To determine if there is any carry over difference between the type of education provided about common treatment techniques for patients with low back pain. This will be looked at right after treatment and when patients return on their second visit after they do a common exercise program for a few days.
Prior clinical trials have shown that patients respond differently to different explanations about interventions performed. A recent randomized clinical trial demonstrated that a 10-minute manual therapy treatment (prone lumbar Posterior to Anterior mobilization (PA's) with a neuroplasticity vs. traditional biomechanical explanation) produced an immediate, significant improvement in straight leg raise (SLR) and pain for patients with chronic low back pain. However, there is a need to examine whether there is any carry over (48-96 hours) or if utilizing a home exercise program (HEP), aimed at increasing the various sensory process applied in the clinic, produces any carry over. This will be looked at in patients with who are provided different explanations about common back treatment techniques to see if there will be any change in pain rating or back and leg movement.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
102
Patients will lie prone and receive lumbar Posterior to Anterior (AP) Pressure with a traditional biomechanical or anatomic explanation of the technique..
Patients will lie prone and receive lumbar Posterior to Anterior (PA) Pressure with a neuroplastic explanation of the technique.
Kevin Farrell
Davenport, Iowa, United States
Low Back Pain Rating
Numeric Pain Rating Scale for Back Pain (0 = no pain and 10 = worst pain). The minimal detectable change (MDC) for the NPRS for low back pain is reported to be 2.0. LBP is reported to be 2.0.
Time frame: Change from baseline to initial treatment
Low Back Pain Rating
Numeric Pain Rating Scale for Back Pain (0 = no pain and 10 = worst pain). The minimal detectable change (MDC) for the NPRS for low back pain is reported to be 2.0.
Time frame: Change from initial treatment to 2-4 days
Lumbar flexion
Active trunk forward flexion in cm (distance finger tips to floor)
Time frame: Change from baseline to initial treatment
Lumbar flexion
Active trunk forward flexion in cm (distance finger tips to floor)
Time frame: Change from initial treatment to 2-4 days
Straight Leg Raise
Neurodynamic Measurement of Leg Raise (lower limb tension test)
Time frame: Change from baseline to initial treatment
Straight Leg Raise
Neurodynamic Measurement of Leg Raise (lower limb tension test)
Time frame: Change from initial treatment to 2-4 days
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