The Use of Manual Therapy to Treat Low-Back and Hip Pain

January 8, 2008 updated by: Oklahoma State University Center for Health Sciences

The Use of Myofascial Release in Lumbopelvic Pain

Low back pain (LBP) is a common problem in the adult population with many approaches to treatment, but no clear answer. One of the causes of LBP, musculoskeletal pain, can be triggered by spasm of the deep muscles of the back and pelvis. This study, therefore, focuses on treating pelvic muscle pain as a way of lessening LBP.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Osteopathic manipulative medicine (OMM) is a well-researched standard of care in the treatment of low back pain (LBP). Under the heading of OMM, many different modalities exist to decrease a patient's somatic dysfunction. Among the most commonly used are high velocity (thrusting through an immobilized joint) and muscle energy (engaging a restrictive barrier using the patient's own strength).

Although a very common complaint, there is no exact etiology for LBP. Many different theories exist, including postural disturbances, leg length discrepancies, and even genetic predispositions. A study in Spine finds that among those with chronic LBP there is a subgroup of people with reduced hip flexion, and concludes that hip motion should be considered in treatment of patients with LBP. Currently, there exists no research on the manipulation of hip flexors in the treatment of LBP. This study, therefore, will test the efficacy of OMM on the deep pelvic musculature as a way of decreasing LBP.

Study Type

Interventional

Enrollment (Actual)

27

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Oklahoma
      • Tulsa, Oklahoma, United States, 74107
        • Oklahoma State University College of Osteopathic Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 60 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Written informed consent
  • Age-older than 18 years and younger than 65 years
  • Lumbopelvic pain

Exclusion Criteria:

  • Cardiovascular disease (heart-failure, myocardial infarction, hypertension)
  • Diabetes
  • Rheumatoid Arthritis
  • Osteoarthritis
  • Chronic Illness
  • Pregnancy-self reported
  • Neurodegenerative Disease
  • Osteopenia
  • Osteoporosis
  • Metastatic Cancer

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: B
Procedure: Sham Manipulation
Neutral positional, gentle palpation
Experimental: A
Osteopathic Manipulative Medicine
Procedure: Osteopathic Manipulative Medicine
Pelvic balancing, myofascial release of the anterior pelvis.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Reduction in low back pain on a 1-10 scale.
Time Frame: Immediately following treatment.
Immediately following treatment.

Secondary Outcome Measures

Outcome Measure
Time Frame
Reduction in low back pain on a 0-10 scale.
Time Frame: 6-8 hours after treatment.
6-8 hours after treatment.
Reduction in low back pain on a 0-10 scale.
Time Frame: After four weeks of therapy.
After four weeks of therapy.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Oklahoma State University Center for Health Sciences

Investigators

  • Principal Investigator: Corey R Babb, B.A., Oklahoma State University College of Osteopathic Medicine
  • Study Director: JoAnn G Ryan, D.O., Oklahoma State University College of Osteopathic Medicine

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2006

Primary Completion (Actual)

February 1, 2007

Study Completion (Actual)

February 1, 2007

Study Registration Dates

First Submitted

December 11, 2006

First Submitted That Met QC Criteria

December 11, 2006

First Posted (Estimate)

December 12, 2006

Study Record Updates

Last Update Posted (Estimate)

January 15, 2008

Last Update Submitted That Met QC Criteria

January 8, 2008

Last Verified

January 1, 2008

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2006028

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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