Gait in Low Back Pain Patients After Spinal Mobilization
NCT ID: NCT02645123
Last Updated: 2017-06-08
Study Results
Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.
View full resultsBasic Information
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COMPLETED
NA
75 participants
INTERVENTIONAL
2011-12-31
2014-11-30
Brief Summary
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Methodology: for the purposes of the study, 75 patients suffering from chronic low back pain were randomly divided into 3 groups of 25 each. Each group received five sessions with the first group receiving manual therapy treatment (spinal mobilisation), the second a sham treatment and the third, classic physiotherapy (stretching exercises, TENS and massage). To evaluate the effectiveness of each treatment, the visual analog pain scale, two questionnaires (Oswestry and Roland Morris) and also an optoelectronic system for recording and analysis of gait (kinetic and kinematic data) were utilized.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Spinal mobilization
The individuals of the group received 5 treatments in total for 10 minutes that included: posterior to anterior spinal accessory mobilization passive physiological inter vertebral rotation The above was applied to the level that the MRI showed disc degeneration
spinal mobilization
passive physiological intervertebral movements and passive accessory posteroanterior mobilization
Sham Treatment
The investigator touched the skin overlying the low back statically for 10 minutes
sham treatment
touching of the skin overlying the lumbar area
Classic Physiotherapy
This group received static hamstring stretch for 5 minutes, TENS (2 channels biphasic pulse, 90Hz, 100μs pulse width) for 20 minutes and 15 minutes of Swedish type massage (effleurage, petrissage, kneading)
TENS
Enraf-Nonius Sonopuls 692
swedish type massage
petrissage, effleurage, tapotement
static hamstring stretch
static hamstring stretching
Interventions
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TENS
Enraf-Nonius Sonopuls 692
spinal mobilization
passive physiological intervertebral movements and passive accessory posteroanterior mobilization
swedish type massage
petrissage, effleurage, tapotement
static hamstring stretch
static hamstring stretching
sham treatment
touching of the skin overlying the lumbar area
Eligibility Criteria
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Inclusion Criteria
* recent lumbar MRI (up to 12 months)
* able to walk without the need of walking aids
Exclusion Criteria
* history of spinal surgery
* history of autoimmune disease
* history of spondylolysis and spondylolisthesis
* spinal fractures
* pregnancy
* respiratory and/or cardiac disease
* history of stroke
* hip, knee or ankle osteoarthritis
* cauda equina syndrome
* spinal inflammation
* spinal tumor
* steroid drug use in the last month
* osteoporosis
21 Years
78 Years
ALL
No
Sponsors
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University of Ioannina
OTHER
Responsible Party
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Georgios Krekoukias
Physiotherapist MSc PhD MMACP
Principal Investigators
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GEORGIOS O KREKOUKIAS, PT, MSc, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Ioannina
IOANNIS D GELALIS, MD, PhD
Role: STUDY_DIRECTOR
University of Ioannina
References
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Goodsell M, Lee M, Latimer J. Short-term effects of lumbar posteroanterior mobilization in individuals with low-back pain. J Manipulative Physiol Ther. 2000 Jun;23(5):332-42.
Managing chronic low back pain. How to avoid the problem, lower risk, and manage the discomfort when it occurs. Duke Med Health News. 2014 May;20(5):1-2. No abstract available.
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Liu XC, Fabry G, Molenaers G, Lammens J, Moens P. Kinematic and kinetic asymmetry in patients with leg-length discrepancy. J Pediatr Orthop. 1998 Mar-Apr;18(2):187-9.
McCaw ST, Bates BT. Biomechanical implications of mild leg length inequality. Br J Sports Med. 1991 Mar;25(1):10-3. doi: 10.1136/bjsm.25.1.10.
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Egerton T, Danoudis M, Huxham F, Iansek R. Central gait control mechanisms and the stride length - cadence relationship. Gait Posture. 2011 Jun;34(2):178-82. doi: 10.1016/j.gaitpost.2011.04.006. Epub 2011 May 7.
Mello RG, Oliveira LF, Nadal J. Digital Butterworth filter for subtracting noise from low magnitude surface electromyogram. Comput Methods Programs Biomed. 2007 Jul;87(1):28-35. doi: 10.1016/j.cmpb.2007.04.004. Epub 2007 Jun 4.
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Other Identifiers
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721α/11-10-2011
Identifier Type: -
Identifier Source: org_study_id
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