Predictors for Identifying Patients With Non-specific Back Pain Who Respond Favorably to Spinal Manipulation: a Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Non-specific Back Pain
- Sponsor
- Université du Québec à Trois-Rivières
- Enrollment
- 107
- Locations
- 1
- Primary Endpoint
- Thoracic Back Pain (Numerical Analog Scale)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The main purpose of this study is to identify short-term predictors of positive responses to a spinal manipulation treatment. To do this, positive responses to treatment, characterized by improvement in pain score, functional capacity, as well as the global perceived change will be evaluated using single and multiple logistic regressions in which biomechanical variables, comfort, expectation will used as potential predictors.
Detailed Description
The main purpose of this study is to identify short-term predictors of positive responses to a spinal manipulation treatment. To do this, positive responses to treatment, characterized by improvement in pain score, functional capacity, as well as the global perceived change will be evaluated at baseline and at 7 days. Pain score will be also assessed every day with text-tracking. Global perceived change will be evaluated using single and multiple logistic regressions in which biomechanical variables, comfort, expectation will used as potential predictors. 100 individuals with a history of non-specific back pain will be recruited in a chiropractic care center.
Investigators
Martin Descarreaux
Professor, Doctor of Chiropractic
Université du Québec à Trois-Rivières
Eligibility Criteria
Inclusion Criteria
- •Being aged over 18 years old
- •Presenting non-specific back pain (chronic \>=3 months or recurrent complaint)
- •Speaking French or English
Exclusion Criteria
- •Symptomatic thoracic pain
- •Non-musculoskeletal disorders pain
- •Pregnancy
- •Not eligible to spinal manipulation (if osteoporosis, vertebral fracture history, thoracic disk herniation)
Outcomes
Primary Outcomes
Thoracic Back Pain (Numerical Analog Scale)
Time Frame: change from baseline to Day-7
assessed by a 0-10 points scale, higher score means altered, lower score means improved
Functional Disability (Quebec Back Pain Disability Scale)
Time Frame: change from baseline to Day-7
assessed by 0-100 points questionary. Higher scores correlate to greater disability
Global Perceived Change Scale
Time Frame: at day-7
assessed by a 11-point score scale: higher score means improved, lower score means altered
Secondary Outcomes
- Level of Comfort(at baseline (post-intervention))
- Expectation (for improvement of pain and disability)(at baseline (pre-intervention))
- Dosage(during the intervention)
- Level of anxiety(at baseline (pre-intervention))
- Tampa Scale of Kinesiophobia(at baseline(pre-intervention))
- Socio-demographic factors(at baseline(pre-intervention))