Low back pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Low back pain lasting at least three months; score on the numerical pain scale of at least 3 points at the time of assessment; age between 18 and 59 years; hypomobility in at least one lumbar vertebral segment verified during the physiotherapeutic evaluation through the posteroanterior pressure test in the prone position (Spring Test); symptoms that do not extend beyond the knee; absence of neuropathic pain components assessed using the painDETECT questionnaire.
Exclusion criteria
Exclusion criteria: Chronic widespread pain; ligament laxity or hyper flexibility; pregnancy; conditions that contraindicate the use of vertebral manipulation techniques at high speed and low amplitude (red flags) such as vertebral fractures, cauda equina syndrome, cancer, inflammatory rheumatic diseases, vertebral infections, bone tuberculosis; any condition that may interfere with pain sensitivity measures, for example, changes in skin sensitivity, neurological diseases, psychiatric diseases or fibromyalgia; any condition that interferes with body balance, for example, neurological diseases or vestibulopathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase in the pressure pain limit controlled with a pressure algometer from the observation of a variation of at least 15% in the pressure pain limit in the pre and post-intervention measurements. They will be evaluated bilaterally as following regions: middle part of the medial gastrocnemius muscle, anterior tibial muscle laterally at the level of the anterior tibial tuberosity, two sides laterally to the L5 spine process, two sides laterally to the L1 spine process, medium deltoid pattern, two pieces distal to the lateral epicondyle.;Improved postural stability, assessed by decreasing the oscillation of the body's pressure center (CoP) through baropodometry from the observation of a variation of at least 15% in the pre and post-intervention measurements. The stability variables investigated by means will be the CoP ellipse area (mm2), the standard deviation of the amplitude (mm) of the displacement of the CoP Antero/Posterior, and Medio/Lateral. | — |
Secondary
| Measure | Time frame |
|---|---|
| A decrease in pain intensity assessed by the visual analog pain scale from the observation of a variation of at least 2 points in the pre and post-intervention assessment. | — |
Countries
Brazil
Contacts
UniGuairacá Centro Universitário