Determining the value of manual therapy at different starting points during a medical strengthening intervention in patients with chronic specific low back pain related to perceived pain, quality of life and morphology and functionality of their paraspinal lumbar extensor muscles - a randomised controlled study

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00037354

Enrollment

111

Registered

2025-07-21

Start date

2024-01-10

Completion date

Unknown

Last updated

2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

chronic specific low back pain

Interventions

Group 1: Group 1: early manual therapy before start of the training Group 2: Group 2: manual therapy later on (from session 9 (out of 18 sessions) Group 3: Group 3: no manual therapy

Eligibility

Sex/Gender

All

Age

18 Years to 65 Years

Inclusion criteria

Inclusion criteria: - chronic low back pain (at least 3 months) - written consent

Exclusion criteria

Exclusion criteria: - back surgery in the patient‘s history - low back pain that is rated < 3 on the NRS scale 0-10 - regular use of pain killers at the beginning of the intervention - any additional therapy or treatment that is planned during the intervention

Design outcomes

Primary

Measure	Time frame
Pain intensity on the NRS scale (0-10) after two weeks (4 therapy sessions)	—

Secondary

Measure	Time frame
each of the following parameters is measured a the beginning, after 4 sessions and at the end of the intervention: - Pain (on NRS, 0-10) after 18 sessions, also taken in each session - quality of life (SF-36), functional impairment (ODI), fear avoidance beliefs (FABQ) - thickness of the multifidus muscle and the thoracolumbar fascia (via ultrasound) - muscle activity (via EMG) at rest, during functional tasks	—

Measure

Time frame

each of the following parameters is measured a the beginning, after 4 sessions and at the end of the intervention: - Pain (on NRS, 0-10) after 18 sessions, also taken in each session - quality of life (SF-36), functional impairment (ODI), fear avoidance beliefs (FABQ) - thickness of the multifidus muscle and the thoracolumbar fascia (via ultrasound) - muscle activity (via EMG) at rest, during functional tasks

—

Countries

Germany

Contacts

Public ContactChristoph Spang

Orthopädische Privatpraxis Dr. Alfen

christoph.spang@dr-alfen.de+49 931 7801170

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 7, 2026