Table 1.
Inclusion criteria | Low back pain >3 mo for at least half of the days in last 6 mo50 |
Moderate low back pain intensity (>3 on 0–10) | |
Normalized isometric hip internal rotation strength <0.26a | |
Hip Disability and Osteoarthritis Outcome Score >5 on pain-related items P4–P8a | |
Exclusion criteria | Previous hip fracture with repair |
Hip fracture within last 15 y without repair | |
Total hip replacement | |
Known spinal pathology other than spinal stenosis and/or osteoarthritis | |
Severely impaired mobility (ie, requires use of a wheelchair) | |
Folstein Mini-Mental State Examination Score <2451 | |
Severe visual or hearing impairment | |
Red flags such as fever, significant unintentional weight loss >10 pounds, pain that awakens or keeps one awake at night, trauma that preceded the onset of pain, or signs and symptoms of cauda equina | |
Significant pain in legs greater than the back | |
Acute illness (eg, COVID-19) | |
Inability to participate in the study for the full 6 mo (eg, moving residences) | |
Receipt of manual or exercise therapy for low back or hip within the last 3 mo |
a Criteria defined from decision tree analysis.