The Influence of an Orthopaedic Manual Physical Therapy Approach and Sensory Training on Somatoperception in Patients with Chronic Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- Brooke Army Medical Center
- Enrollment
- 48
- Primary Endpoint
- Tactile acuity as measured by two-point discrimation
- Status
- Not yet recruiting
- Last Updated
- last year
Overview
Brief Summary
Individuals with chronic low back pain and other chronic pain conditions have been shown to have altered somatosensory, the ability to sense input to the tissue, which is processed in the primary somatosensory cortex or S1. Two-point discrimination is currently the best clinical tool utilized to assess an individual's ability to sense touch. This study will assess TPD changes after a course of standard physical therapy care with the addition of sensory training.
Investigators
Brooke Barletta
Principal Investigator
Brooke Army Medical Center
Eligibility Criteria
Inclusion Criteria
- •DEERS eligible
- •18 to 64 years old
- •Low back pain \> 3 months
- •Numeric Pain Rating Scale minimal pain rating of 3/10 in the last seven days
- •Must be able to commit to 6-10 treatment sessions over a period of at least 6-we
Exclusion Criteria
- •History of spinal surgery
- •History of spinal injections or nerve ablations in the past year
- •History of traumatic brain injury (TBI)
- •History of cerebral vascular accident (CVA)
- •Currently pregnant
- •Active cancer
- •Symptoms below the knee
- •Non-MSK condition contributing to low back pain
- •Chronic Pain Conditions to include Chronic Regional Pain Syndrome and Fibromyalgia
- •Autoimmune Diseases (to include Ankylosing Spondylitis, Lupus, Rheumatoid Arthritis)
Outcomes
Primary Outcomes
Tactile acuity as measured by two-point discrimation
Time Frame: Performed at baseline visit, 4th week of treatment, and at final visit (8 +/- 2 weeks).
measured using a Caroline 2-point discriminator tool. TPD is the most widely accepted objective measurement of tactile acuity in the clinical setting
Secondary Outcomes
- Function(Performed at baseline, 4th week of treatment, and final visit (8 +/- 2 weeks).)
- Pain as measured by numeric pain rating scale(Performed at baseline, 4th week of treatment, and final visit (8 +/- 2 weeks).)
- Tactile Localization Accuracy(Performed at baseline, 4th week of treatment, and final visit (8 +/- 2 weeks).)
- Low back perception(Performed at baseline, 4th week of treatment, and final visit (8 +/- 2 weeks).)