Spinal Stenosis Lumbar
Conditions
Keywords
Chiropractic manipulation, postural sway, distraction manipulation, performance-based mobility
Brief summary
To assess the effect of chiropractic distraction manipulation on postural sway and simple measures of performance in patients with the clinical diagnosis of lumbar spinal stenosis.
Detailed description
This study aims to assess the effect of chiropractic distraction manipulation in reducing postural sway and improving performance-based mobility and disability in patients with the clinical diagnosis of lumbar spinal stenosis. This study will identify if distraction spinal manipulation will reduce postural sway center of pressure (COP) movements as determined by a force plate, if distraction spinal manipulation will improve simple measures of performance-based mobility and if distraction spinal manipulation will improve perception of balance confidence and will reduce self-rated stenosis associated disability.
Interventions
OTHERLumbar Spinal Stenosis
Posture and Performance testing: ABC-6 Scale, low back pain NRS, buttock or leg pain NRS, five times sit-to-stand, timed up-and-go, PGIC, eyes open force plate assessment (30 seconds), and eyes closed force plate assessment (30 seconds).
Sponsors
University of Houston
Whittier College
Private Practice
Miami University
Parker University
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
48 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age greater than 48 years old * Patient has leg or buttock pain while walking * Patient feels relief of symptoms with bending (flexing) forward * Patient feels relief when using a shopping cart of bicycle * Patient has motor or sensory disturbance while walking * Patient has normal and symmetrical foot pulses * Patient has lower extremity weakness * Patient has low back pain * Duration of symptoms and signs for more than 1 month * Able to stand and walk without assistive devices for at least 20 minutes * Able to give written informed consent and complete interviews and questionnaires in English
Exclusion criteria
* Complicated spinal pain due to fracture, tumor, infection, or severe spondyloarthropathy * Has other severe co-morbidities, including progressive neurological deficit * Other serious pathologies of the locomotor system * No correspondence availability through email * Inability to read/ comprehend English * Compensation or seeking compensation from a third-party liability or workers' compensation * Previous spinal manipulation within the past month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance tracking | Each participant will be tested for one minute | The primary outcome is static balance as assessed by center of pressure (COP) using a portable force plate (Balance Tracking Systems, BTrackS™). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Questionnaire: Pain sclae | 5 Minutes | Pain severity of the lower back and buttock using a numerical rating scale (0-10) |
| Questionnaire: Disability | 5 Minutes | Stenosis specific disability using the Zurich Claudication Questionnaire; symptom and function. Zurich Claudication Questionnaire has a 7-item symptom severity subscale with scores from 1 to 5 and a 5-item physical function subscale with scores from 1 to 4. The total score range is 12 to 55 points, with higher scores indicating higher levels of self-reported disability. |
| Questionnaire: Balance | 5 Minutes | Balance Specific Confidence (ABC-6) |
| Questionnaire: Change | 5 Minutes | Patient Global Impression of Change, this 1-item question has a 7-point rating scale with 1 being no change and 7 being considerable improvement. |
| Sit to Stand | 5 Minutes | physical performance as assessed by the 5 Times Sit to Stand and Timed Up and Go tests. |
Countries
United States
Outcome results
None listed