A Follow-up Comparison of Active Versus Passive Manual Therapy in Patients With 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

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-01

Study Completion Date

2018-12-30

Brief Summary

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To determine if there is any carry over difference between the type of education provided about common treatment techniques for patients with low back pain. This will be looked at right after treatment and when patients return on their second visit after they do a common exercise program for a few days.

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Detailed Description

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Prior clinical trials have shown that patients respond differently to different explanations about interventions performed. A recent randomized clinical trial demonstrated that a 10-minute manual therapy treatment (prone lumbar Posterior to Anterior mobilization (PA's) with a neuroplasticity vs. traditional biomechanical explanation) produced an immediate, significant improvement in straight leg raise (SLR) and pain for patients with chronic low back pain. However, there is a need to examine whether there is any carry over (48-96 hours) or if utilizing a home exercise program (HEP), aimed at increasing the various sensory process applied in the clinic, produces any carry over. This will be looked at in patients with who are provided different explanations about common back treatment techniques to see if there will be any change in pain rating or back and leg movement.

Conditions

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Low Back Pain Manual Therapy Education

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Control Trial

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Patients were randomly assigned to one of two treatment groups

Study Groups

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Passive treatment

Passive treatment will consist of Manual Therapy with biomechanical explanation of the technique.

Group Type SHAM_COMPARATOR

Manual Therapy with Traditional Biomechanical Explanation

Intervention Type OTHER

Patients will lie prone and receive lumbar Posterior to Anterior (AP) Pressure with a traditional biomechanical or anatomic explanation of the technique..

Active Treatment

Active treatment will consist of Manual Therapy with a neuroplasticity explanation of the technique.

Group Type EXPERIMENTAL

Manual Therapy with Neuroplastiicity Explanation

Intervention Type OTHER

Patients will lie prone and receive lumbar Posterior to Anterior (PA) Pressure with a neuroplastic explanation of the technique.

Interventions

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Manual Therapy with Traditional Biomechanical Explanation

Patients will lie prone and receive lumbar Posterior to Anterior (AP) Pressure with a traditional biomechanical or anatomic explanation of the technique..

Intervention Type OTHER

Manual Therapy with Neuroplastiicity Explanation

Patients will lie prone and receive lumbar Posterior to Anterior (PA) Pressure with a neuroplastic explanation of the technique.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* adults over the age of 18
* patients presenting at PT with a primary complaint of LBP
* LBP being present for 6 months or more
* fluent in English
* willing to participate in the study.

Exclusion Criteria

* under age 18
* not able to read/understand the English language
* prisoners
* no medical issues precluding physical therapy treatment (red flags)
* no medical precautions to the use of manual therapy (metal, skin lesions, etc.)
* prior spine surgery
* unable to lay prone for the treatment

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes