In patients with non-specific thoracic pain is spinal manipulative therapy a more effective treatment than Graston therapy or placebo for pain and disability reduction?

Bruce Walker0 个研究点目标入组 100 人开始时间: 2008年2月7日最近更新: 2020年1月13日

适应症

试验速览

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•Primary complaint of thoracic spine pain from T1-12
•- Duration of pain for three months or less
•- A VAS score of 3 out of 10or greater and an Oswestry Back Pain Disability index score of greater than 30% at baseline
•- Only patients who received a diagnosis of non specific thoracic pain from the screening clinician will be accepted into the study. Diagnosis will be made by questioning and examining the participant. The descriptive classification by Triano et al (1980) will be used to diagnose non specific thoracic spine pain (Midline back pain, Non dermatomal referred pain difficult to localise, No signs of nerve root tension, No major neurological deficit, Pain with compression over the thoracic spine into spine extension. Reduced range of motion)
•- Radiographs will be taken when deemed necessary to exclude patients with contraindications to manipulation or other complicating disease, as described in the exclusion criteria. This decision will be based on the criteria set by the National Health and Medical Research Council for Acute Thoracic (AAMPGG, 2003)
•- Patients will be accepted into the study if they are able to comply with the treatment protocol

•- Are aged less than 18 years
•- Pregnant Females
•- Have contraindication to manual therapy (inclusive of severe osteoporosis, thoracic fractures, spinal infection, neoplastic disorders, spondyloarthropathy, disc protrusion or generalised infection, i.e. anyone with a temperature greater than 37.5 degrees Celsius)
•- Have contraindications to Graston therapy (Cancer, Kidney infection, Anti-coagulant Medication, Rheumatoid arthritis, Uncontrolled hypertension, Unhealed fracture, Inflammatory conditions due to infection, Osteomyelitis)
•- Have somatic conditions found on examination to refer pain to the thoracic spine from outside the defined area (inclusive of cervical zygapophyseal joints, muscles and discs)
•- Have an active history of visceral conditions referring pain to the thoracic spine (inclusive of myocardial ischaemia, dissecting thoracic aortic aneurysm, peptic ulcer, acute cholecystitis, pancreatitis, renal colic, acute pyelonephritis)
•- Current and known substance abuse
•- Are not fluent and/ or literate in the English language
•- Are currently receiving care for thoracic pain from any other provider
•- Cannot commit to full study protocol
•- Are currently seeking compensation or have commenced litigation for thoracic spine pain

发起方

Bruce Walker