Immediate Effects of Two Spinal Manipulative Techniques

Alanya Alaaddin Keykubat University

Status: Completed

Conditions: Chronic Low-back Pain

Treatments: Other: Group 1 - Maitland's Posterior-Anterior Central Vertebral Manipulation; Other: Group 2- Side-Lying Lumbar Spinal Manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05057091

10354421-2021/03-14

Details and patient eligibility

About

The aim of this study is to investigate the instant effects of direct vertabral manipulation and indirect vertebral manipulation techniques on muscles mechanical properties, pressure-pain threshold and joint range of motion in individuals with chronic low back pain. Another purpose of this study was to compare the effects of both treatment methods on the parameters studied.

Full description

Resolving chronic low back pain is a costly obstacle. There is a wide spectrum of treatment for chronic low back pain, such as exercise training, pain training and spinal manipulation.It is the recommended spinal manipulation in the short and long term in chronic low back pain. Clinical Spinal manipulation is one of the most preferred methods of reducing pain and disability.

Enrollment: 46 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-65 ages
• Individuals with non-specific chronic low back pain who have continued pain for at least 3 months
• According to VAS, individuals with pain of at least 3 severity

Exclusion criteria

• Pregnancy situation or suspicion
• Spinal Stenosis
• Vertebral fracture
• Cancer
• Osteoporosis
• Individuals with BMI over 30 kg/m2
• Those with neurological disease that leads to November loss of muscle strength or spasticity-rigidity

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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46 participants in 2 patient groups

Group 1 - Maitland's Posterior-Anterior Central Vertebral Manipulation

Experimental group

Description:

The posterior-anterior unilateral vertebral manipulation.

Treatment:

Other: Group 2- Side-Lying Lumbar Spinal Manipulation

Other: Group 1 - Maitland's Posterior-Anterior Central Vertebral Manipulation

Group 2- Side-Lying Lumbar Spinal Manipulation

Experimental group

Description:

A high-speed, low-amplitude thrust force was applied in opposite directions: anteriorly to the pelvis and posteriorly to the shoulder

Treatment:

Other: Group 2- Side-Lying Lumbar Spinal Manipulation

Other: Group 1 - Maitland's Posterior-Anterior Central Vertebral Manipulation