NCT05802901: SMTDNLBP

The Effect of Combining Spinal Manipulation and Dry Needling in Individuals With Low Back Pain

Completed NA Last updated 1 August 2023

What this trial tests

NA trial testing Spinal manipulation in Non-specific Low Back Pain in 96 participants. Completed in 30 June 2023.

Timeline

28 February 2021

Primary endpoint
30 June 2023

30 June 2023

Quick facts

Lead sponsor	University of Utah
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	double
Primary purpose	treatment
Enrollment	96
Start date	28 February 2021
Primary completion	30 June 2023
Estimated completion	30 June 2023
Sites	1 location across United States

Drugs / interventions tested

• Spinal manipulation
• Dry needling
• Spinal manipulation and dry needling

Conditions studied

• Non-specific Low Back Pain — all drugs for Non-specific Low Back Pain →

Sponsor

University of Utah

Who can join

Adults 18 to 60, any sex, with Non-specific Low Back Pain. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The goal of this study is to enroll and randomize 99 participants with non-specific low back pain into a multimodal strategy of treatment consisting of a combination of dry needling (DN) and spinal manipulation therapy (SMT), DN only, and SMT only, followed by an at home exercise program. All groups will receive their respective treatment twice a week for 2 weeks followed by a 2-week home exercise program. Primary outcomes include clinical subjective (Oswestry Disability Index, numeric pain intensity rating) and mechanistic (lumbar multifidus, erector spinae, and gluteus medius muscle activation) measures assessed at baseline, 1, 2, and 4 weeks. Timepoints at 2-weeks and 4-weeks will be compared to baseline measures to determine effectiveness of the combination group against the other single treatment groups. Exercise compliance will be measured by participants self-reporting adherence to the program by selecting average number of days per week the exercises are completed.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. The Effect of Combining Spinal Manipulation and Dry Needling in Individuals With Nonspecific Low Back Pain.
   Farley J, Taylor-Swanson L, Koppenhaver S, Thackeray A, et al · · 2024 · cited 2× · PMID 38484853 · DOI 10.1016/j.jpain.2024.03.002