Specific or Non-Specific Manipulation for Patients With Back Pain
Short, Medium and Long Term Effects of Specific and Nonspecific Spinal Manipulative Therapy in Patients With Chronic Non-specific Low Back Pain: A Randomized Controlled Trial
1 other identifier
interventional
148
1 country
1
Brief Summary
We aim to evaluate the long-term effects of 10 sessions of spinal manipulative therapy applied in a vertebral region-specific or region nonspecific level immediately after treatment and 3 and 6 months after randomization.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable low-back-pain
Started Apr 2017
Typical duration for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 25, 2016
CompletedFirst Posted
Study publicly available on registry
August 30, 2016
CompletedStudy Start
First participant enrolled
April 3, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 23, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 23, 2018
CompletedSeptember 26, 2019
September 1, 2019
1.6 years
August 25, 2016
September 24, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain Intensity
Pain intensity will be measured using a 0-10 numerical rating scale
4 weeks
Secondary Outcomes (4)
Pain Intensity
3 and 6 months after randomization
Disability
4 weeks, 3 and 6 months after randomization
Global Impression of Recovery
4 weeks, 3 and 6 months after randomization
Pressure Pain Threshold
4 weeks after randomization
Study Arms (2)
specific manipulation
EXPERIMENTALParticipants allocated to group "specific manipulation", will have their lumbar spine manipulated according to the previous clinical examination.
non-specific manipulation
EXPERIMENTALParticipants allocated to group "non-specific manipulation" will have their upper thoracic spine manipulated (also known as "global manipulation") regardless of the previous clinical examination.
Interventions
Patients allocated to the specific manipulation group will receive spinal manipulation according to the physical examination performed prior to the treatment allocation.
Patients allocated to the specific manipulation group will receive spinal manipulation on the upper thoracic spine that will be not related to the physical examination performed prior to the treatment allocation.
Eligibility Criteria
You may qualify if:
- \- Patients with low back pain duration from 3 to 24 months.
You may not qualify if:
- Patients with a pain duration lower than 3 months and higher than 24 months.
- Patients with nerve root compromise or with serious spinal pathology,
- Pregnant patients,
- Previous back surgery
- Patients with any contra-indication to spinal manipulation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Universidade Cidade de São Paulo
São Paulo, 03071-000, Brazil
Related Publications (1)
de Oliveira RF, Costa LOP, Nascimento LP, Rissato LL. Directed vertebral manipulation is not better than generic vertebral manipulation in patients with chronic low back pain: a randomised trial. J Physiother. 2020 Jul;66(3):174-179. doi: 10.1016/j.jphys.2020.06.007. Epub 2020 Jul 10.
PMID: 32660919DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Leonardo Costa, PT, PhD
Universidade Cidade de São Paulo
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD Student
Study Record Dates
First Submitted
August 25, 2016
First Posted
August 30, 2016
Study Start
April 3, 2017
Primary Completion
November 23, 2018
Study Completion
November 23, 2018
Last Updated
September 26, 2019
Record last verified: 2019-09