Non-specific Back Pain
Conditions
Keywords
Back pain, Spinal manipulation, Cohort study
Brief summary
The main purpose of this study is to identify short-term predictors of positive responses to a spinal manipulation treatment. To do this, positive responses to treatment, characterized by improvement in pain score, functional capacity, as well as the global perceived change will be evaluated using single and multiple logistic regressions in which biomechanical variables, comfort, expectation will used as potential predictors.
Detailed description
The main purpose of this study is to identify short-term predictors of positive responses to a spinal manipulation treatment. To do this, positive responses to treatment, characterized by improvement in pain score, functional capacity, as well as the global perceived change will be evaluated at baseline and at 7 days. Pain score will be also assessed every day with text-tracking. Global perceived change will be evaluated using single and multiple logistic regressions in which biomechanical variables, comfort, expectation will used as potential predictors. 100 individuals with a history of non-specific back pain will be recruited in a chiropractic care center.
Interventions
High velocity, low amplitude force manipulation
Sponsors
Université du Québec à Trois-Rivières
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being aged over 18 years old * Presenting non-specific back pain (chronic \>=3 months or recurrent complaint) * Speaking French or English
Exclusion criteria
* Symptomatic thoracic pain * Non-musculoskeletal disorders pain * Pregnancy * Not eligible to spinal manipulation (if osteoporosis, vertebral fracture history, thoracic disk herniation)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thoracic Back Pain (Numerical Analog Scale) | change from baseline to Day-7 | assessed by a 0-10 points scale, higher score means altered, lower score means improved |
| Functional Disability (Quebec Back Pain Disability Scale) | change from baseline to Day-7 | assessed by 0-100 points questionary. Higher scores correlate to greater disability |
| Global Perceived Change Scale | at day-7 | assessed by a 11-point score scale: higher score means improved, lower score means altered |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tampa Scale of Kinesiophobia | at baseline(pre-intervention) | Questionary, Total score range from 17 to 68, Higher score indicate a worst outcome |
| Dosage | during the intervention | assessed by a force-sensing table recording data through a computer software |
| Level of Comfort | at baseline (post-intervention) | Assessed with a 100mm scale : higher score means very comfortable |
| Level of anxiety | at baseline (pre-intervention) | Assessed using the State-Trait Anxiety Inventory (STAI) (score range from 20 (minimum) to 80 (maximum) : higher score mean a worst outcome) |
| Expectation (for improvement of pain and disability) | at baseline (pre-intervention) | assessed by a 11-point score scale : higher score means improved, lower score means altered |
| Socio-demographic factors | at baseline(pre-intervention) | assessed with a patient history questionary |
Countries
Canada
Outcome results
None listed