Status:
COMPLETED
Effectiveness of Three Manual Physical Therapy Techniques in a Subgroup of Patients With Low Back Pain
Lead Sponsor:
Franklin Pierce University
Collaborating Sponsors:
University of Southern California
Conditions:
Low Back Pain
Eligibility:
All Genders
18-60 years
Phase:
PHASE1
Brief Summary
Recently a clinical prediction rule (CPR) has been developed and validated that accurately identifies patients with low back pain that are likely to benefit from a lumbo-pelvic manipulation. The studi...
Eligibility Criteria
Inclusion
- Chief complaint of pain and/or numbness in the lumbar spine, buttock, and/or lower extremity
- Oswestry disability score of at least 25%
- Age greater than 18 years and less than 60 years
- At least four out of five of the following criteria:
- Duration of current episode \< 16 days (judged from the patient's self-report)
- No symptoms extending distal to the knee (judged from the pain diagram)
- FABQ-W score \<19
- At least one hip with \>350 internal rotation range of motion (measured in prone)
- Stiffness in the lumbar spine (judged from segmental mobility testing)
Exclusion
- Red flags noted in the participant's general medical screening questionnaire (i.e. tumor, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
- Signs consistent with nerve root compression, this includes any one of the following:
- Reproduction of low back or leg pain with straight leg raise at less than 450
- Muscle weakness involving a major muscle group of the lower extremity
- Diminished lower extremity muscle stretch reflex (Quadriceps or Achilles tendon)
- Diminished or absent sensation to pinprick in any lower extremity dermatome
- Prior surgery to the lumbar spine or buttock
- Current pregnancy
- Past medical history of osteoporosis or spinal compression fracture
- Inability to comply with treatment schedule (weekly sessions for four weeks)
Key Trial Info
Start Date :
November 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 1 2007
Estimated Enrollment :
240 Patients enrolled
Trial Details
Trial ID
NCT00257998
Start Date
November 1 2005
End Date
October 1 2007
Last Update
November 2 2007
Active Locations (1)
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1
Rehabilitation Services of Concord Hospital
Concord, New Hampshire, United States, 03301