currently undecided) and agree with the purpose of this study.

Key exclusion criteria

Those who are pregnant or may be pregnant.For Research 2, those who have been diagnosed with lumbar disc herniation, lumbar spinal canal stenosis, lumbar spondylolisthesis, or other lumbar diseases, or those with a history of spinal or hip surgery, were excluded.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Toshiya
Middle name
Last name Irokawa

Organization

Tohoku Univercity Graduate School of Medicine

Division name

Occupational Health Departmant

Zip code

980-8575

Address

2-1 Seiryo-machi, Aoba-ku, Sendai City, Tohoku University School of Medicine, Building 1, 5th floor, Occupational Health Department

TEL

022-717-7874

Email

toshiya.irokawa.a2@tohoku.ac.jp


Public contact

Name of contact person

1st name Akane
Middle name
Last name Takahashi

Organization

Tohoku Univercity Graduate School of Medicine

Division name

Occupational Health Department

Zip code

980-8575

Address

2-1 Seiryo-machi, Aoba-ku, Sendai City, Tohoku University School of Medicine, Building 1, 5th floor,

TEL

022-717-7874

Homepage URL


Email

takahashi.akane.q4@dc.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University

Institute

Department

Personal name



Funding Source

Organization

Tohoku University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee Tohoku University Graduate School of Medicine

Address

2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi

Tel

022-728-4105

Email

ec-med@grp.tohoku.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

9

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2024 Year 12 Month 01 Day

Date of IRB

2025 Year 01 Month 24 Day

Anticipated trial start date

2025 Year 02 Month 01 Day

Last follow-up date

2026 Year 11 Month 30 Day

Date of closure to data entry

2026 Year 11 Month 30 Day

Date trial data considered complete

2026 Year 11 Month 30 Day

Date analysis concluded

2026 Year 11 Month 30 Day


Other

Other related information



Management information

Registered date

2024 Year 11 Month 07 Day

Last modified on

2025 Year 11 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000064088