The Effects of Thrust Joint Manipulation on the Resting and Contracting Thickness of Transversus Abdominis in Subjects With Low Back Pain

Nova Southeastern University67 enrolled

Overview

The primary aim of this study is to examine how different physical therapy interventions affect the resting state and contraction state of a certain abdominal muscle in patients with low back pain.

Patients with low back pain (LBP) will undergo ultrasound imaging of the transversus abdominis to measure the muscle thickness at rest and at the contracted state prior to intervention and again immediately after intervention. In this randomized controlled trial, patients will be randomized into one of two groups. One group will receive the intervention of thrust joint manipulation of the lumbar spine and the other group will receive the intervention of non-thrust joint manipulation of the lumbar spine.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Low Back Pain

Interventions

Thrust Joint Manipulation of the Lumbar SpineOTHER

Non-thrust Joint Manipulation of the Lumbar SpineOTHER

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults between 18-70 years of age with primary symptom of LBP, with or without referral into lower extremity. * Subjects must be able to read and write in English. Exclusion Criteria: * Presence of serious pathology. * Diagnosis of spinal stenosis or symptoms in both lower legs (changes in sensation, muscle weakness). * Any history of low back surgery, rheumatoid arthritis, osteoporosis, osteopenia, scoliosis, or ankylosing spondylitis. * Pregnancy * Pending legal action. * Prior surgery to the lumbar spine or fractures of the lumbar spine.

Locations (2)

DeRosa Physical Therapy

Flagstaff, Arizona, United States

University of Nevada, Las Vegas

Las Vegas, Nevada, United States

Outcomes

Primary Outcomes

Transversus Abdominis thickness change.

Measurement of change in thickness from resting to contraction will be compared at baseline (pre-intervention) to immediately following the intervention (post-intervention). The study is looking at the immediate effects so there is no short-term or longer follow up.

Time frame: Baseline to immediately after the intervention (within 5 minutes).

Secondary Outcomes

Oswestry Low Back Pain Questionnaire

The score of the Oswestry Low Back Pain Questionnaire will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Time frame: Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Numeric Pain Rating Scale

The score of the Numeric Pain Rating Scale will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Time frame: Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Fear-Avoidance Beliefs Questionnaire

The score of the Fear-Avoidance Beliefs Questionnaire will be compared from baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Time frame: Baseline, immediately post-intervention (within 5 minutes), and follow-up within 48 hours over the phone.

Global Rating of Change

The score of the Global Rating of Change will be compared from immediately post-intervention (within 5 minutes) and follow-up within 48 hours over the phone.

Time frame: Immediately post-intervention (within 5 minutes) and at follow-up within 48 hours over the phone.

Data from ClinicalTrials.gov

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