Trigger Point Therapy Versus Manipulation Correcting Thoracic Manipulable Lesion

Relative Effectiveness of Trigger Point Therapy Compared to Spinal Manipulation in Correcting a Thoracic Spinal Manipulable Lesion in Subjects With Mechanical Thoracic Back Pain: a Randomised Trial

There will be no difference between trigger point therapy and spinal manipulation in correcting a spine joint dysfunction in the back

Study Overview

• Status: Unknown
• Conditions: Spinal Manipulable Lesion; Somatic Dysfunction
• Intervention / Treatment: Procedure: spinal manipulation; Procedure: trigger point therapy

• Study Type: Interventional
• Enrollment (Anticipated): 60
• Phase: Phase 2

Contacts and Locations

• Study Contact: Name: Hugh A Gemmell, DC, EdD; Phone Number: 268 44 1202436200; Email: hgemmell@aecc.ac.uk

Study Locations

• United Kingdom
  • Dorset
    • Bournemouth, Dorset, United Kingdom, BH5 2DF
      • Anglo-European College of Chiropractic
      • Contact: Hugh A Gemmell, DC, EdD; Email: hgemmell@aecc.ac.uk
      • Sub-Investigator: Jacqueline Richards, MChiro

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 64 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• mechanical thoracic back pain
• age 18-64
• presence of at least one spinal manipulable lesion
• presence of a trigger point associated with the spinal manipulable lesion
• able to lie prone on a treatment table for 15 minutes

Exclusion Criteria:

• absolute contraindications to spinal manipulation
• specific thoracic back pain
• bleeding diathesis, use of anticoagulants, long-term corticosteroid use
• involved in litigation for thoracic back pain
• inability to read or write English fluently
• treatment with manipulation or myofascial therapy within past three days

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Diversified HVLA spinal manipulation	Procedure: spinal manipulation; A maximum of two high velocity low amplitude spinal manipulations to one dysfunctional spine joint
Active Comparator: Trigger point pressure release	Procedure: trigger point therapy; The thumb will apply firm pressure to a trigger point in the paravertebral multifidus and rotatores muscles associated with the spine joint dysfunction using the barrier approach. This will be held until the barrier releases and this will continue until the trigger point is inactivated or 3 minutes has passed.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Correction of spinal manipulable lesion	Dichotomous data either lesion is corrected or not.	Immediate effect of one treatment

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in pressure pain threshold over the involved spinous process	The point at which sensation changes from that of pressure to pain is measured in Kg/cm2	Immediate effect of one treatment

Collaborators and Investigators

• Sponsor: Anglo-European College of Chiropractic

Study record dates

Study Major Dates

• Study Start: September 1, 2010
• Primary Completion (Anticipated): June 1, 2011
• Study Completion (Anticipated): June 1, 2011

Study Registration Dates

• First Submitted: May 13, 2010
• First Submitted That Met QC Criteria: May 13, 2010
• First Posted (Estimate): May 14, 2010

Study Record Updates

• Last Update Posted (Estimate): May 14, 2010
• Last Update Submitted That Met QC Criteria: May 13, 2010
• Last Verified: May 1, 2010

More Information

Terms related to this study

• Other Study ID Numbers: AECC05052010