Status:

COMPLETED

Does Spinal Manipulation Therapy Impact Lumbar Proprioception

Lead Sponsor:

Balgrist University Hospital

Conditions:

Manipulation, Psychologic

Proprioception

Eligibility:

All Genders

18-50 years

Phase:

NA

Brief Summary

Spinal manipulation therapy (SMT) has long been a component of manual therapy and physical rehabilitation programs, especially as a modality for pain relief. However, the underlying physiological mech...

Detailed Description

Manual therapy is widely used by patients with back pain with about 75% of patients consulting either a chiropractor, physiotherapist or osteopath. Often used manual therapies include spinal manipulat...

Eligibility Criteria

Inclusion

  • Inclusion criteria chronic LBP patients:
  • Aged between 18 and 50
  • History of chronic (\>3months) LBP clinically not attributable to "red flags" (i.e., infection, trauma, fractures, inflammatory spondylarthropathies).
  • Source of LBP clinically at the L4/5 or L5/S1 segment
  • No history of vestibular disorders
  • Body mass index (BMI) \> 16 kg/m2
  • The presence of any one of the following exclusion criteria will lead to exclusion of the participant:
  • Exclusion criteria chronic LBP patients:
  • Excessive consumption of alcohol or consumption of other drugs or analgesics within the last 24 h
  • Pregnancy or breastfeeding
  • Prior foot/ankle or spine surgery
  • chiropractic (or other manual) treatment in the last 2 weeks
  • facet joint, epidural or periradicular injections in the last 6 months
  • any contraindication to spinal manipulative interventions (or are deemed unable to tolerate SMT to both body sides)
  • Any neuromuscular diseases that might affect gait and posture and injuries of the motor system with permanent deformities
  • Body mass index (BMI) \> 30 kg/m2
  • Inclusion criteria healthy controls:
  • Aged between 18 and 50
  • No episode of musculoskeletal pain in the past 3 months
  • No history of chronic pain (longer than 3 months)
  • No history of vestibular disorders
  • Body mass index (BMI) \> 16 kg/m2
  • The presence of any one of the following exclusion criteria will lead to exclusion of the participant:
  • Exclusion criteria healthy controls:
  • Excessive consumption of alcohol or consumption of other drugs or analgesics within the last 24 h
  • Pregnancy or breastfeeding
  • Prior foot/ankle or spine surgery
  • chiropractic (or other manual) treatment in the last 2 weeks
  • Any neuromuscular diseases that might affect gait and posture and injuries of the motor system with permanent deformities Body mass index (BMI) \> 30 kg/m2

Exclusion

    Key Trial Info

    Start Date :

    March 1 2023

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2024

    Estimated Enrollment :

    254 Patients enrolled

    Trial Details

    Trial ID

    NCT04869514

    Start Date

    March 1 2023

    End Date

    August 1 2024

    Last Update

    August 20 2024

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Department of Chiropractic Medicine, University of Zurich

    Zurich, Switzerland, 8008