Early Use of Thrust Manipulation Versus Non-Thrust Manipulation: A Randomized Clinical Trial
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 149
- 试验地点
- 1
- 主要终点
- Oswestry disability index
研究概览
简要总结
The objective of this study is to investigate the comparative benefit of thrust and non-thrust manipulation on a population of patients with low back pain. The investigators hypothesize that there will be no difference in 4 week outcomes or greater, between the two groups.
详细描述
Thrust manipulation is considered traditional spinal manipulation. Nonthrust manipulation is considered mobilization. The mobilization will be used in a similar manner as in clinical practice and this differs from past studies.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients, age 18 and older, with mechanically producible low back pain, who attend care at a physical therapy outpatient setting, will be screened for eligibility for the study.
- •For patients to meet inclusion requirements, they had to display a within session change in pain and/or range of motion during the assessment phase of the clinical examination. In other words, as the clinician performed their assessment and applied a passive accessory assessment technique, the pain and/or range of motion improved during that session, which suggests a favorable outcome using a comparable treatment technique. This is hallmark clinical finding in the patient response model and has been proposed as both a predictor of a positive outcome and as a prognostic variable toward long-term improvements in impairments.
排除标准
- •The presence of any red flags (i.e., tumor, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
- •Signs consistent with nerve root compression (reproduction of low back or leg pain with straight leg raise at less than 45°
- •Muscle weakness involving a major muscle group of the lower extremity,
- •Diminished lower extremity muscle stretch reflex
- •Diminished or absent sensation to pinprick in any lower extremity dermatome)
- •Other exclusion criteria included prior surgery to the lumbar spine and current pregnancy
研究组 & 干预措施
Thrust manipulation
Clinicians will use thrust manipulation at a targeted level to provide the treatment on selected individuals
干预措施: Thrust manipulation (Procedure)
Non-thrust manipulation
Clinicians will apply non-thrust manipulation (targeted) as performed in a clinical manner for treatment for included individuals
干预措施: Non-thrust manipulation (Procedure)
结局指标
主要结局
Oswestry disability index
时间窗: Baseline to discharge from therapy services (up to 4 months). An expected average is 4 weeks.
Change score
次要结局
- Numeric Pain Rating Scale (NPRS)(Baseline to discharge from therapy services (up to 4 months). An expected average is 4 weeks.)
研究者
Chad Cook
Principal Investigator
Walsh University