Osteopathic Manipulation for Female Interstitial Cystitis Patients With Sacroiliac Joint Dysfunction

NCT ID: NCT01311479

Last Updated: 2014-04-14

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2018-10-31

Brief Summary

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The proposed study will evaluate the effectiveness of Osteopathic manipulation of the sacro-iliac joint (SIJ) and the lumbar spine in symptomatic female interstitial cystitis (IC) patients with sacro-iliac joint dysfunction.

It is predicted that Osteopathic manipulation for a period of 12 weeks will result in subjective indices of increased comfort and objective indices of lower O'Leary-Sant Questionnaire, Pelvic Floor Impact Questionnaire (PIFQ-7), Female Sexual Function Index (FSFI) and SF-12 scores, lower visual analog scores for pain and urgency, decreased frequency on voiding diary and greater variation in resting/contraction perineometry scores.

Detailed Description

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Patients will be evaluated and examined by an Osteopathic physician. This examination will consist of full osteopathic structural exam, and a focused examination of the sacroiliac joint and the surrounding musculature.

Subjects will then be treated based on the objective findings of the examination. Since the structural exam includes the whole body, other structural abnormalities will likely be identified and possible require treatment to aid in treatment of SIJD. Subjects will also be taught stretching routines in order to aid in treatment of the dysfunction.

Our control group will receive the same structural exam, and focused examination. Their treatment will involve massage, in an area not associated with the musculature of the SIJ. This will serve to identify a possible placebo effect, associated with simply providing a healing touch without focused treatment.

All of the subjects will be evaluated with standardized IC questionnaires at time of initial visit and subsequently re-evaluated with the same questionnaire in 4 week intervals. The patients will be followed for up to 6 months after treatment and evaluated at this time.

Conditions

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Interstitial Cystitis Sacroiliac Joint Somatic Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Osteopathic Manipulation

Patients will be evaluated and examined by an Osteopathic physician. This examination will consist of full osteopathic structural exam, and a focused examination of the sacroiliac joint and the surrounding musculature.

Subjects will then be treated based on the objective findings of the examination. Since the structural exam includes the whole body, other structural abnormalities will likely be identified and possible require treatment to aid in treatment of SIJ. Subjects will also be taught stretching routines in order to aid in treatment of the dysfunction.

Group Type ACTIVE_COMPARATOR

Osteopathic Manipulation Therapy

Intervention Type PROCEDURE

Subjects will then be treated based on the objective findings of the examination. Since the structural exam includes the whole body, other structural abnormalities will likely be identified and possible require treatment to aid in treatment of SIJ. Subjects will also be taught stretching routines in order to aid in treatment of the dysfunction.

Our control group will receive the same structural exam, and focused examination. Their treatment will involve massage, in an area not associated with the musculature of the SIJ. This will serve to identify a possible placebo effect, associated with simply providing a healing touch without focused treatment.

Massage Therapy

Our control group will receive the same structural exam, and focused examination. Their treatment will involve massage, in an area not associated with the musculature of the SIJ. This will serve to identify a possible placebo effect, associated with simply providing a healing touch without focused treatment.

Group Type ACTIVE_COMPARATOR

Osteopathic Manipulation Therapy

Intervention Type PROCEDURE

Subjects will then be treated based on the objective findings of the examination. Since the structural exam includes the whole body, other structural abnormalities will likely be identified and possible require treatment to aid in treatment of SIJ. Subjects will also be taught stretching routines in order to aid in treatment of the dysfunction.

Our control group will receive the same structural exam, and focused examination. Their treatment will involve massage, in an area not associated with the musculature of the SIJ. This will serve to identify a possible placebo effect, associated with simply providing a healing touch without focused treatment.

Interventions

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Osteopathic Manipulation Therapy

Subjects will then be treated based on the objective findings of the examination. Since the structural exam includes the whole body, other structural abnormalities will likely be identified and possible require treatment to aid in treatment of SIJ. Subjects will also be taught stretching routines in order to aid in treatment of the dysfunction.

Our control group will receive the same structural exam, and focused examination. Their treatment will involve massage, in an area not associated with the musculature of the SIJ. This will serve to identify a possible placebo effect, associated with simply providing a healing touch without focused treatment.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Female
* At least 18 years of age
* Patients who have osteopathic dysfunction
* Patients with the Diagnosis of IC and Sacroiliac joint dysfunction
* Patients currently stable on or off of a treatment regimen for IC for the past one month
* Patients not currently undergoing physical therapy for pelvic floor dysfunction or SI joint dysfunction
* Patients who have not used narcotics, skeletal muscle relaxants, or bladder instillations for the past month
* Willingness to participate in the trial by signing an informed consent

Exclusion Criteria

* Pregnancy
* Pelvic Masses
* Patients with an Interstim neuromodulator implant
* Patients requiring narcotics, bladder instillations, or skeletal muscle relaxants
* History of vaginal or abdominal pelvic surgery within the last 3 months
* Having a bladder over-distention within the last 1 month
* Malignancy
* Known spinal arthropathies
* Hip replacements or other surgical stabilization
* Herniated disks
* Spinal stenosis
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Interstitial Cystitis Association (ICA)

OTHER

Sponsor Role collaborator

Pelvic and Sexual Health Institute

OTHER

Sponsor Role lead

Responsible Party

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Kristene Whitmore, M.D.

Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristene E Whitmore, M.D.

Role: PRINCIPAL_INVESTIGATOR

Pelvic and Sexual Health Institute

Locations

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Pelvic and Sexual Health Institute

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Elizabeth Elias

Role: CONTACT

267-479-2387

Facility Contacts

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elizabeth Elias

Role: primary

267-479-2387

Other Identifiers

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OMT-09

Identifier Type: -

Identifier Source: org_study_id

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