Effect of Two Osteopathic Techniques on Thickness of Paravertebral Muscles of the Lumbar Spine

NCT01971983 | Unknown

• 1 other identifier: Osteo-ufcspa
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this randomized controlled trial is to describe the effect of two osteopathic techniques - "high velocity, low amplitude" (HVLA) and muscle energy (ME) - on thickness, activation, strength, pressure pain threshold (PPT) of the paravertebral muscles at the lumbar spine, as well as the peak plantar pressures immediately and after a two-day follow-up. The muscle thickness of the paravertebral muscles at the lumbar spine, namely internal oblique, external oblique and transversus abdominis can be altered after the application of 'high-velocity low-amplitude'(HVLA)and 'muscle energy' (ME)techniques immediately and after a two-day follow-up.

Conditions

Low Back Pain

Keywords

Low back pain; Spinal manipulation; Osteopathy; Muscle energy technique; Muscle thickness

Outcome Measures

Primary Outcomes (2)

• Muscle thickness

  We will evaluate the muscle thickness of four muscles that comprises the paravertebral musculature at the lumbar spine: internal oblique, external oblique, lumbar multifidus and transversus abdominis.

  immediate

• Muscle thickness

  We will evaluate the muscle thickness of four muscles that comprises the paravertebral musculature at the lumbar spine: internal oblique, external oblique, lumbar multifidus and transversus abdominis.

  Two days

Secondary Outcomes (2)

• Pressure pain threshold

  Immediate

• Pressure pain threshold

  Two days

Study Arms (3)

HVLA

EXPERIMENTAL

The subjects allocated to this group will receive a 'High-velocity, low-amplitude (HVLA) technique over the lumbar spine.

Other: High-velocity, low-amplitude (HVLA)

ME

EXPERIMENTAL

Subjects allocated to this group will receive a muscle energy (ME) technique.

Other: Muscle energy (ME)

Sham group

SHAM COMPARATOR

The individuals allocated to this group received an intervention of the "sham". The sample of this group will consist of subjects with history of dysfunctions of the lumbar spine.

Other: Sham

Interventions

High-velocity, low-amplitude (HVLA) OTHER

With the subject lying on his/her side, the therapist will rotate the patient's trunk, flex his/her hip and knee of the upper leg. The therapist positions his caudad forearm over the hip, while the cephalad forearm lies over the patient's shoulder. The therapist's hands will be positioned over the lumbar spine's spinous process to be manipulated.

Also known as: Thrust manipulation

HVLA

Muscle energy (ME) OTHER

This technique involves the active movement of the patient to activate a specific musculature in order to move a bony segment of a given joint in a specific direction in relation to the adjacent bone. This technique aims to restore the restricted movement of the joint in question.

Also known as: Mitchell's technique

ME

Sham OTHER

Individuals in this group received a sham intervention type, in order to simulate an intervention.

Sham group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• At least one episode of low back pain over the last three months; confirmation of lumbar spine dysfunction by an experienced osteopath; age between 18 and 40 years; do not have performed physical stress activities over the last 24 hours; do not be physically active (physical activity for at least three times a week); fulfill the orientations to the follow-up assessment.

You may not qualify if:

• History of surgery, fracture or fixation on the lumbar spine and/or the pelvis; being pregnant; signs of radiculopathy; disc herniation at the lumbar spine; degenerative process at the lumbar spine; have received any kind of manipulative treatments over the past four weeks;

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead

Study Sites (1)

Laboratory of Physiotherapy - The Federal University of Health Sciences of Porto Alegre

Porto Alegre, Rio Grande do Sul, 90050170, Brazil

Location

MeSH Terms

Conditions

Low Back Pain

Interventions

Tocopherols; salicylhydroxamic acid

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Vitamin E; Benzopyrans; Pyrans; Heterocyclic Compounds, 1-Ring; Heterocyclic Compounds; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring

Study Officials

• Rodrigo F Angellos, Physiotherapis

  The Federal University of Health Sciences of Porto Alegre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: October 24, 2013
• First Posted: October 30, 2013
• Study Start: February 1, 2013
• Primary Completion: June 1, 2014
• Study Completion: December 1, 2014
• Last Updated: March 18, 2014

Record last verified: 2013-10

Locations

BR (1)