None listed
Conditions
Brief summary
This study will be a randomised trial investigating whether changes in sensitivity to pressure pain are different when comparing spinal manipulation (a manual therapy technique) of the neck and the low back. It will measure any changes in pain sensitivity over 1 hour, and will measure pain sensitivity in 4 different areas of the body to study how widespread any changes are.
Interventions
On a single occasion, each participant will be randomised to receive one of the following two interventions:
A) a single cervical high-velocity low-amplitude spinal manipulation technique known as the index pillar push, targeted at the C5-C6 facet joint on the most symptomatic side.
B) a single lumbar high-velocity low-amplitude spinal manipulation technique known as the hypothenar mamillary push, targeted at the L5-S1 facet joint on the most symptomatic side.
Each intervention will take approxi
On a single occasion, each participant will be randomised to receive one of the following two interventions: A) a single cervical high-velocity low-amplitude spinal manipulation technique known as the index pillar push, targeted at the C5-C6 facet joint on the most symptomatic side. B) a single lumbar high-velocity low-amplitude spinal manipulation technique known as the hypothenar mamillary push, targeted at the L5-S1 facet joint on the most symptomatic side. Each intervention will take approximately 1 minute to complete. Interventions will be performed in a private research room, on a chiropractic examination table, by a chiropractor with a minimum of 3 years clinical experience. Multiple registered chiropractors will provide the interventions. They will receive training to standardise the techniques and participant interaction. Training will be in the form of a single 30 minute small group workshop. Topics will include a refresher on the specific manipulation techniques being used (the chiropractors will already be at least well familiar with the techniques), how to interact with participants in a reassuring but neutral manner. This will be run by a researcher with clinical experience as a chiropractor.
Sponsors
School of Health Professions, Murdoch University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
a) Current, episodic, or chronic spinal pain in both the neck and low back. Episodic is defined as at least 3 episodes of pain in the last 12 months, and chronic is defined as at least 3 months of ongoing pain in the last 12 months.
Exclusion criteria
a) Any contraindications to cervical or lumbar SMT b) Have had spinal manipulative therapy within the previous week c) Have cervical or lumbar radiculopathy, neurological symptoms, or a neurological condition d) Have fibromyalgia or chronic widespread pain e) Have an inflammatory joint condition (e.g. rheumatoid arthritis) f) Have a bleeding disorder or take anticoagulant medication (e.g. warfarin)
Outcome results
None listed