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Clinical Correlates of Pressure Pain Thresholds in Back and Leg Pain

NCT06653920 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 98

Last updated 2024-10-22

No results posted yet for this study

Summary

Objectives: The purpose of this study was to determine whether tenderness and other commonly used chiropractic measures, when operationalized, improve after lumbar chiropractic manipulative therapy (CMT) in patients with lower back and/or leg pain. A secondary aim was to determine whether changes in tenderness as measured using algometry, correlate with other commonly used measures before and after care.

Conditions

  • Segmental Dysfunction of the Lumbar Spine
  • Back Pain
  • Leg Pain

Interventions

OTHER

Chiropractic

SM used by the practitioner was the chiropractic side posture pisiform contact push move with a P-A thrust isolated to the lumbosacral joints and applied to the side of primary back and/or leg pain. Patients presenting with spondylolisthesis received a side posture distraction type maneuver instead of a P-A thrust. As pain began to subside during subsequent visits patients were transitioned to bilateral application of SM, rather than continuing treatment only on the side of back pain or radiculopathy.

OTHER

Exercise

Core spine stretch and strength training throughout the course of care.

OTHER

Cryotherapy

Therefore, during each treatment session when patients reported pain they received pretreatment with cryotherapy using a reusable ice pack (Polar Ice, Pelton/Shepherd Industries, Stockton, California) wrapped in 2 layers of headrest paper, but otherwise applied directly to the skin vertically along the lumbosacral spine, for 5 minutes.

DEVICE

Spinalator

When patients no longer reported leg pain, spinalator intersegmental traction at \~10 lb/F, while the patient was lying supine with an ice pack between the traction table and the lumbar spine, was permitted as a pretreatment to side posture lumbar manipulation.

Sponsors & Collaborators

  • Leach Chiropractic Clinic

    lead OTHER

Principal Investigators

  • Robert Leach, DC, MS, RMCHES · Leach Chiropractic Clinic LLC

Eligibility

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

Timeline & Regulatory

Start
2018-01-01
Primary Completion
2023-10-09
Completion
2023-10-09

Countries

  • United States

Study Locations

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Entities

Diseases

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 NCT06653920 on ClinicalTrials.gov