Non-Invasive Postural Therapy for Lumbar Spinal Stenosis in Older Adult Veterans

This study is looking at a non-invasive postural therapy (NIPT) for older adult Veterans with lumbar spinal stenosis (LSS), a condition causing back and leg pain due to narrowing of the spinal canal. NIPT involves special equipment and training to help maintain a flexed posture. The study aims to see if NIPT can improve mobility over 6 weeks. To join, you must be a Veteran aged 55-80, able to read English, have LSS symptoms for over 3 months, and experience back or leg discomfort greater than 3 out of 10. The study is currently unclear on its recruitment status and plans to enroll 20 participants.

Study design
This is an interventional study with a planned enrollment of 20 participants. The phase of the study is not specified.
What's involved
Participants will receive NIPT, which includes coordinated equipment and training, for 6 weeks. Mobility will be measured at the start and at Week 6.
Compensation
Not stated in the trial record.
Follow-up
Mobility will be measured at Week 6 compared to the beginning of the study.

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NCT06089746

Lumbosacral Spinal Stenosis - Non-Invasive Postural Therapy for Older Adult Veterans

Recruiting
NAAges 55–80Interventional
VA Office of Research and Development
~20 participants
Updated 2026-07-24 on ClinicalTrials.gov
What's tested:NIPT

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in mobility by actigraph (positive, negative, or zero) as determined by the difference in mobility at Week 6 compared to baseline
Measured over Week 6
Lumbar Spinal Stenosis
1 sites across 1 states
Maryland1
  • Beth B. Hogans, MD · PRINCIPAL_INVESTIGATOR · Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD

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Eligibility criteria

Inclusion

Veterans receiving care at participating VA
Ability to read and write English and understand instructions
Agrees to comply with instructions
Symptoms for over 3 months
Diagnosis of Lumbar Spinal Stenosis as the cause of symptoms
Discomfort involving low back pain and / or neurogenic claudication of legs or thighs
Back and/or leg symptoms greater than 3/10 provoked by walking and / or standing
X ray, CT, or MRI performed within the last 12 months shows Lumbar Spinal Stenosis at 1 or 2 levels
Prior treatment for Spinal Stenosis including therapy, medication, epidural injections, but not surgery
Relief of pain (standardly within 5 minutes) by sitting down
Ability to walk 30 feet without a cane or walker
General health presents ability to increase activity level if Back and / or leg symptoms resolve
If home has stairs and patient uses multiple levels, must have steady handrail
Transportation routinely available by car or car service and not by bus
Home location allows restriction of walking to flat surfaces (lack of hills), with availability to increase ambulation on flat surfaces
Current symptoms are problematic within 7 minutes or one block of walking

Exclusion

Previous Low Back Surgery for SS including decompression or fusion
Successful Spinal Stenosis Treatment (such as injection) over the prior 3 months
X ray, CT, or MRI shows Lumbar Spinal Stenosis in 3 or 4 levels
Prior Lumbar Fracture
Scoliosis with Cobb angle over 20 degrees on weight bearing AP Views
Inflammatory arthropathy involving the Lumbar Spine, such as RA
Radiculopathy attributed to herniated disc
Suspected or confirmed moderate to severe large fiber neuropathy
Failure of relief of back or leg pain brought on by standing or walking, within 5 minutes, by sitting down
Rapid increase in symptoms with lumbar flexion such as sitting, Increase in symptoms brought on by leaning on grocery cart or walker
Reduced symptoms by lumbo-sacral extension
Vascular Claudication with ABI less than 60 or over 140
Prior bypass or stent surgery for PAD
Current foot, ankle, leg, or thigh infection or open ulcer
Current use of a Brace for foot, ankle, or knee pathology,
Moderate to severe arthritis of the Hip, knee, ankle or foot preventing pain free ambulation greater than 1 block
Neurologic or neurodegenerative induced gait pathology such as CVA, Parkinson's, NPH, Cervical Myelopathy
Current Medico Legal issues, active substance use, SI, HI, or other factors that may interfere with completion of six-week treatment trial
Planned surgery or procedure in the 6-week study period
  • Change in mobility by actigraph (positive, negative, or zero) as determined by the difference in mobility at Week 6 compared to baselineWeek 6

    Actigraph mobility