We aim to evaluate the long-term effects of 10 sessions of spinal manipulative therapy applied in a vertebral region-specific or region nonspecific level immediately after treatment and 3 and 6 months after randomization.
To evaluate the long-term effects of 10 sessions of spinal manipulative therapy applied in a vertebral region-specific or region nonspecific level immediately after treatment and 3 and 6 months after randomization. 148 patients with chronic non-specific low back pain will be enrolled for this clinical trial. Patients will undergo to a specific physical examination in order to determine the ideal lumbar spine level to be manipulated. The outcomes of interest are pain intensity, pain pressure threshold, global perceived effect and disability associated with back pain. After the first assessment patients will be randomly assigned to two groups that will receive 10 sessions of spinal manipulation over a period of four weeks, and may receive manipulation according to the findings on physical examination (specific manipulation) or may receive manipulation in the upper thoracic region, disregarding the physical examination findings (nonspecific manipulation).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
148
Patients allocated to the specific manipulation group will receive spinal manipulation according to the physical examination performed prior to the treatment allocation.
Patients allocated to the specific manipulation group will receive spinal manipulation on the upper thoracic spine that will be not related to the physical examination performed prior to the treatment allocation.
Universidade Cidade de São Paulo
São Paulo, Brazil
Pain Intensity
Pain intensity will be measured using a 0-10 numerical rating scale
Time frame: 4 weeks
Pain Intensity
Pain intensity will be measured using a 0-10 numerical rating scale
Time frame: 3 and 6 months after randomization
Disability
Disability will be measured by the 0-24 Roland Morris Disability Questionnaire
Time frame: 4 weeks, 3 and 6 months after randomization
Global Impression of Recovery
Global impression of recovery will be measured by an 11-item Global Perceived Effect Scale
Time frame: 4 weeks, 3 and 6 months after randomization
Pressure Pain Threshold
Pressure Pain Threshold will be measure by a digital pressure algomoter
Time frame: 4 weeks after randomization
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