Manual Therapy as a Form of Sensory Discrimination in Chronic Low Back 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

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2015-09-30

Brief Summary

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This study evaluates whether different explanations given to patients with long lasting back pain influence a physical therapy treatment technique. Half of the patients will receive an explanation of the proposed treatment technique focusing on how their joints are moving and not moving. The second half of the group will receive the same treatment technique as the first group, but their explanation of the technique's purpose will focus on how their brain interprets the information. The study aims to determine if patients have a different response to the treatment based on the words chosen to explain the technique.

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Detailed Description

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Traditional treatment provided by physical therapists to patients with chronic low back pain focuses on the biomechanical or anatomical impact to local tissues. Recent research has shown that treatment effects may be more related to the understanding of the structural and functional changes in the brain of someone suffering from chronic low back pain. This research implicates that the patients understanding and interpretation of input to the brain may change the patient's perceived representation and interpretation of output of pain within the brain.

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

SINGLE

Participants

Study Groups

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Neuroplasticity Education Group

Patients who receive manual physical therapy treatment with a neuroplasticity explanation of the basis for the technique

Group Type EXPERIMENTAL

Neuroplasticity Explanation (Experimental)

Intervention Type PROCEDURE

Patients were given an explanation of how the brain uses the information from a manual therapy technique to help it remain sharp in identifying where this input is coming from.

Biomechanical Education Group

Patients who receive manual physical therapy treatment with a traditional, biomechanical explanation of the basis for the technique

Group Type ACTIVE_COMPARATOR

Biomechanical Explanation (Control)

Intervention Type PROCEDURE

Patients were given an explanation of how the manual therapy technique affects the anatomy and physiology of the back.

Interventions

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Neuroplasticity Explanation (Experimental)

Patients were given an explanation of how the brain uses the information from a manual therapy technique to help it remain sharp in identifying where this input is coming from.

Intervention Type PROCEDURE

Biomechanical Explanation (Control)

Patients were given an explanation of how the manual therapy technique affects the anatomy and physiology of the back.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adults over the age of 18
* Presenting at Physical Therapy with a primary complaint of Low Back Pain
* Low Back Pain being present for 6 months or more
* Fluent in English and willing to participate in the study.