Clinical trial NCT03707288: Back Pain in Medical Students at The University of the West Indies, Mona, Jamaica
Official title: Back Pain in Preclinical and Clinical Medical Students at The University of the West Indies, Mona, Jamaica
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Back Pain
Lead sponsor: The University of The West Indies
Sponsor class: OTHER
First posted: 2018-10-16
Enrollment: 300
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: The purpose of this study is to identify the prevalence of back pain in preclinical second year and clinical fourth/fifth year medical students at the University of the West Indies; to assess their knowledge, attitude and practice of good spine health; and to determine the outcome of a standardize spine exercise program on one group, the clinical second year medical students, using a prospective randomized control design.

Detailed description: There is a surfeit of literature on musculoskeletal pain especially that of back pain, which are commonly associated with lifestyle practices including varied occupations that affect individuals of all ages.

Medical students in the clinical years of training are more likely to be involved in strenuous activities such as prolonged standing for ward rounds, bending forward to examine patients and sometimes being engaged in manual handling of patients, as compared to medical students in the preclinical years. During the early period of preclinical training, medical students primarily sit for extended periods in lectures, use computers or tablets, or in the library, studying and completing assignments. These practices can all be attributable to the increased risk of developing low back among other musculoskeletal problems; especially in instances where the strength and stability of the spine is not maintained and safe spine precautions are not done.

There is no published study in Jamaica or to the researcher's knowledge in the Caribbean which looks at the prevalence of musculoskeletal pain, specifically low back pain in medical students. This study is to determine the prevalence of low back pain in second and fourth/fifth year medical students at the University of the West Indies (UWI); assess their knowledge, attitude and practice toward good spine health in preventing back and neck pain; and using a prospective randomized control study model, evaluate the outcome of a standardized spine exercise program on back pain in the preclinical second year medical students over an eight (8) week period from September 7, 2015 to November 2, 2015.

Both groups will be followed up over the stipulated period. The identity of all participants will be protected and will only be identified by an assigned study number. Basic demographics, presenting complaints and outcome information will be obtained for the purposes of the study. Questionnaires will be carefully constructed from the objectives of the study to determine the presence of back and neck pain in the medical students and their knowledge, attitude and practice towards the musculoskeletal problem of the back.

Eligibility criteria: Inclusion Criteria:

1. All second and forth/fifth year students enrolled in the medical program at UWI, Jamaica during the period September 7, 2015 to November 2, 2015.
2. Willingness to consent to the study.
3. Preclinical medical students' willingness to adhere to standardized exercise program for the stipulated period.

Exclusion Criteria:

1. History of having spine surgery
2. Previously diagnosed with spine pathology and currently receiving rehabilitation therapy.
3. Unwillingness to participate in study

Primary outcomes:
measure: To assess the change of Cornell Musculoskeletal Discomfort Questionnaire CMDQ
timeFrame: Change of CMDQ at 8 weeks
Secondary outcomes:
measure: To assess the change in Questionnaire A
timeFrame: Change in Questionnaire A at 8 weeks
measure: To assess the change in Questionnaire B
timeFrame: Change in Questionnaire B at 8 weeks
measure: To assess the change in Numeric Rating Scale
timeFrame: Change in Numeric Rating Scale at 8 weeks
Other outcomes:
Locations:
city: Kingston
country: Jamaica
facility: Faculty of Medical Sciences Teaching and Research Complex,The University of the West Indies, University Hospital of the West Indies
Study officials:
affiliation: Division of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, The University of the West Indies, Mona, Jamaica.
name: Paula UA Dawson, MBBS
role: PRINCIPAL_INVESTIGATOR
affiliation: Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care. University Hospital of the West Indies, Kingston 7, Jamaica.
name: Maxim US Christmas, DM (Ortho)
role: PRINCIPAL_INVESTIGATOR
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