Please select the eligibility criteria that correspond to the clinical trial below.
Title: Effectiveness and Subsequent Healthcare Use Associated With Early Physical Therapy Access Compared With a Stepped Usual Care Approach for Treatment of Low Back Pain.
Brief Summary: The primary purpose of this study is to compare the effectiveness of two management strategies for patients with a recent onset of low back pain (LBP). One is based on usual care and the other is based on early access to physical therapy following a pragmatic treatment-based classification approach. The secondary purposes are to compare the subsequent healthcare utilization associated with two management strategies as well as to evaluate the importance of psychosocial factors on outcomes within both groups of treatment. The overall hypothesis guiding the study is that the additional initial treatment expense incurred by early implementation will result in superior short-term clinical effectiveness, and will be more cost-effective in the long-term due to reduced healthcare utilization. We will also explore the importance of psychosocial factors on outcomes within both treatment groups, which may provide insights for further improving treatment strategies.


Options:
A: Inclusion Criteria:

* non- specific low back pain,
* 18-60 years old,
* \> 90 points on the OMPSQ screening questionnaire for yellow flags and sufficient understanding of the Swedish language

Exclusion Criteria:

* presence of so called Red flags,
* pregnancy,
* comorbidities affecting the ability to perform the interventions,
* presently on sick leave for \> 8 weeks,
* ongoing regular weekly yoga practice or strength training.
B: Inclusion Criteria -

* Military personnel on active duty and eligible for healthcare at a military treatment facility
* A primary complaint of low back pain defined as symptoms of pain and/or numbness between the 12th rib and buttocks with or without symptoms into the leg(s), which, in the opinion of the provider, are originating from tissues of the lumbar region.
* Duration of current episode of low back pain \< 90 days
* Age 18 - 60 years (or emancipated minors on active duty)
* Available for the following 4 weeks to complete a regimen of treatment

Exclusion Criteria:

* Oswestry Disability Index \< 20%
* History of receiving any medical care for this episode of low back pain within the last 3 months
* Prior surgery to the thoraco-lumbar spine or pelvis
* This episode of back pain is due to a traumatic fracture
* Pending a medical or physical evaluation board or discharge process, pending any litigation related to the condition, or planning on getting out of the military within the next 9 months.
* Any "red flags" that would indicate a potentially serious condition or other significant disease process. These could include but not limited to cauda equina syndrome, large or rapidly progressing neurological deficit, fracture, cancer, ankylosing spondylitis, or other systemic disease.
* Current episode occurred because of a motor vehicle accident
* Currently pregnant (or history of pregnancy in the previous 6 months)
C: Inclusion Criteria:

* Unspecific subacute, subacute remitting and chronic LBP
* Both sexes, 20-60 yrs of age
* LBP between 2-8 on a 11-pt numeric rating scale

Exclusion Criteria:

* Previous back surgery
* Sick listed more than one year
* Radiating pain below knee or motor deficits
* Systemic diseases and "red flags"
* Diagnosed psychiatric disease
* Ingoing insurance claim
* Pregnancy
D: Inclusion Criteria:

* Patients diagnosed with lower back pain with a pain score of 4 or higher on DVPRS for 3 months
* Male or female
* Age 18-68\*
* Able to read and understand English
* Understands language, and able to report current pain levels and recall events
* DEERS-Eligible, Military healthcare beneficiary

Exclusion Criteria:

* Provider has advised against mild to moderate exercise
* Patient unable to sit on the floor for two minutes or unable to stand independently
* Complex Regional Pain Syndrome, Fibromyalgia, Chronic Fatigue Syndrome, Auto Immune disease-related pain, other chronic medical conditions (i.e. advanced diabetic neuropathies) that preclude consent
* Patients with severe TBI
* Practiced Yoga within 6 months
* Pre-surgical candidates for back surgery within 3 months
* Back surgery within the past year
* Pregnancy\*\*; females will be asked to self-report
* Undergoing Medical Evaluation Board to determine discharge

Answer: B