A Follow-up Comparison of Active Versus Passive Manual Therapy in Patients With Low Back Pain: a Randomized Control Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 102
- 试验地点
- 2
- 主要终点
- Straight Leg Raise
研究概览
简要总结
To determine if there is any carry over difference between the type of education provided about common treatment techniques for patients with low back pain. This will be looked at right after treatment and when patients return on their second visit after they do a common exercise program for a few days.
详细描述
Prior clinical trials have shown that patients respond differently to different explanations about interventions performed. A recent randomized clinical trial demonstrated that a 10-minute manual therapy treatment (prone lumbar Posterior to Anterior mobilization (PA's) with a neuroplasticity vs. traditional biomechanical explanation) produced an immediate, significant improvement in straight leg raise (SLR) and pain for patients with chronic low back pain. However, there is a need to examine whether there is any carry over (48-96 hours) or if utilizing a home exercise program (HEP), aimed at increasing the various sensory process applied in the clinic, produces any carry over. This will be looked at in patients with who are provided different explanations about common back treatment techniques to see if there will be any change in pain rating or back and leg movement.
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 (Participant)
盲法说明
Patients were randomly assigned to one of two treatment groups
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •adults over the age of 18
- •patients presenting at PT with a primary complaint of LBP
- •LBP being present for 6 months or more
- •fluent in English
- •willing to participate in the study.
排除标准
- •under age 18
- •not able to read/understand the English language
- •prisoners
- •no medical issues precluding physical therapy treatment (red flags)
- •no medical precautions to the use of manual therapy (metal, skin lesions, etc.)
- •prior spine surgery
- •unable to lay prone for the treatment
研究组 & 干预措施
Passive treatment
Passive treatment will consist of Manual Therapy with biomechanical explanation of the technique.
干预措施: Manual Therapy with Traditional Biomechanical Explanation (Other)
Active Treatment
Active treatment will consist of Manual Therapy with a neuroplasticity explanation of the technique.
干预措施: Manual Therapy with Neuroplastiicity Explanation (Other)
结局指标
主要结局
Straight Leg Raise
时间窗: Change from initial treatment to 2-4 days
Neurodynamic Measurement of Leg Raise (lower limb tension test)
Lumbar flexion
时间窗: Change from initial treatment to 2-4 days
Active trunk forward flexion in cm (distance finger tips to floor)
Low Back Pain Rating
时间窗: Change from initial treatment to 2-4 days
Numeric Pain Rating Scale for Back Pain (0 = no pain and 10 = worst pain). The minimal detectable change (MDC) for the NPRS for low back pain is reported to be 2.0.
次要结局
未报告次要终点
研究者
Kevin Farrell
Professor, Chair of Clinical Residency Program in Orthopaedic Physical Therapy
St. Ambrose University