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Effects of Spinal Manipulation in Patients With Nonspecific Low Back Pain

NCT ID: NCT05080374

Last Updated: 2021-10-15

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-11

Study Completion Date

2021-09-11

Brief Summary

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Introduction: Nonspecific low back pain is the most common cause of visits to medical personnel and is the largest cause of absenteeism in the world. (1), Nonspecific low back pain accounts for 85% of low back pain, notably affecting quality of life and working life (2), There is a 50-70% probability that a person will have low back pain during their life ( 3), lumbago produces 300,000 years lived with disability (ADL), being the first burden of disease in Chile, surpassing hypertensive heart disease and depression (4). There are many therapeutic approaches to the management of nonspecific low back pain, including high-speed, low-amplitude spinal manipulations (5). This technique consists of applying a short and rapid force at the level of the joint that is restricted, in order to restore normal joint mobility. The physiological effects of manipulations are not sufficiently studied, but some authors (6) (7) suggest that the nervous system is the mediator of the effects of spinal manipulation. Among non-pharmacological interventions, numerous clinical guidelines recommend the use of therapeutic exercise for low back pain (8), including a wide variety of types of recommended exercises, the most traditionally recommended being aerobic exercises, exercises that involve stretching postures of the back. vertebral musculature, strengthening and strength exercises (9) and central stabilization exercises (10). Recently, the effects of inspiratory muscle and diaphragm training exercises in patients with low back pain are being investigated (11). The application of an elastic bandage (12) in the lumbar area generates a proprioceptive signal through the skin, producing analgesia and a feeling of support in the area.

Objectives: To compare the effects of different therapeutic approaches in combination with spinal manipulation.

Design and method: Single-blind randomized clinical trial Results: Significant differences are expected before and after treatment and differences between groups.

Conclusion: The aims of this study is to demonstrate that High speed and low amplitude spinal manipulation plus other conservative treatment is a valid therapeutic strategy for the management of nonspecific low back pain

Detailed Description

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Conditions

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Back Pain Lumbar Pain Syndrome Back Pain, Low

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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HVLA + exercise Group

Spinal manipulation (HVLA) + trunk exercise program

Group Type EXPERIMENTAL

Spinal Manipulation + exercise program

Intervention Type OTHER

high-speed, low-amplitude spinal manipulation plus a trunk exercise program

HVLA + kinesiotaping group

Spinal manipulation (HVLA) + Kinesiotaping (lumbar)

Group Type EXPERIMENTAL

Spinal manipulation + Kinesiotaping

Intervention Type OTHER

high-speed, low-amplitude spinal manipulation plus elastic bandage (Kinesiotaping) application to the trunk area

HVLA + Respiratory exercise group

Spinal manipulation (HVLA) + respiratory exercise program

Group Type EXPERIMENTAL

spinal manipulation + respiratory exercise

Intervention Type OTHER

high-speed, low-amplitude spinal manipulation plus a breathing exercise program for the diaphragmatic muscles

Interventions

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Spinal Manipulation + exercise program

high-speed, low-amplitude spinal manipulation plus a trunk exercise program

Intervention Type OTHER

Spinal manipulation + Kinesiotaping

high-speed, low-amplitude spinal manipulation plus elastic bandage (Kinesiotaping) application to the trunk area

Intervention Type OTHER

spinal manipulation + respiratory exercise

high-speed, low-amplitude spinal manipulation plus a breathing exercise program for the diaphragmatic muscles

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* older than 18 years
* with nonspecific low back pain

Exclusion Criteria

* chronic low back pain (more than 3 months)
* spinal surgeries
* red flags for spinal manipulation (osteoporosis, bone metastasis, etc)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ignacio Alejandro Astudillo Ganora

OTHER

Sponsor Role lead

Responsible Party

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Ignacio Alejandro Astudillo Ganora

Physiotherapist, Phd

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Physiotherapy deparment, Murcia University

Murcia, , Spain

Site Status

Countries

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Spain

Other Identifiers

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3500/2021

Identifier Type: -

Identifier Source: org_study_id