Effectiveness of Three Manual Physical Therapy Techniques in a Subgroup of Patients With Low Back Pain
Completed · Phase 1
Conditions studied: Low Back Pain
In brief
Recently a clinical prediction rule (CPR) has been developed and validated that accurately identifies patients with low back pain that are likely to benefit from a lumbo-pelvic manipulation. The studies that developed and validated the rule used the identical manipulation procedure. However, recent evidence suggests that different manual therapy techniques may result in the same outcome.Purpose: The purpose of this study is to investigate the effectiveness of three different manual therapy techniques in a subgroup of patient with low back pain that satisfy the CPR.
Key facts
- Study ID
- NCT00257998
- Run by
- Franklin Pierce University
- People needed
- 240
- Starts
- 2005-11-01
- Expected to finish
- 2007-10-01
- Last updated by the study team
- 2007-11-02
Who can join
Age: 18 and older, up to 60. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Chief complaint of pain and/or numbness in the lumbar spine, buttock, and/or lower extremity
- Oswestry disability score of at least 25%
- Age greater than 18 years and less than 60 years
- At least four out of five of the following criteria:
- Duration of current episode < 16 days (judged from the patient's self-report)
- No symptoms extending distal to the knee (judged from the pain diagram)
- FABQ-W score <19
- At least one hip with >350 internal rotation range of motion (measured in prone)
- Stiffness in the lumbar spine (judged from segmental mobility testing)
You may not qualify if…
- Red flags noted in the participant's general medical screening questionnaire (i.e. tumor, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
- Signs consistent with nerve root compression, this includes any one of the following:
- Reproduction of low back or leg pain with straight leg raise at less than 450
- Muscle weakness involving a major muscle group of the lower extremity
- Diminished lower extremity muscle stretch reflex (Quadriceps or Achilles tendon)
- Diminished or absent sensation to pinprick in any lower extremity dermatome
- Prior surgery to the lumbar spine or buttock
- Current pregnancy
- Past medical history of osteoporosis or spinal compression fracture
- Inability to comply with treatment schedule (weekly sessions for four weeks)
Where it is running
- Rehabilitation Services of Concord Hospital — Concord, New Hampshire, United States
Full record on ClinicalTrials.gov
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