The Importance of Manual Therapy Specificity Referred to Pain Intensity in Patients With Subacute and Unspecified Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Jaén
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Change in Pain intensity
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This study proves the specificity of manual therapy in unspecified an subacute low back pain
Detailed Description
The purpose of the study is to determine the importance of manual therapy specificity in relation to subacute low back pain. In order to do this, it will be selected a sample of at least 48 people who suffer low back pain whose duration has not exceeded 12 weeks. Patients will be divided into two groups and a different physiotherapist from the one who will subsequently perform the intervention, will assess and determine which is the most painful segment in each of them. In the first group, the intervention to be carried out will be through posteroanterior (PA) vertebral mobilizations in the most painful lumbar segment. The members of the second group will undergo this same technique on a painful segment of the region adjacent to the one they have referred as the main source of pain. Each of these sessions will continue until the patient's symptoms have decreased two points on the numerical scale of pain. There will be one session per week, for six weeks. To determine the differences between the two groups, there will be carried out 4 measurements of pain, functional disability, quality of life and kinesiophobia, and 3 measurements of pressure pain threshold were performed. Each one of them will be carried out in the first session, in the third week of treatment, in the last session of the treatment and one month after the end of the treatment. The last measeurement will be executed online and that is why the pressure pain threshold will be measured three times while the rest will be do it. The hypothesis is that it won´t be differences in the amount of pain between the tratment on the main painful segment and the treatment on his adyacent segment.
Investigators
Alexander Achalandabaso
Physiotherapist
University of Jaén
Eligibility Criteria
Inclusion Criteria
- •People aged between 18 and 65 years old with unspecific and subacute low back pain.
- •Participants must be capable of walking twice a week 20 minutes per day.
Exclusion Criteria
- •People with history of spinal surgeries, osteoporosis and tumor.
- •Pregnant and people with severe respiratory and cardiac illness.
Outcomes
Primary Outcomes
Change in Pain intensity
Time Frame: Baseline, 3 weeks, 6 weeks and 10 weeks after intervention beginning.
Using Numeric Pain Rating Scale (NPRS). In this scale patients rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain)
Secondary Outcomes
- Change in Health related quality of life(Baseline, 3 weeks, 6 weeks and 10 weeks after intervention beginning.)
- Change in Kinesiophobia(Baseline, 3 weeks, 6 weeks and 10 weeks after intervention beginning.)
- Change in Pressure Pain Threshold(Baseline, 3 weeks and 6 weeks after intervention beginning.)
- Change in Disability(Baseline, 3 weeks, 6 weeks and 10 weeks after intervention beginning.)