Low Back Pain
Conditions
Brief summary
This is a pilot project intended to determine the feasibility of detecting soft tissue changes in response to osteopathic manipulative treatment (OMT). MRIs of the lumbar and pelvic regions of low back pain (LBP) patients will be taken once before and at two different time points after OMT. Images obtained will be quantitatively analyzed for changes in the volumes of back muscles and for changes (T2 signals) indicative of activity levels or pathological conditions. Electromyography (EMG) will be used as an independent measure of back muscle activity for comparison with MRI results.
Interventions
Treatment will focus on the thoracolumbar junction, L5, the sacrum, and the pubes. Treatment will primarily utilize two techniques, muscle energy and ligamentous-articular release, but will be tailored to the findings of the individual patient.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients (18-55) * Patients with LBP with acute symptoms (within last 3 weeks) * Test positive for lumbar somatic dysfunction
Exclusion criteria
* History of any spinal injuries/surgeries * Positive findings of frank neurological signs during physical exam * Any other orthopedic or neurological impairment * Unsuitable for MRI imaging: * Cardiac pacemaker or defibrillator * Severe Claustrophobia * Injured by a metallic object that was not removed * Cochlear (ear) implants * Surgery involving a metallic implant (e.g. knee replacement) * Weight more than 300 lbs/136 kg (weight limit for scanner bed)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MRI T2 signal changes | within 72 hours |
Secondary
| Measure | Time frame |
|---|---|
| MRI anatomic changes and EMG changes | within 72 hours |
Countries
United States