The Use of Manual Therapy to Treat Low-Back and Hip Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-31

Study Completion Date

2007-02-28

Brief Summary

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Low back pain (LBP) is a common problem in the adult population with many approaches to treatment, but no clear answer. One of the causes of LBP, musculoskeletal pain, can be triggered by spasm of the deep muscles of the back and pelvis. This study, therefore, focuses on treating pelvic muscle pain as a way of lessening LBP.

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Detailed Description

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Osteopathic manipulative medicine (OMM) is a well-researched standard of care in the treatment of low back pain (LBP). Under the heading of OMM, many different modalities exist to decrease a patient's somatic dysfunction. Among the most commonly used are high velocity (thrusting through an immobilized joint) and muscle energy (engaging a restrictive barrier using the patient's own strength).

Although a very common complaint, there is no exact etiology for LBP. Many different theories exist, including postural disturbances, leg length discrepancies, and even genetic predispositions. A study in Spine finds that among those with chronic LBP there is a subgroup of people with reduced hip flexion, and concludes that hip motion should be considered in treatment of patients with LBP. Currently, there exists no research on the manipulation of hip flexors in the treatment of LBP. This study, therefore, will test the efficacy of OMM on the deep pelvic musculature as a way of decreasing LBP.

Conditions

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Low Back Pain Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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A

Osteopathic Manipulative Medicine

Group Type EXPERIMENTAL

Osteopathic Manipulative Medicine

Intervention Type PROCEDURE

Pelvic balancing, myofascial release of the anterior pelvis.

B

Group Type PLACEBO_COMPARATOR

Sham Manipulation

Intervention Type PROCEDURE

Neutral positional, gentle palpation

Interventions

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Osteopathic Manipulative Medicine

Pelvic balancing, myofascial release of the anterior pelvis.

Intervention Type PROCEDURE

Sham Manipulation

Neutral positional, gentle palpation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Age-older than 18 years and younger than 65 years
* Lumbopelvic pain

Exclusion Criteria

* Cardiovascular disease (heart-failure, myocardial infarction, hypertension)
* Diabetes
* Rheumatoid Arthritis
* Osteoarthritis
* Chronic Illness
* Pregnancy-self reported
* Neurodegenerative Disease
* Osteopenia
* Osteoporosis
* Metastatic Cancer

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No