Mechanical Low Back Pain
Conditions
Keywords
manipulation, mobilization, low back pain, treatment
Brief summary
The objective of this study is to investigate the comparative benefit of thrust and non-thrust manipulation on a population of patients with low back pain. The investigators hypothesize that there will be no difference in 4 week outcomes or greater, between the two groups.
Detailed description
Thrust manipulation is considered traditional spinal manipulation. Nonthrust manipulation is considered mobilization. The mobilization will be used in a similar manner as in clinical practice and this differs from past studies.
Interventions
PROCEDUREThrust manipulation
Thrust manipulation is a passive procedure which involves a high velocity low amplitude thrust to the spinal region
PROCEDURENon-thrust manipulation
Non-thrust manipulation involves a low amplitude, low speed mobilization to the targeted region while adjusting the procedure based on patient feedback
Sponsors
Walsh University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients, age 18 and older, with mechanically producible low back pain, who attend care at a physical therapy outpatient setting, will be screened for eligibility for the study. * For patients to meet inclusion requirements, they had to display a within session change in pain and/or range of motion during the assessment phase of the clinical examination. In other words, as the clinician performed their assessment and applied a passive accessory assessment technique, the pain and/or range of motion improved during that session, which suggests a favorable outcome using a comparable treatment technique. This is hallmark clinical finding in the patient response model and has been proposed as both a predictor of a positive outcome and as a prognostic variable toward long-term improvements in impairments.
Exclusion criteria
* The presence of any red flags (i.e., tumor, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.) * Signs consistent with nerve root compression (reproduction of low back or leg pain with straight leg raise at less than 45° * Muscle weakness involving a major muscle group of the lower extremity, * Diminished lower extremity muscle stretch reflex * Diminished or absent sensation to pinprick in any lower extremity dermatome) * Other
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry disability index | Baseline to discharge from therapy services (up to 4 months). An expected average is 4 weeks. | Change score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | Baseline to discharge from therapy services (up to 4 months). An expected average is 4 weeks. | Change score |
Countries
United States
Outcome results
None listed