Thrust Versus Non-thrust Manipulation in Chronic Low Back Pain

The Effects of Thrust Versus Non-thrust Manipulation on Pain, Trunk Proprioception and Postural Stability in Subjects With Chronic Low Back Pain

Status

Terminated

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02276794

Enrollment

Registered

2014-10-28

Start date

2014-10-31

Completion date

2015-11-30

Last updated

2017-02-16

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

Conditions

Backache, Low Back Pain, Mechanical Low Back Pain

Keywords

Low back pain, Thrust manipulation, Spinal manipulation, Joint mobilization, Non-thrust manipulation, proprioception, Postural stability, Baropodometry

Brief summary

This study aims to verify the effects of Thrust Versus Non-thrust Manipulation on Pain, Trunk Proprioception and Postural Stability in Subjects With Chronic Low Back Pain.

Detailed description

Forty individuals with chronic low back pain will be randomly assigned, by a researcher not involved in data collection, to two treatment groups: Thrust manipulation (side-lying rotational manipulation standardized to the L4-L5 level) or non-thrust manipulation (side-lying grade III rotational non-thrust manipulation). A single treatment session will be provided. Outcome measurement will be conducted immediately after the treatment session. Data will be collected by a blinded assessor. Between-group differences will be calculated by constructing mixed linear models following an intention-to-treat principle.

Interventions

OTHERThrust Manipulation

After positioning patients in right side-lying, a rotational TM technique will be addressed at the L4-L5 lumbar segments. The treating therapist will have up to two attempts to apply the TM.

OTHERNon-thrust manipulation (NTM)

A grade III rotational non-thrust manipulation will be addressed at the L4-L5 lumbar segments. Thirty oscilations will be performed.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Age greater than 18 years * Chronic Low back pain (pain lasting for at least 12 weeks) * NPRS ≥ 3

Exclusion criteria

* Previous surgery or fracture at the lumbar spine * Pregnancy * Inflammatory disorders * Symptoms distal to the gluteal line * Having received manipulative treatment in the past four weeks

Design outcomes

Primary

Measure	Time frame	Description
Pain	Up to 10 minutes after intervention	Pain will me measured Up to 10 minutes after intervention by an 11 point (0-11) Numeric Pain Rating Scale (NPRS)

Secondary

Measure	Time frame	Description
Global Perceived Effect	Up to 10 minutes after intervention	Global Perceived effect will be measured by an 11 point (-5-+5) Global Perceived Effect (GPE)
Lumbar joint position sense	Up to 10 minutes after intervention	Lumbar joint position sense will be measured by a isokinetic dynamometer (BIODEX System 4 Pro™, Shirley, NY)
Peak plantar pressure	Up to 10 minutes after intervention	Peak plantar pressure will be measured by a digital baropodometer (FootWork Pro)
Center of Pressure displacement	Up to 10 minutes after intervention	CoP displacement will be measured by a digital baropodometer (FootWork Pro) by means of stabilometry

Other

Measure	Time frame	Description
Foot contact area	Up to 10 minutes after intervention	Foot contact area will be measured by a digital baropodometer (FootWork Pro)

Countries

Brazil

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026