The Underlying Mechanism of Spinal Manipulative Therapy and the Effect of Pain on Physical Outcome Measures
NCT01761838 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 103
Last updated 2015-08-11
Summary
The purpose of this study is to compare changes in spinal stiffness and back muscle activity between spinal manipulative therapy (SMT) responders, non-responders and asymptomatic participants. Additionally, the investigators wanted to compare the amount of lumbar degeneration between SMT responders, non-responders and asymptomatic participants. This study also determines if the presence of pain modifies post-SMT spinal stiffness and back muscle activity.
Conditions
- Low Back Pain
- Degeneration of Lumbosacral Intervertebral Disc
- Muscle Weakness
- Spine Stiffness
Interventions
- OTHER
-
SMT for low back pain patients
High velocity, low amplitude spinal manipulative therapy (HVLA-SMT) will be provided to the lumbopelvic region on both sides.
- OTHER
-
Pain induction (optional)
A randomized crossover design is used to investigate the changes in spinal stiffness and back muscle activity of asymptomatic participants following an experimental pain induction procedure. Specifically, asymptomatic participants attend two separate sessions 5 days apart. Participants will receive 0.3 ml of 5% hypertonic saline or 0.9% isotonic saline in random order into the interspinous ligaments at L3 to L5 levels. The resulting temporal changes in pain intensity, spinal stiffness and trunk muscle activity following saline injections will be monitored. During the second session, the participants will undergo the same procedures but with the previously unused saline concentration.
- OTHER
-
Low back pain participants without SMT
No treatment
Sponsors & Collaborators
-
University of Alberta
lead OTHER
Principal Investigators
-
Gregory N Kawchuk, PhD, DC · Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2014-10-31
- Completion
- 2014-10-31
Countries
- Canada
Study Locations
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