Fibromyalgia & musculoskeletal pain
Hip-focused physical therapy versus spine-focused physical therapy for older adults with chronic low back pain at risk for mobility decline (MASH): a multicentre, single-masked, randomised controlled trial
Primary result · Disability (QBPDS)Result — go to the resultMean between-group difference 4.0 95% CI 0.5–7.5Authors' conclusion
Tailored hip-focused physical therapy demonstrated greater improvements in low back pain-related disability at 8 weeks.
Study context
- Population
- Older adults (aged 60–85 years) with chronic low back pain, hip pain and weakness, at risk for mobility decline; three research-based sites in the USAmean age 70.7 years
- Participants
- 184 adults
- Comparison
- Tailored hip-focused physical therapy vs non-tailored spine-focused physical therapy
- Hip-focusedn = 91
- Spine-focusedn = 93reference
- Primary endpoint
- Co-primary: self-reported disability (Quebec Back Pain Disability Scale, Quebec Back Pain Disability Scale (QBPDS)) and performance-based 10-Meter Walk Test (10MWT)
- Follow-up
- 8 weeks
Methodological detailsmulticentre, single-masked
- Multicentre
- Single-masked
Primary result
Disability (QBPDS)
Mean between-group difference
4.0
95% CI 0.5–7.5
Hip-focusedvs Spine-focused
mean between-group difference 4.0 (95% CI 0.5–7.5)
As reported in the abstract
Further findings
| Outcome | Mean difference (m/s) (95% CI) | |
|---|---|---|
| Co-primary: gait speed (10MWT) · 8 weeksIntention-to-treat | 0.004 (−0.044 to 0.052) | |
| −0.0500.050.1Difference, m/s (linear scale) |
Co-primary: gait speed (10MWT) · 8 weeks
- Both groups had similar, clinically meaningful gait speed improvements
Safety
- No serious adverse events were related to study participation
Original publication
Hip-focused physical therapy versus spine-focused physical therapy for older adults with chronic low back pain at risk for mobility decline (MASH): a multicentre, single-masked, randomised controlled trial. Lancet Rheumatol. Published January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →