Central Mechanism of Manual Therapy for Low Back Pain
1 other identifier
interventional
29
1 country
2
Brief Summary
The purpose of this study is to examine the change of nervous system activity before and after spinal manipulation treatment program in people with low back pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable low-back-pain
Started May 2012
Longer than P75 for not_applicable low-back-pain
2 active sites
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
Study Start
First participant enrolled
May 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedFirst Submitted
Initial submission to the registry
March 1, 2017
CompletedFirst Posted
Study publicly available on registry
March 13, 2017
CompletedMarch 13, 2017
March 1, 2017
4 years
March 1, 2017
March 10, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Pain Threshold measured using Pain Pressure Threshold (PPT) testing
Outcome will be measured using Pain Pressure Threshold (PPT) testing. Pressure will be applied to subjects using a digital algometer. Three trials for PPT will be done and the mean value will be calculated.
Change from Pre-treatment to Post-treatment, 2 Weeks
Secondary Outcomes (3)
Change in function measured using the Oswestry Disability Index (ODI)
Change from Baseline to Week 2
Change in Low Back Pain measured using the Numerical Pain Rating Scale (NPRS)
Change from Baseline to Week 2
Change in Fear Avoidance Beliefs Questionnaire (FABQ)
Change from Baseline to Week 2
Study Arms (2)
Spinal Manipulation
EXPERIMENTALSubjects with subacute low back pain. Subjects will receive 6 treatments of Spinal Manipulation (SM) over 2 consecutive weeks
Placebo Spinal Manipulation
PLACEBO COMPARATORSubjects with subacute low back pain. Subjects will be asked to visit the clinic for 6 times. The clinician will go through SM motions but the spine will not actually be manipulated.
Interventions
The subject will be asked to lay down and bend in a specific way. The clinician will apply force to certain areas to manipulate the spine.
The subject will be asked to lay down and bend in a specific way. The clinician will apply force to certain areas to simulate manipulating the spine.
Eligibility Criteria
You may qualify if:
- Diagnosis of subacute low back pain
- Ability to read and understand English
You may not qualify if:
- Previous low back surgery
- Severe structural spinal deformity
- Neurological compromise resulting in current nerve root entrapment
- Spinal cord compression
- Tumor
- Severe spinal instability
- Severe osteoporosis
- Psychiatric disease
- Head trauma
- Spinal infection
- Known cardiovascular or metabolic disease
- Known neurological, neuromuscular or orthopedic problems that might prevent them from participating in manual therapy interventions
- Pregnancy
- Mini-Mental State Examination score \< 25
- Body Mass Index (BMI) \< 18 or \> 30
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University Of Kansas Medical Center
Kansas City, Kansas, 66160, United States
University of Saint Mary
Leavenworth, Kansas, 66048, United States
Related Publications (1)
Bond BM, Kinslow CD, Yoder AW, Liu W. Effect of spinal manipulative therapy on mechanical pain sensitivity in patients with chronic nonspecific low back pain: a pilot randomized, controlled trial. J Man Manip Ther. 2020 Feb;28(1):15-27. doi: 10.1080/10669817.2019.1572986. Epub 2019 Mar 5.
PMID: 30935324DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wen Liu, PhD
University of Kansas Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2017
First Posted
March 13, 2017
Study Start
May 1, 2012
Primary Completion
May 1, 2016
Study Completion
August 1, 2016
Last Updated
March 13, 2017
Record last verified: 2017-03