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Combined Treatment of Manual Therapy and Therapeutic Exercise in Patients With Low Back Pain

NCT04384185 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42

Last updated 2021-09-28

No results posted yet for this study

Summary

MAIN OBJECTIVE: to assess whether an exercise protocol on the lumbar musculature by adding manual therapy techniques on the diaphragm muscle has the same or greater effect on chronic non-specific lumbar pain than an isolated exercise protocol.

SECONDARY OBJECTIVES: to evaluate the effectiveness of a lumbar exercise protocol in chronic non-specific low back pain in isolation; To evaluate the effectiveness of both therapies in improving joint range in patients with chronic non-specific low back pain and, finally, to assess catastrophism and the avoidance of lumbar mobility when carrying out loaded movements.

HYPOTHESIS: that a lumbar exercise protocol combined with manual therapy treatment on the diaphragm is equal or more effective on pain in patients with chronic nonspecific low back pain than treatment with the same lumbar exercise protocol in isolation.

Conditions

  • Low Back Pain, Mechanical
  • Musculoskeletal Manipulations
  • Exercise Training

Interventions

OTHER

Exercise protocol

Exercises: * Pelvic tilt. * brinding. * cuadruped arm/leg raise. * Abdominal strengthening exercises. * Low-back muscles stretching. * The side bridge. * Side leg separation

OTHER

Manual therapy

1. Functional diaphragm balancing technique: gentle vertical pressure was applied for 5 minutes at the diaphragm level. 2. Muscle fiber stretching technique: a cranial traction was performed from the lower edge of the costal arches during the inspiratory breathing phase, for more than 10 respiratory cycles. 3. Phrenic-center inhibition technique (Figure 3C): the soft tissue was pumped during the expiratory phase by gently and simultaneously using both hands to create pressure in cranial and caudal direction, for more than 10 respiratory cycles.

Sponsors & Collaborators

  • University of Alcala

    lead OTHER

Principal Investigators

  • Tomas Gallego Izquierdo, PhD · Alcala University

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
70 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2020-09-01
Primary Completion
2021-01-30
Completion
2021-04-15

Countries

  • Spain

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04384185 on ClinicalTrials.gov