The Influence of an Orthopaedic Manual Physical Therapy Approach and Sensory Training on Somatoperception in Patients with Chronic Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 48
- 主要终点
- Tactile acuity as measured by two-point discrimation
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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)
- •Currently under litigation related to low back pain
- •Currently going through Medical Evaluation Board (MEB)
- •Retiring or separating from the military within a year
- •Currently receiving physical therapy for low back pain
结局指标
主要结局
Tactile acuity as measured by two-point discrimation
时间窗: 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
次要结局
- 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).)
研究者
Brooke Barletta
Principal Investigator
Brooke Army Medical Center