NCT05080374

Effects of Spinal Manipulation in Patients With Nonspecific Low Back Pain

Completed NA Last updated 15 October 2021

What this trial tests

NA trial testing Spinal Manipulation + exercise program in Back Pain in 90 participants. Completed in 11 September 2021.

Timeline

11 August 2021

Primary endpoint
11 September 2021

11 September 2021

Quick facts

Lead sponsor	Ignacio Alejandro Astudillo Ganora
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	90
Start date	11 August 2021
Primary completion	11 September 2021
Estimated completion	11 September 2021
Sites	1 location across Spain

Drugs / interventions tested

• Spinal Manipulation + exercise program
• Spinal manipulation + Kinesiotaping
• spinal manipulation + respiratory exercise

Conditions studied

• Back Pain — all drugs for Back Pain →
• Lumbar Pain Syndrome — all drugs for Lumbar Pain Syndrome →
• Back Pain, Low — all drugs for Back Pain, Low →

Sponsor

Ignacio Alejandro Astudillo Ganora

Who can join

18 and older, any sex, with Back Pain or Lumbar Pain Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Introduction: Nonspecific low back pain is the most common cause of visits to medical personnel and is the largest cause of absenteeism in the world. (1), Nonspecific low back pain accounts for 85% of low back pain, notably affecting quality of life and working life (2), There is a 50-70% probability that a person will have low back pain during their life ( 3), lumbago produces 300,000 years lived with disability (ADL), being the first burden of disease in Chile, surpassing hypertensive heart disease and depression (4). There are many therapeutic approaches to the management of nonspecific low back pain, including high-speed, low-amplitude spinal manipulations (5). This technique consists of applying a short and rapid force at the level of the joint that is restricted, in order to restore normal joint mobility. The physiological effects of manipulations are not sufficiently studied, but some authors (6) (7) suggest that the nervous system is the mediator of the effects of spinal manipulation. Among non-pharmacological interventions, numerous clinical guidelines recommend the use of therapeutic exercise for low back pain (8), including a wide variety of types of recommended exercises, the most traditionally recommended being aerobic exercises, exercises that involve stretching postures of the back. vertebral musculature, strengthening and strength exercises (9) and central stabilization exercises (10). Recently, the effects of inspiratory muscle and diaphragm training exercises in patients with low back pain are being investigated (11). The application of an elastic bandage (12) in the lumbar area generates a proprioceptive signal through the skin, producing analgesia and a feeling of support in the area.

Objectives: To compare the effects of different therapeutic approaches in combination with spinal manipulation.

Design and method: Single-blind randomized clinical trial Results: Significant differences are expected before and after treatment and differences between groups.

Conclusion: The aims of this study is to demonstrate that High speed and low amplitude spinal manipulation plus other conservative treatment is a valid therapeutic strategy for the management of nonspecific low back pain

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.