None listed
Conditions
Brief summary
Objectives: To determine effects of Flexion-Distraction (FD) technique in comparison with a spinal manipulation protocol on low- back pain participants with lumbar disc herniation or protrusion regarding pain, function and pain pressure threshold on trigger points of quadratus lumborum muscles. Design and methods: a single-blind randomized controlled trial will be conducted. A sample of patients suffering from low back pain and diagnosed with lumbar disc herniation or protrusion by magnetic resonance imaging were randomly assigned to either a FD group or a spinal manipulation group. The outcomes measured include pain (numerical pain rating score), Pressure Pain Threshold (PPT) on trigger points (TrPs) of the quadratus lumborum, function of low back spine with the Oswestry Disability Index (ODI) and Schober’s test, and the Finger Floor Distance test (FFDT) to measure changes in low-back spine motion. An Analysis of Covariance (ANCOVA) was used to measure group effect. This study will allow to use more specific non-surgical treatments for patients with lumbar disc herniation of protrusion.
Interventions
Patients will be informed in a previous meet about their rights to withdraw the study at any moment and the treatments treatments that would be applied, without outstanding one over at the other. Then they will be randomly allocated either in a spinal manipulation group or a flexion distraction treatment group.
Both groups will receive the treatments in a facility. An expert physiotherapist and chiropractor with more than 10 years of experience with these techniques will apply the treatments. T
Patients will be informed in a previous meet about their rights to withdraw the study at any moment and the treatments treatments that would be applied, without outstanding one over at the other. Then they will be randomly allocated either in a spinal manipulation group or a flexion distraction treatment group. Both groups will receive the treatments in a facility. An expert physiotherapist and chiropractor with more than 10 years of experience with these techniques will apply the treatments. The base of treatment will consist on ischemic compression on the four trigger points of quadratus lumborum muscle and the two trigger points of psoas-iliaque for 90 seconds. After this, participants will receive flexion-distraction treatment or spinal manipulation according to their group: -The Flexion-distraction treatment will consist on placing the participant in prone position on a Flexion-distraction table and apply 10x10 flexion-distraction movements with 1 minute of resting among each serie of 10 repetitions. -The spinal manipulation treatment will consist on a lumbar-roll manipulative technique on L3 vertebral level. Both interventions will be applied twice a week (with a difference of 72 hours between them) during two weeks (four treatment sessions in total) in the same time (morning or afternoon). Each session will take 10 minutes long. An attendance checklist will be used to assess adherence to intervention
Sponsors
Alfonso Ibáñez in representation of University of Jaen
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
-Participants with low back pain of over 3 months of evolution -Participants with almost 3 points of pain measured with numerical pain rating scale -Participants with lumbar disc hernia o protrusion diagnosed by magnetic resonance imaging (MRI)
Exclusion criteria
-Participants under pharmacological treatment for pain -Participants under any other treatment for low back pain in the last month (therapeutic exercise, physiotherapy, osteopath, chiropractor, painkillers, acupuncture...) -Participants who had undergone any hip or spine surgery -Participants with neurodegenerative diseases -Participants with cancer -Participants with fibromyalgia diagnosis
Outcome results
None listed