Chiropractic manipulation versus active release technique of gluteus medius muscle and the combination thereof in the treatment of chronic mechanical low back pain

niversity of Johannesburg Health Science Ethics Committee0 个研究点目标入组 30 人开始时间: 2019年10月31日最近更新: 2023年5月29日

试验速览

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•To be included in the study, potential participants must meet the following criteria:
•Present with chronic mechanical low back pain for more than 3 months with pain reported anywhere from the lower margin of the rib cage to the lower gluteal fold which may occur with or without referral into the lower extremity.
•Active trigger points identified in the gluteus medius muscle upon flat palpation with the following diagnostic criteria: The presence of a hyper-irritable taut band within the gluteus medius muscle, palpation tenderness or an involuntary contraction of the muscle in response to flat palpation, a characteristic referral pain presenting medial towards the sacrum, superiorly along the iliac crest and throughout the buttock with pressure application to the gluteus medius muscle.
•Did not participate in activities or have an occupation that included vigorous activity that may perpetuate or aggravate the existing problem.
•Male or female participants between ages of 18-40 years old to exclude any degenerative diseases that may alter the study results.
•Have an initial pain score of at least 3/10 on the Visual Analogue Scale (VAS).
•On examination, it must be confirmed, using Gillet’s motion palpation technique that the participants have a restricted sacroiliac joint .

•Potential participants are excluded if :
•Participants present with a possibility of a serious spinal or pathologic disorder that may alter the study results.
•Participants have a history of spinal surgery.
•Participants who present with contra-indications to chiropractic manipulative therapy of the sacroiliac joint as determined by history taking, physical examination and lumbar spine regional examination.
•Participants who have received any form of treatment to the lumbar spine, including the sacroiliac joint or active gluteus medius trigger points in the last three months, prior to the study, including manual therapy such as massage, physiotherapy and medications such as analgesics, muscle relaxants or non-steroidal anti-inflammatory drugs.
•Participants who present with contra-indications to soft tissue therapies such as active release technique.

发起方

niversity of Johannesburg Health Science Ethics Committee