The Effects of Thrust Joint Manipulation on the Resting and Contracting Thickness of Transversus Abdominis in Subjects With Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 67
- 试验地点
- 4
- 主要终点
- Transversus Abdominis thickness change.
研究概览
简要总结
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.
详细描述
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.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Transversus Abdominis thickness change.
时间窗: 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.
次要结局
- 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.)
研究者
Kelly Fosberg
Principal Investigator; Nova Southeastern University PhD student in Physical Therapy
Nova Southeastern University