3,087
Participants
Start Date
June 5, 2017
Primary Completion Date
March 31, 2021
Study Completion Date
June 30, 2021
Identify, Coordinated, Enhanced (ICE) Decision Making + PCP led care
Subjects seeking care at a clinic assigned to this arm will receive the ICE care model through referral by their primary care provider. The ICE care model was developed by the Clinical Excellence Research Center at Stanford University based on a review of the peer-reviewed literature for adult subjects with incident neck or back pain less than six weeks in duration who are not using high-dose opioid medications or receiving spine-related long-term disability payments.
Individualized Postural Therapy (IPT) + PCP led care
IPT involves the evaluation of a subject's posture to identify postural and alignment deviations and, based on this, a personalized corrective exercise program is prescribed. This method does involve the use of prescription medications, surgery, or manipulation. A treatment course typically lasts eight sessions over eight weeks. In order to allow for the consistent delivery of this arm of the study at multiple study-sites across the country, IPT will be delivered by The Egoscue Method. Egoscue was founded in 1971 and has 25 clinics worldwide.
Usual PCP led care
Primary care provider will direct patients' care pathway.
Vanderbilt University Medical Center, Nashville
Carlos R. Herrera, MD, Houston
Luis Zepeda, MD, Houston
Bernadette U. Iguh, MD, Houston
HonorHealth Medical Group, Phoenix
Teresa S. Sligh, MD, North Hollywood
Marwan A. Edris, MD, Laguna Hills
Augusto Focil, MD, Oxnard
Stanford University
OTHER
Brigham and Women's Hospital
OTHER