The Importance of Manual Therapy Specificity Referred to Pain Intensity in Patients With Subacute and Unspecified Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- Change in Pain intensity
研究概览
简要总结
This study proves the specificity of manual therapy in unspecified an subacute low back pain
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •People with history of spinal surgeries, osteoporosis and tumor.
- •Pregnant and people with severe respiratory and cardiac illness.
结局指标
主要结局
Change in Pain intensity
时间窗: 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)
次要结局
- 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.)
研究者
Alexander Achalandabaso
Physiotherapist
University of Jaén