Acute Nonspecific Low Back Pain. Low Back Pain
Conditions
Interventions
Intervention 1: Intervention Group: this group will receive standard treatment including education to stay active, self-management, lumbar school (a pamphlet is used), manipulation in the first two se
Rehabilitation
Intervention Group: this group will receive standard treatment including education to stay active, self-management, lumbar school (a pamphlet is used), manipulation in the first two sessions and 30 mi
Control Group: this group will receive standard treatment including education to stay active, self-management, lumbar school (a pamphlet is used), manipulation in the first two sessions and 30 minutes
Sponsors
Isfahan University of Medical Sciences, Vice Chancellory of Research and Technology
Eligibility
Sex/Gender
All
Age
20 Years to 55 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria: meeting at least 5 items of following items: remaining pain even after 7 days of treatment; pain duration less than 6 weeks; no symptoms distal to the knee; one or more hypo-mobile segments in the lumbar spines; Oswestry disability score = 25%; pain intensity = 30% (Visual Analogue Scale). Exclusion criteria: spine fracture/surgery in the previous 6 months; pregnancy; neoplasia; infection of the spine; visceral pain; systemic disorders; radicular pain due to radiculopathy in last 6 months; sensory impairments; abnormal deep tendon reflexes or muscular weakness due to nerve compression; neurological claudication; psychiatric disorders; osteoporosis; corticosteroid therapy; receiving spinal manipulation previously for the same LBP episode; back pain; segmental spinal instability; administering narcotics; those who may not cooperate; those with contraindications for spinal manipulation; those who meet red flag conditions like fever; trauma; unusual weight loss.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: at the beginning, after first manipulation, after second manipulation, after the 8th therapeutic session, and at one month follow-up. Method of measurement: Visual Analogue Scale (VAS).;Functional Disability. Timepoint: at the beginning, after the 8th therapeutic session, and at one month follow-up. Method of measurement: Oswestry Disability Index (ODI). | — |
Secondary
| Measure | Time frame |
|---|---|
| Abdominal Muscle Endurance. Timepoint: at the beginning, after the 8th therapeutic session, and at one month follow-up. Method of measurement: Shirado Test.;Back Muscle endurance. Timepoint: at the beginning, after the 8th therapeutic session, and at one month follow-up. Method of measurement: Sorensen Test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Zahra Sadat Rezaeian
Muscoloskeletal Research Center, Department of Physical Therapy, Faculty of Rehabilitation Sciences,
Outcome results
None listed