Effects of Lumbosacral Joint Mobilization/Manipulation on Lower Extremity Muscle Neuromuscular Response
Stopped early · Not applicable
Conditions studied: Knee Pain, Hip Pain, Ankle Pain, Lumbopelvic Pain
In brief
The purpose of this study is to gain a better understanding of the effects of lumbopelvic manual therapy on lower extremity biomechanics and arthrogenic muscle response. As a result of this study, we also hope that physical therapists, athletic trainers, and other physical medicine rehabilitation providers will gain a better understanding of lower extremity injuries and have the scientific evidence to provide patients with techniques which would allow for efficient return to activities of daily living without restrictions and possibly prevent future injuries and minimize risk of osteoarthritis. The objectives of this study are to: * Determine the amount and duration of arthrogenic muscle response of quadriceps muscles following lumbopelvic joint manipulation. * Determine the effects of lumbopelvic joint manipulation on temporospatial parameters of gait such cadence, step length, velocity and mean peak lower extremity joint moments. * Determine if a correlation exists between patellofemoral joint pain and lumbopelvic joint dysfunction. * Determine the amount of change in clinical outcome measure scores following lumbopelvic joint manipulation.
Key facts
- Study ID
- NCT00601341
- Run by
- University of Virginia
- People needed
- 106
- Starts
- 2005-05-01
- Expected to finish
- 2009-11-01
- Last updated by the study team
- 2010-06-24
Who can join
Age: 18 and older, up to 50. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Physician referral to physical therapy for treatment of insidious onset of lumbopelvic or lower extremity musculoskeletal dysfunction or individuals with chronic lumbopelvic or lower extremity musculoskeletal dysfunction not wishing to seek physical therapy services.
- Unilateral or Bilateral hip pain or dysfunction
- Unilateral or Bilateral knee pain or dysfunction with two of the following symptoms:
- Pain reproduced with patella compression, squatting, prolonged sitting, going up or down stairs, or isometric quadriceps contraction.
- Unilateral or Bilateral ankle pain or dysfunction
- Lumbopelvic pain or dysfunction
- Control subjects who volunteer in response to advertisements will have healthy, pain free, back, hips, knees, and ankles.
You may not qualify if…
- Participants who are outside of age range (to ensure bony maturity while reducing the prevalence of age related degenerative changes and hypomobility.)
- Participants with knee pain which does not fit inclusion criteria.
- Ligamentous insufficiency, meniscus damage, patellar tendonitis, history of subluxation/dislocation
- Participants with signs indicating nerve root compression (contraindication for lumbopelvic joint manipulation)
- Pain extending below knee
- Positive Straight Leg Raise
- Decreased lower extremity manual muscle test (Below 4/5), decreased sensation, hyporeflexia
- Participants demonstrating upper motor neuron signs (contraindication to lumbopelvic manipulation)
- Hyperreflexia
- Pathological reflexes
- Participants who have had lower extremity or spine surgery
- Participants who are unable to run for 5 minutes.
- Participants with ankylosing spondylitis (contraindication for lumbopelvic manipulation)
- Participants with spinal hypermobility or spondylolisthesis. (contraindication for lumbopelvic manipulation)
- Participants with spinal cord disease or cauda equina. (contraindication for lumbopelvic manipulation)
- Participants with osteoporosis. (contraindication for lumbopelvic joint manipulation)
- Participants with rheumatoid arthritis. (contraindication to lumbopelvic joint manipulation.)
- Participants who may be currently pregnant. (contraindication for electrical stimulation and lumbopelvic joint manipulation.)
- Participants with traumatic spine or lower extremity injury within past 6 months
- Participants who are currently participating or have participated in a lower extremity musculoskeletal rehabilitation program within the past 6 months.
- Participants who have had previous adverse reactions to electrical stimulation (i.e. electrode burns.)
- Participants who have a demand-type cardiac pacemaker (contraindication for electrical stimulation)
- Participants with diagnosis of cancer (current cancer is a contraindication for electrical stimulation and relative contraindication for lumbopelvic joint manipulation)
- Participants who are unable to give consent or are unable to understand procedures of experiment.
Where it is running
- University of Virginia — Charlottesville, Virginia, United States
Full record on ClinicalTrials.gov
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