Lumbar Thrust-mobilization Effects on Hip Strength and Anterior Knee Pain
NCT ID: NCT04119310
Last Updated: 2019-10-08
Study Results
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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UNKNOWN
NA
128 participants
INTERVENTIONAL
2019-11-01
2020-05-31
Brief Summary
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Hypothesis(es):
Lumbar thrust-mobilization will lead to increased lateral hip strength and decreased anterior knee pain during 3 functional activities (single leg step down, functional squat, drop jump).
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
The outcomes will be evaluated by a masked outcome assessor.
Study Groups
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Lumbar thrust-mobilization
The investigator will perform a lumbar thrust-mobilization with the subject in right and then left sidelying position
Lumbar-thrust mobilization
The intervention group will receive passive spinal rotational grade V thrust-mobilization, based on Maitland's approach. The intervention will be performed with the subject in right sidelying and left sidelying. The operator's palpating hand is placed over the L2-3 intervertebral space, and the other hand bends both legs of the participant up to the range at which the L2-3 midposition is found. The participant is then asked to straighten the lower leg and hook the upper leg over it with the upper leg's knee positioned over the side of the plinth. While the lower component is kept still, the participant's trunk is rotated until the hip starts to lift off from the plinth. The bottom hand and uppermost hand rest under a pillow and the chest wall, respectively. With the starting position settled, the operator stands behind the participant, takes up the slack within the spine and then provides a grade V thrust- mobilization while stabilizing the uppermost shoulder.
Sham-mobilization
No lumbar-thrust mobilization will be performed. Subject will receive simple passive inter-vertebral range of motion.
Sham thrust-mobilization
Subjects are positioned in right sidelying. The experimenter holds both knees with one arm while placing their opposite hand on the participant's lumbar spine. The experimenter performs 1 min of flexion and extension passive range of motion without reaching physiological end range in either direction of movement. This is repeated with the subject in left sidelying.
Interventions
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Lumbar-thrust mobilization
The intervention group will receive passive spinal rotational grade V thrust-mobilization, based on Maitland's approach. The intervention will be performed with the subject in right sidelying and left sidelying. The operator's palpating hand is placed over the L2-3 intervertebral space, and the other hand bends both legs of the participant up to the range at which the L2-3 midposition is found. The participant is then asked to straighten the lower leg and hook the upper leg over it with the upper leg's knee positioned over the side of the plinth. While the lower component is kept still, the participant's trunk is rotated until the hip starts to lift off from the plinth. The bottom hand and uppermost hand rest under a pillow and the chest wall, respectively. With the starting position settled, the operator stands behind the participant, takes up the slack within the spine and then provides a grade V thrust- mobilization while stabilizing the uppermost shoulder.
Sham thrust-mobilization
Subjects are positioned in right sidelying. The experimenter holds both knees with one arm while placing their opposite hand on the participant's lumbar spine. The experimenter performs 1 min of flexion and extension passive range of motion without reaching physiological end range in either direction of movement. This is repeated with the subject in left sidelying.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Able read and write in English
* Clearly understand the informed consent form
Exclusion Criteria
* Pregnant or may be pregnant
* Previously diagnosed with spondylolisthesis,
* Previously diagnosed with a herniated disc,
* Signs and symptoms of nerve root compression
* History of spine surgery
* History of knee surgery
* History of cancer
* History of compression fracture
* History of osteoporosis
* History of osteopenia
* History of a systemic disease
* History of a connective tissue disease
* History of a neurological disease
* Pain with pre-manipulative hold
* Positive findings on medical history form, or physical exam
* Presence of anxiety during the procedure
18 Years
25 Years
ALL
Yes
Sponsors
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Messiah College
OTHER
Responsible Party
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Central Contacts
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References
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Other Identifiers
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BergmannHumphrey
Identifier Type: -
Identifier Source: org_study_id
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