The Effects of Thrust Joint Manipulation on the Resting and Contracting Thickness of Transversus Abdominis in Subjects With Low Back Pain

NCT ID: NCT02558855

Last Updated: 2016-04-12

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

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2015-11-30

Brief Summary

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The primary aim of this study is to examine how different physical therapy interventions affect the resting state and contraction state of a certain abdominal muscle in patients with low back pain.

Detailed Description

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Patients with low back pain (LBP) will undergo ultrasound imaging of the transversus abdominis to measure the muscle thickness at rest and at the contracted state prior to intervention and again immediately after intervention. In this randomized controlled trial, patients will be randomized into one of two groups. One group will receive the intervention of thrust joint manipulation of the lumbar spine and the other group will receive the intervention of non-thrust joint manipulation of the lumbar spine.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Thrust Joint Manipulation

Patients will receive thrust joint manipulation to their lumbar spine in side lying.

Group Type ACTIVE_COMPARATOR

Thrust Joint Manipulation of the Lumbar Spine

Intervention Type OTHER

Non-thrust Joint Manipulation

Patients will receive non-thrust joint manipulation, oscillations into slight rotation, without cavitation, to their lumbar spine in side lying.

Group Type SHAM_COMPARATOR

Non-thrust Joint Manipulation of the Lumbar Spine

Intervention Type OTHER

Interventions

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Thrust Joint Manipulation of the Lumbar Spine

Intervention Type OTHER

Non-thrust Joint Manipulation of the Lumbar Spine

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults between 18-70 years of age with primary symptom of LBP, with or without referral into lower extremity.
* Subjects must be able to read and write in English.

Exclusion Criteria

* Presence of serious pathology.
* Diagnosis of spinal stenosis or symptoms in both lower legs (changes in sensation, muscle weakness).
* Any history of low back surgery, rheumatoid arthritis, osteoporosis, osteopenia, scoliosis, or ankylosing spondylitis.
* Pregnancy
* Pending legal action.
* Prior surgery to the lumbar spine or fractures of the lumbar spine.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DeRosa Physical Therapy

UNKNOWN

Sponsor Role collaborator

University of Nevada, Las Vegas

OTHER

Sponsor Role collaborator

Nova Southeastern University

OTHER

Sponsor Role lead

Responsible Party

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Kelly Fosberg

Principal Investigator; Nova Southeastern University PhD student in Physical Therapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kelly K Fosberg, DPT

Role: PRINCIPAL_INVESTIGATOR

Nova Southeastern University and DeRosa Physical Therapy

Joshua Cleland, PhD

Role: STUDY_CHAIR

Nova Southeastern University

Locations

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DeRosa Physical Therapy

Flagstaff, Arizona, United States

Site Status

University of Nevada, Las Vegas

Las Vegas, Nevada, United States

Site Status

Countries

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United States

References

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Fosberg KK, Puentedura E, Schmitz B, Jain TK, Cleland JA. The Effects of Thrust Joint Manipulation on the Resting and Contraction Thickness of Transversus Abdominis in Patients With Low Back Pain: A Randomized Control Trial. J Manipulative Physiol Ther. 2020 May;43(4):339-355. doi: 10.1016/j.jmpt.2019.04.006. Epub 2020 Jul 21.

Reference Type DERIVED
PMID: 32709514 (View on PubMed)

Other Identifiers

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01151512

Identifier Type: -

Identifier Source: org_study_id

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