The Mechanisms of Manual Therapy in the Treatment of Low Back Pain

This study is currently recruiting participants.
Verified September 2012 by University of Florida
Sponsor:
Information provided by (Responsible Party):
University of Florida
ClinicalTrials.gov Identifier:
NCT01168999
First received: July 22, 2010
Last updated: September 26, 2012
Last verified: September 2012
  Purpose

The purpose of this study is to determine whether a novel placebo for comparison to spinal manipulation is believable and creates similar expectation for treatment effectiveness as the studied spinal manipulation technique. Additionally, we wish to compare outcomes related to low back pain, function, and pain sensitivity between people receiving the placebo, spinal manipulation, and no therapy.


Condition Intervention Phase
Low Back Pain
Other: spinal manipulation
Other: sham spinal manipulation
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Official Title: The Mechanisms of Manual Therapy in the Treatment of Low Back Pain

Resource links provided by NLM:


Further study details as provided by University of Florida:

Primary Outcome Measures:
  • believability of placebo [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    assess whether or not participants receiving the placebo are blinded to the fact they are receiving the placebo

  • expectation for treatment effectiveness [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    how helpful participants expect the assigned intervention will be in decreasing their low back pain

  • clinical pain as measured by a numeric rating scale [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    A 101 point numeric rating scale with 0= no pain at all to 100= worst pain imaginable of low back pain

  • disability as measured by the oswestry functional questionnaire [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    oswestry functional questionnaire to measure functional limitations related to low back pain

  • pain sensitivity as measured by a numeric rating scale and a visual analog scale [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    self report of pain resulting from standardized thermal and pressure pain stimuli


Secondary Outcome Measures:
  • low back range of motion and strength [ Time Frame: 2 week ] [ Designated as safety issue: No ]
    measures of low back range of motion and abdominal strength


Estimated Enrollment: 133
Study Start Date: September 2009
Estimated Study Completion Date: September 2013
Estimated Primary Completion Date: September 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: spinal manipulation
a spinal manipulation known to be effective in the treatment of low back pain for some individuals
Other: spinal manipulation
a spinal manipulation commonly used in the treatment of low back pain and known to be effective for some individuals experiencing low back pain
Placebo Comparator: sham spinal manipulation
a sham spinal manipulation intended to mimic the studied spinal manipulation
Other: sham spinal manipulation
a sham spinal manipulation intended to mimic the studied spinal manipulation
No Intervention: natural history
No intervention is provided to participants in this arm of the study

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • currently experiencing low back pain which does not extend below the knees
  • rate the low back pain as a minimum of 4/10 at worst over the past 24 hours
  • appropriate for conservative management of low back pain
  • english speaking

Exclusion Criteria:

  • surgery to the low back over the past 6 months
  • systemic disease known to effect sensation
  • other chronic pain condition unrelated to low back pain
  • fracture as a cause of low back pain
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01168999

Contacts
Contact: Joel E Bialosky, PhD 352-273-8636 bialosky@phhp.ufl.edu

Locations
United States, Florida
University of Florida Recruiting
Gainesville, Florida, United States, 32610
Contact: Joel E Bialosky, PhD     352-273-8636     bialosky@phhp.ufl.edu    
Principal Investigator: Joel E Bialosky, PhD            
Sponsors and Collaborators
University of Florida
  More Information

No publications provided

Responsible Party: University of Florida
ClinicalTrials.gov Identifier: NCT01168999     History of Changes
Other Study ID Numbers: 345-2009
Study First Received: July 22, 2010
Last Updated: September 26, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by University of Florida:
low back pain
spinal manipulation
manual therapy
placebo

Additional relevant MeSH terms:
Back Pain
Low Back Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on May 23, 2013