Education, Low Back Pain, Manual Therapy
Conditions
Keywords
Low back pain, Manual Therapy, Education, Neuroplasticiy
Brief summary
To determine if there is any carry over difference between the type of education provided about common treatment techniques for patients with low back pain. This will be looked at right after treatment and when patients return on their second visit after they do a common exercise program for a few days.
Detailed description
Prior clinical trials have shown that patients respond differently to different explanations about interventions performed. A recent randomized clinical trial demonstrated that a 10-minute manual therapy treatment (prone lumbar Posterior to Anterior mobilization (PA's) with a neuroplasticity vs. traditional biomechanical explanation) produced an immediate, significant improvement in straight leg raise (SLR) and pain for patients with chronic low back pain. However, there is a need to examine whether there is any carry over (48-96 hours) or if utilizing a home exercise program (HEP), aimed at increasing the various sensory process applied in the clinic, produces any carry over. This will be looked at in patients with who are provided different explanations about common back treatment techniques to see if there will be any change in pain rating or back and leg movement.
Interventions
OTHERManual Therapy with Traditional Biomechanical Explanation
Patients will lie prone and receive lumbar Posterior to Anterior (AP) Pressure with a traditional biomechanical or anatomic explanation of the technique..
OTHERManual Therapy with Neuroplastiicity Explanation
Patients will lie prone and receive lumbar Posterior to Anterior (PA) Pressure with a neuroplastic explanation of the technique.
Sponsors
St. Ambrose University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Patients were randomly assigned to one of two treatment groups
Intervention model description
Randomized Control Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* adults over the age of 18 * patients presenting at PT with a primary complaint of LBP * LBP being present for 6 months or more * fluent in English * willing to participate in the study.
Exclusion criteria
* under age 18 * not able to read/understand the English language * prisoners * no medical issues precluding physical therapy treatment (red flags) * no medical precautions to the use of manual therapy (metal, skin lesions, etc.) * prior spine surgery * unable to lay prone for the treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Low Back Pain Rating | Change from baseline to initial treatment | Numeric Pain Rating Scale for Back Pain (0 = no pain and 10 = worst pain). The minimal detectable change (MDC) for the NPRS for low back pain is reported to be 2.0. LBP is reported to be 2.0. |
| Lumbar flexion | Change from baseline to initial treatment | Active trunk forward flexion in cm (distance finger tips to floor) |
| Straight Leg Raise | Change from baseline to initial treatment | Neurodynamic Measurement of Leg Raise (lower limb tension test) |
Countries
United States
Outcome results
None listed