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Association Between Clinical Signs and MRI Findings of the Lumbar Facet Joints

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StatusCompleted
Sponsors
Christoph Maier, Prof. Dr.

Keywords

Abstract

The purpose of this study is to determine
1. the prevalence of lumbar facet joint pain detected by manual segmental provocation tests
2. the prevalence of MRI findings of the lumbar facet joints (hypertrophy, effusion, edema)
3. the association of lumbar facet joint pain and MRI findings on a segmental level
in subjects with current low back pain and in a control group.

Dates

Last Verified: 05/31/2012
First Submitted: 06/16/2012
Estimated Enrollment Submitted: 06/23/2012
First Posted: 06/26/2012
Last Update Submitted: 06/23/2012
Last Update Posted: 06/26/2012
Actual Study Start Date: 05/31/2009
Estimated Primary Completion Date: 10/31/2009
Estimated Study Completion Date: 10/31/2009

Condition or disease

Low Back Pain
Facet Joint Pain

Intervention/treatment

Other: MRI of the lumbar spine

Other: manual segmental examination of the lumbar facet joints

Phase

-

Arm Groups

ArmIntervention/treatment
current low back pain
subjects with current low back pain (i.e. more than 30 days of low back pain in the last three months)
controls
subjects with less than 30 days of low back pain in the last three months

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Sampling methodNon-Probability Sample
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria for both study groups:

- age > 18

- written informed consent

- ability to perform required examinations

Inclusion Criterion for current low back pain-group:

- more than (>=) 30 days of low back pain in the last three months

Inclusion Criterion for control group:

- less than 30 days of low back pain in the last three months

Exclusion Criteria for both study groups:

- acute radicular low back pain in the last three months

- claustrophobia

- spondylodesis of the lumbar spine

- any metallic implants which are not MRI-compatible

Outcome

Primary Outcome Measures

1. Number of facet joints per person which show facet joint pain and FJ effusion and/ or edema [2 hours]

association of facet joint pain and MRI facet joint findings is determined

Secondary Outcome Measures

1. number of painful facet joints per person [2 hours]

prevalence of facet joint pain assessed by manual segmental provocation tests

2. number of facet joints diagnosed with facet joint effusion and/ or edema per person [2 hours]

prevalence of facet joint findings in the lumbar spine assessed by MRI (facet joint effusion and/ or facet joint edema)

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