Low Back Pain
Conditions
Brief summary
The purpose of this experiment is to determine the effects of a non-thrust manipulation procedure on muscle function, spinal mobility, and pain level on those experiencing low back pain (LBP) in a sample of individuals who identify English as their primary language. The rationale for this language criterion is provided in Section 9:F of this application. Muscle function will be measured via the muscle thickness of a deep spinal stabilizing muscle (multifidus, MF) while in both a resting state and during a maximum voluntary contraction (MVC). Spinal mobility will be measured as the active range of motion of both forward and backward trunk bending. Pain level will be a self-report measure recorded during rest and active range of motion. Hypothesis 1: A non-thrust manipulation procedure will increase the thickness of the sacral multifidus both at rest and during a maximum voluntary contraction Hypothesis 2: A non-thrust manipulation procedure will result in greater low back active range of motion. Hypothesis 3: A non-thrust manipulation procedure will result in a reduction in the participant's self-reported pain levels both at rest and during active range of motion movements.
Detailed description
The proposed study aims to determine if the impact of a newly-described manual procedure, that includes a non-thrust force applied to the low back region, has an impact on patient centered-outcomes. Rehabilitation Ultrasound Imaging (RUSI) will be used to determine MF muscle thickness (MT) at rest and during a maximum voluntary contraction (MVC) immediately following application of the manual procedure.
Interventions
Lumbar non-thrust manipulation is a passive movement that is performed with a rhythm and a grade in a manner in which the patient is able to prevent the technique from being performed.
OTHERSham Manipulation
Lumbar non-thrust manipulation without force applied
Sponsors
Alvernia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Participants are individuals with current complaint of low back pain, defined as pain that is present in the region from just below the rib cage to just below the buttocks. 2. Participants will be 18 years of age or older 3. Participants must be experiencing an episode of low back pain at the present time that is at any level on a Numerical Pain Rating Scale & Pain Diagram (NPRS) from 1-10 4. Participants must demonstrate the ability to maintain standing and prone postures for several minutes at a time and perform lumbar active range of motion in a standing position 5. Participants must report the presence of their low back pain during performance of active forward and/or backward bending in standing 6. Participants must demonstrate the ability to communicate in conversational English, that includes speaking, reading, and writing.
Exclusion criteria
1. Participants who are currently involved in litigation that is directly related to the participant's current episode of low back pain 2. Participants with known or suspected pregnancy 3. Participants with confirmed diagnosis of any of the following conditions: * Central nervous system disorder * Rheumatoid Arthritis * Spinal Fracture * Spondyloarthropathy (i.e., Ankylosing Spondylitis) * Tumor or infection of the spine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Sacral Multifidus Muscle Thickness | Change from Pre to immediately Post Manipulation/Sham | Rehabilitation Ultrasound Images of Sacral Multifidus muscle thickness at rest and during a maximal isometric contraction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Lumbar Active Range of Motion | Change from Pre to immediately Post Manipulation/Sham | Inclinometry of Lumbar Active Range of Motion in Standing |
| Changes in Low Back Pain | Change from Baseline to immediately Post Manipulation/Sham to 24-48 hours post session | Visual Analogue Scale of Low Back Pain (0-10 scale with 0=least pain, 10=worst pain) |
| Changes in Oswestry Disability Questionnaire (0-100 scale, 0=no disability, 100=bed bound, exaggerating symptoms) | Change from Baseline to 24-48 hours post session | Self-assessment disability paper survey |
| Changes in Fear-Avoidance Beliefs Questionnaire (0-96, 96=maximum fear-avoidance beliefs) | Change from Baseline to 24-48 hours post session | Self-assessment disability paper survey |
| Changes in Global Rating of Change (-7 to +7 scale, -7=a very great deal worse, +7=a very great deal better) | Change from Baseline to 24-48 hours post session | Self-assessment disability paper survey |
Countries
United States
Outcome results
None listed