Lumbar Extension Strengthening for Chronic Low Back Pain

This study is looking at whether adding specific lumbar (lower back) strengthening exercises to standard physical therapy helps adults with chronic low back pain (CLBP). Standard physical therapy includes manual therapy (hands-on treatment) and motor control exercises. Researchers want to see if adding these strengthening exercises improves your pain and ability to function, and if it affects how often you need other healthcare services. You might be assigned to receive standard physical therapy alone, or standard physical therapy plus the additional strengthening exercises. The study will measure your disability using the Modified Oswestry Disability Index (mODI) at several points over 26 weeks. To join, you must be a Tricare Beneficiary, aged 18-65, have had low back pain for at least 3 months without leg symptoms below the knee, and have an mODI score of 24% or higher. You also need to speak English and be available for 12 weeks of active participation.

Study design
This is a randomized controlled trial with two groups, involving 60 participants. You would be randomly assigned to either receive standard physical therapy or standard physical therapy plus lumbar strengthening.
What's involved
All participants will engage in 8 weeks of physical therapy, with 10-14 visits. Your progress will be measured at enrollment, 4, 8, 12, and 26 weeks.
Compensation
Not stated in the trial record.
Follow-up
Your outcomes will be measured up to 26 weeks after enrollment. Researchers will also compare healthcare utilization for 12 months after enrollment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07719452

Lumbar Extension Strengthening in Addition to Manual Therapy and Exercise for Chronic Low Back Pain

Enrolling by Invitation
NAAges 18–65InterventionalTreatment
Brooke Army Medical Center
~60 participants
Updated 2026-07-22 on ClinicalTrials.gov
What's tested:Standard Physical TherapyLumbar Extensor Strengthening plus Standard Physical Therapy

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Modified Oswestry Disability Index (mODI)
Measured over Enrollment, 4, 8, 12, and 26-weeks
Chronic Low Back Pain (CLBP)
1 sites across 1 states
Texas1
  • Benjamin Hando, PT, DSc, PhD · STUDY_CHAIR · Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy

This trial hasn't published a contact. View it on ClinicalTrials.gov

Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Tricare Beneficiary
18-65 years old
LBP ≥ 3 months without symptoms below the knee
mODI ≥ 24%
English speaking
Available to actively take part in the study for 12 weeks

Exclusion

History of spine surgery or expecting spinal surgery
Suspected or confirmed serious pathology (infection, cancer, fracture, cauda equina)
Diagnosis of any vertebral fracture in the last 6 months
Osteoporosis requiring pharmacologic treatment other than vitamin D, calcium supplements, or bisphosphonates
History of any bone-related cancer or cancer that metastasized to the bone
Diagnosed rheumatological or inflammatory disease
Progressive neurological disease
Leg pain as the primary complaint (radiculopathy, peripheral vascular disease, stenosis)
Contraindications to exercise and manual therapy
Currently pregnant, self-reported or post-partum within the past 6 months
Received physical therapy treatment for LBP in the past 6 months
In the last 3 months, received injections, nerve ablation or blocks or is seeking such services
Uncontrolled drug/alcohol addiction
Currently under litigation related to cLBP
Pending or expecting a Medical Evaluation Board (MEB)
Retiring from the military within 18 months
  • Modified Oswestry Disability Index (mODI)Enrollment, 4, 8, 12, and 26-weeks

    A 10-item disability questionnaire administered to evaluate the patient's symptoms and the functional impact of low back pain. Each item is scored on a 0-5 Likert scale. The total score is converted to a 0-100% disability index, with 0% indicating no functional limitation and 100% representing complete disability or a bedbound state.