Regional Manual Therapy and Motor Control Exercise for Chronic Low Back Pain

Completed · Not applicable

Conditions studied: Low Back Pain, Musculoskeletal Pain

In brief

Purpose: The primary purpose of this study is to determine whether or not the addition of thoracic, pelvic, and hip manual therapy to a standard physical therapy (PT) approach consisting of motor control exercises and lumbar spine manual therapy is better than standard PT alone at improving thoracolumbar spine range of motion (ROM), hip ROM, pain intensity, disability level, and perceived change in patients with chronic low back pain (CLBP) and movement coordination impairments. Hypothesis: In a CLBP subgroup with movement coordination impairments, participants receiving thoracic, pelvic, and hip manual therapy with standard PT will be superior to participants receiving standard PT alone at improving thoracolumbar spine ROM, hip ROM, pain intensity, physical disability level, and perceived change at two, four, and 12 weeks after initiating treatment.

Key facts

Study ID

NCT02170753

Run by

University of Texas Southwestern Medical Center

People needed

46

Starts

2014-06-01

Expected to finish

2016-06-01

Last updated by the study team

2016-06-27

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• between the ages of 18 and 65
• have an active complaint of non-specific low back pain for at least three months
• demonstrate hypomobility of the thoracic or lumbar regions on at least one spinal level
• demonstrate at least two of the following unilateral or bilateral hip ROM deficits: hip flexion < 110°, hip extension loss > 6°, or hip rotation < 30° internally or externally
• demonstrate any one of the following: pain that worsens with sustained end- range movements or positions, lumbar hypermobility, diminished trunk or pelvic muscle strength and endurance, or movement coordination impairments during community/work activities
• Modified Oswestry Score ≥ 30%

You may not qualify if…

• evidence of red flags, including fracture, infection, spinal tumor, or cauda equina syndrome
• pain that can be centralized through repeated movements
• signs of hyporeflexia, hypoesthesia, and myotomal weakness indicative of nerve root compression
• pregnancy
• systemic inflammatory conditions such as rheumatoid arthritis or ankylosing spondylitis
• inability to safely tolerate manual therapy to the spine or hips
• injections to the low back within the 2 weeks preceding the initial evaluation

Where it is running

• Health Professions Physical Therapy Clinic — Dallas, Texas, United States

Full record on ClinicalTrials.gov

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