- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03440073
Intervention for Pregnancy Related Pain
Mulligan Concept Intervention for Pregnancy Related Lumbo Pelvic Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The long-term goal of this project is to develop an effective conservative treatment protocol that is easily accessible. The objective of this application is to determine if patients who are treated with Mulligan Concept manual therapy experience immediate and significant changes in pain and function. Our specific aims are: In women with PPGP, 1.) Determine if Mulligan Concept treatment produces immediate changes in pain and function, 2.) Determine whether the Mulligan Concept immediately restores or alters dysfunctional gait characteristics and pelvic girdle motor control, and 3.) Identify factors that mathematically predict treatment outcome. Our central hypothesis is that restoration of lumbopelvic positioning will result in immediate decrease in pain, increase in function, and improved gait mechanics.
Volunteers in the 20th-34th week of pregnancy, ages 20-45 years, who are experiencing PPGP will be screened and randomly assigned into treatment or placebo group based on age, weight, height, gestational week and number of pregnancies. All participants will undergo a standardized examination, complete patient reported outcome measures, and perform a walking gait, sit to stand, and active straight leg raise tasks. Kinematic, kinetic, and EMG recordings will be taken during performance of the tasks. The participants of the treatment group will receive a Mulligan Concept evaluation and treatment. Participants in the placebo group will receive only the Mulligan Concept evaluation. Participants will then repeat the same tasks and measures. The study will be conducted under a randomized triple blinded placebo trial design; the patients, researchers, and treating clinician will be blinded to group assignment. Independent sample t-tests will be conducted to determine if significant differences exist between the intervention and placebo group across several dependent variables. Regression analysis will be conducted in order to determine if intake factors mathematically predict treatment outcome.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Idaho
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Moscow, Idaho, United States, 83844
- Integrated Sport Medicine and Rehabilitative Therapy Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- reported pregnancy-related lumbopelvic pain
Exclusion Criteria:
- orthopaedic or neurological problems with walking
- prior surgery of the lumbar spine, pelvis, hip, or knee
- fracture
- known malignancy
- active inflammation in the lumbar spine or pelvis
- ankylosing spondylitis, Scheuermann's kyphosis, active polyarthritis, or severe osteoporosis
- any pulmonary, cardiac, visual, auditory, or cognitive disorders
- any other multi/co-morbidities that limit the volunteers ability to complete a gait and sit-to-stand task
- does not receive consent from their maternity care provider
- pain is associated with something other than pregnancy, or is experienced outside of pregnancy prior to the first pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mulligan Concept Intervention
Mulligan Concept Intervention, including Mobilizations with Movement intervention is administered.
Up to 30 minutes total treatment time.
|
The concept is a manual therapy paradigm that includes a clinician applying joint mobilizations and having the patient perform concurrent active, pain free, movement.
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Sham Comparator: Sham Mulligan Concept Treatment
Assessment procedures of the Mulligan Concept are followed, but no manual pressure is applied to the participant during treatment to provide a sham Mulligan Concept Treatment.
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The treating clinician will ask the participant to perform the movements associated with the Mulligan Concept technique.
The clinician will have her hands on the participant during the movement but will not apply any pressure or force.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
3-D motion Analysis- sit to stand
Time Frame: Change from pre to post intervention (immediate, 30 minutes)
|
Kinematic data is collected during sit to stand task
|
Change from pre to post intervention (immediate, 30 minutes)
|
3-D Motion Analysis- gait
Time Frame: Change from pre to post intervention (immediate, 30 minutes)
|
Kinematic data is collected during gait task
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Change from pre to post intervention (immediate, 30 minutes)
|
3-D Motion Analysis- active straight leg raise
Time Frame: Change from pre to post intervention (immediate, 30 minutes)
|
Kinematic data is collected during active straight leg raise task
|
Change from pre to post intervention (immediate, 30 minutes)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Electromyography- Sit to Stand
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
|
EMG data will be collected during the sit to stand task
|
Change from pre and post intervention (Immediate, 30 minutes)
|
Electromyography- Gait
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
|
EMG data will be collected during gait task
|
Change from pre and post intervention (Immediate, 30 minutes)
|
Electromyography- Straight Leg Raise
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
|
EMG data will be collected during the sit to stand, gait, and active single leg raise tasks.
|
Change from pre and post intervention (Immediate, 30 minutes)
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Visual Analog Pain Scale
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
|
Patient Reported Outcome Measure, pain
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Change from pre and post intervention (Immediate, 30 minutes)
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Pelvic Girdle Questionnaire
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
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Patient Reported Outcome Measure, region specific disablement
|
Change from pre and post intervention (Immediate, 30 minutes)
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Assessment of Disablement Questionnaire
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
|
Patient Reported Outcome Measure, global disablement
|
Change from pre and post intervention (Immediate, 30 minutes)
|
Short Stress State Questionnaire
Time Frame: Change from pre and post intervention (Immediate, 30 minutes)
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Patient Reported Outcome Measure, stress
|
Change from pre and post intervention (Immediate, 30 minutes)
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Lindsay Larkins, DAT, University of Idaho
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 17-042
- 18-22QR-UI-PG76 (Other Grant/Funding Number: Clinical Translational Research Infrastructure Network)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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