Comparison of the Effect of Spinal Manipulation by Gender (CESMG)

SEFA HAKTAN HATIK

Status: Completed

Conditions: Chronic Pain; Mechanical Low Back Pain; Neuromuscular Subluxation of Joint; Gender

Treatments: Other: Spinal Manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06578208

CMT0004

Details and patient eligibility

About

The purpose of the study was to compare and evaluate the effects of spinal manipulation in patients with chronic mechanical low back pain by gender.

Full description

Sixty-two participants with a diagnosis of mechanical low back pain participated in the research. 62 individuals were split into two groups based on gender. These were divided into male (n=31) and female (n=31) groups. For four weeks, spinal manipulation was applied twice a week to both groups. The World Health Organization Quality of Life Assessment Short Form (WHOQOL-Bref) was used to evaluate quality of life; the Pittsburg Sleep Quality Index (PSQI) and McGill Pain Questionnaire were used to evaluate sleep quality; Visual Analog Scale (VAS) was used to evaluate pain; Oswetry Disability Index (ODI) was used to evaluate pain-related disability; and a scale was used to evaluate the treatment quality. Range of motion in the hips and lumbar region was measured with a goniometer.

Enrollment: 62 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with chronic mechanical low back pain
• Between the ages of 18 and 50
• Read and speak Turkish well enough to give informed consent and follow study instruction
• Being able to come for outpatient manipulation treatment
• Body mass index below 28

Exclusion criteria

• Currently involved in a legal proceeding related to back pain for which a workers' compensation claim is pending and have or have applied for permanent disability related to these problems
• Pregnancy
• Having any kind of malignancy
• Having any kind of osteoplastic disorders
• Having osteomyelitis, septic intervertebral discs and TB
• History of a spinal fracture and stenosis
• Inflammatory low back pain
• History of severe osteoporosis
• History of any kind of bleeding disorders
• Taking steroids, anticoagulants, paracetamol, antidepressant drugs or drug-like substances
• Having any orthopedic and/or rheumatologic disease affecting the pelvic region
• Conservative or physical therapy for the lumbar region for the past 6 months

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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62 participants in 2 patient groups

Male Gruop

Experimental group

Description:

The patient was placed in the lateral decubitus position by the therapist. The foot was placed on the popliteal fossa of the lower leg while the upper knee was flexed. Once the patient was in this position, the therapist performed high velocity and low amplitude thrusts (HVLA; high velocity - low amplitude) on the vertebra with dysfunction.

Treatment:

Other: Spinal Manipulation

Female Group

Experimental group

Description:

The patient was placed in the lateral decubitus position by the therapist. The foot was placed on the popliteal fossa of the lower leg while the upper knee was flexed. Once the patient was in this position, the therapist performed high velocity and low amplitude thrusts (HVLA; high velocity - low amplitude) on the vertebra with dysfunction.

Treatment:

Other: Spinal Manipulation