Nonspecific Chronic Low Back Pain
Conditions
Interventions
Experimental group:Traditional Chinese Manual Therapy (Tuina)
Control group:core stability exercise
Sponsors
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Eligible participants who met the following criteria will be included: ? Age between 18 and 60 years old ? Primary complaint of pain in the region between the 12th rib and the creases of the buttocks, with or without lower limb pain ? low back pain lasting for at least 12 weeks ? The average scores of Numerical Pain Rating Scale (scale range, 0-10) over the past week = 3 and = 8 ? The scores of Roland-Morris disability questionnaire (scale range, 0–24) = 5 ? Minimum primary education and adequate Chinese literacy for the study’s questionnaires and instructions ? Voluntarily participate in the trial and sign an informed consent
Exclusion criteria
Exclusion criteria: Participants matching any of the following criteria will be excluded: ? Known severe rheumatic, neurological, cardiovascular, and metabolic disorders ? Known or suspected serious spinal pathology (eg, malignancy, inflammatory or infective diseases, cauda equina syndrome) ? Specific low back pain (eg, fractures, spinal stenosis, spondylolisthesis) ? Nerve root compromise (dominant leg pain, straight leg raise tests = 45° and/or any two alterations in strength, reflexes or sensation of the same nerve root) ? Having another musculoskeletal disorder that is more troublesome than their back pain ? Women who are pregnant, lactating, or planning to conceive within the next 6 months ? Previous spinal surgery or scheduled for major surgery within the next 6 months ? Uncontrollable cognitive impairment or mental disorder (eg, severe depressive disorder, schizophrenia) ? Any contraindications to tuina manipulation (e.g., severe osteoporosis, infectious diseases, and skin disorders in the lumbar region) ? Participation in other clinical trials related to low back pain within the past three months ? Patients deemed unsuitable for participation in this trial by the researchers due to other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 11-point Numeric Rating Scale (NRS) ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Treatment Credibility;Roland-Morris Disability Questionnaire;EuroQoL-5 Dimensions Questionnaire;Pain Catastrophizing Scale;Tampa Scale of Kinesiophobia;Depression subscale of the Depression Anxiety Stress Scale;General Back Recovery Scale ;Patient satisfaction;Biomechanical outcomes;socioeconomic outcomes;Treatment adherence; | — |
Countries
China
Contacts
Public ContactFang Min
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Outcome results
None listed