A randomised controlled trial comparing targeted thrust manipulation with a general manipulation thrust in low back pain: Is a general approach as effective as specific?

niversity of Manchester0 个研究点目标入组 76 人开始时间: 2017年4月12日最近更新: 2019年11月11日

适应症

试验速览

•1. Adults aged 18 to 60 with low back pain
•2. Roland Morris Pain and Disability Questionnaire (RM) score of 4 or more at the initial examination
•3. Symptoms for at least 3 weeks

•1. Frank spinal deformity
•2. Lumbosacral anomalies
•3. Neoplastic disease of skeletal or soft tissue of the spine
•4. Bone disease e.g. Paget’s disease, osteoporosis, osteomyelitis
•5. Inflammatory arthritis, rheumatoid arthritis, ankylosing spondylitis
•7. Cord signs: signs of a upper motor neuron lesion at the spinal cord level
•8. Positive Lhermitte’s sign: This is where on flexion of the neck tingling or shock like sensations run down the arms to the fingers or down the legs and is a sign of a lesion in the posterior columns of the cervical cord (Draper, 1985).
•9. Cervical and thoracic joint conditions producing neurological symptoms in one or both lower limbs
•10. Evidence of involvement of one or more spinal nerve root
•11. Cauda equina syndrome- triad of low back and or leg pain, numbness in the sacral region and loss of bladder or bowel control (Draper, 1985).
•12. Advanced diabetes when tissue vitality might be low
•13. Vascular abnormalities, visceral arterial disease
•14. Congenital generalised hypermobility Ehlers-Danlos syndrome
•15. Advanced degenerative changes
•16. Severe root pain
•17. Undiagnosed pain
•18. Painful joint conditions, psychologically reinforced where manipulation runs the risk of producing an obsessional neurosis of vertebral displacement.
•19. Warfarin sodium anticoagulant medication.
•20. Pregnancy

发起方

niversity of Manchester