The Effects of Thrust Joint Manipulation on the Resting and Contracting Thickness of Transversus Abdominis in Subjects With Low Back Pain
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Nova Southeastern University
- Enrollment
- 67
- Locations
- 4
- Primary Endpoint
- Transversus Abdominis thickness change.
Study Overview
Brief Summary
The primary aim of this study is to examine how different physical therapy interventions affect the resting state and contraction state of a certain abdominal muscle in patients with low back pain.
Detailed Description
Patients with low back pain (LBP) will undergo ultrasound imaging of the transversus abdominis to measure the muscle thickness at rest and at the contracted state prior to intervention and again immediately after intervention. In this randomized controlled trial, patients will be randomized into one of two groups. One group will receive the intervention of thrust joint manipulation of the lumbar spine and the other group will receive the intervention of non-thrust joint manipulation of the lumbar spine.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adults between 18-70 years of age with primary symptom of LBP, with or without referral into lower extremity.
- •Subjects must be able to read and write in English.
Exclusion Criteria
- •Presence of serious pathology.
- •Diagnosis of spinal stenosis or symptoms in both lower legs (changes in sensation, muscle weakness).
- •Any history of low back surgery, rheumatoid arthritis, osteoporosis, osteopenia, scoliosis, or ankylosing spondylitis.
- •Pregnancy
- •Pending legal action.
- •Prior surgery to the lumbar spine or fractures of the lumbar spine.
Outcomes
Primary Outcomes
Transversus Abdominis thickness change.
Time Frame: Baseline to immediately after the intervention (within 5 minutes).
Measurement of change in thickness from resting to contraction will be compared at baseline (pre-intervention) to immediately following the intervention (post-intervention). The study is looking at the immediate effects so there is no short-term or longer follow up.
Secondary Outcomes
- Fear-Avoidance Beliefs Questionnaire(Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.)
- Numeric Pain Rating Scale(Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.)
- Oswestry Low Back Pain Questionnaire(Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.)
- Global Rating of Change(Immediately post-intervention (within 5 minutes) and at follow-up within 48 hours over the phone.)
Investigators
Kelly Fosberg
Principal Investigator; Nova Southeastern University PhD student in Physical Therapy
Nova Southeastern University