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- Klinische proef NCT07582705
Measuring Reliability of Spine Mobilization in Low Back Pain
This observational study aims to learn how to measure joint motion and tissue response when pressure is applied to the back and examine how the nervous system responds to the applied pressure. This pressure or mobilization technique is a standard care but we currently do not have a method to measure this technique. Through this study, we hope to validate a tool that allows physical therapists to measure the pressure applied during spinal mobilization.
Participants will be asked to:
- Receive spinal mobilization
- Participate in pain threshold testing
- Answer questionnaires
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Werkelijk)
Contacten en locaties
Studie Locaties
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Kansas
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Kansas City, Kansas, Verenigde Staten, 66103
- University of Kansas Medical Center
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Healthy individuals without current or recent history (within 6 months) of low back pain
- 18-70 years of age
- BMI between 18.5-29.9
- Ability to read and understand English
- For those with chronic low back pain: 1) low back pain more than 3 months and 2) a minimal pain level of 3 on the 0-10 pain numerical rating scale (NRS) in the last 7 days
Exclusion Criteria:
- Any signs or symptoms of lumbar pathology (as reported by the participant during interview such as low back pain, or lower limb neurological signs)
- History of any spinal surgery
- Lumbar/sacral conditions reported by the subject such as spondylolithesis, spina bifida or spinal fracture
- Bony pathology such as osteoporosis or rheumatoid arthritis as reported by the participant
- Pregnancy
- Spine cancer
- BMI >30
- Unable to lay on stomach
- Resting blood pressure more than 160/90 mmHg
- Currently taking blood thinning medications
- Uncontrolled diabetes
- A medical exclusion from having blood pressure taken such as a peripheral neuropathy
- Low signal to noise ratio fNIRS signal during calibration/setup
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
|---|---|
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Healthy Participants
Spinal mobilization
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The application of manual pressure to stiff spinal segments to improve mobility and control pain.
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Chronic Low Back Pain Participants
Spinal mobilization
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The application of manual pressure to stiff spinal segments to improve mobility and control pain.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Joint displacement as measured by the laboratory methods and from the lumbar mobilization feedback system.
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
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The amount of joint motion for a given grade as measured by the laboratory methods and from the lumbar mobilization feedback system.
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Change from Baseline (day1) to immediately post-treatment (day 1)
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Applied forces as measured by the laboratory methods and lumbar mobilization feedback system
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
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The magnitude of force produced by the clinician for each grade as measured by the laboratory methods and lumbar mobilization feedback system
|
Change from Baseline (day1) to immediately post-treatment (day 1)
|
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Tissue resistance as measured by laboratory methods and the lumbar mobilization feedback system
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
|
The degree of stiffness of the joint measured as measured by laboratory methods and the lumbar mobilization feedback system
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Change from Baseline (day1) to immediately post-treatment (day 1)
|
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Change in muscle activation as measured by electromyography
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
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Differences in recorded electromyography (EMG) activity before and after administration of the intervention
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Change from Baseline (day1) to immediately post-treatment (day 1)
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Change in pain threshold as measured by quantitative sensory testing.
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
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The following tests will be used to test sensation threshold before and after grade I - IV mobilization/clinician: pressure pain threshold, conditioned pain modulation, and temporal summation.
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Change from Baseline (day1) to immediately post-treatment (day 1)
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Brain functional connectivity as measured by functional near infrared spectroscopy
Tijdsspanne: Change from Baseline (day1) to immediately post-treatment (day 1)
|
Functional near infrared spectroscopy (fNIRS) is a portable, non-invasive, and inexpensive brain imaging method of monitoring cerebral hemodynamic activity.
|
Change from Baseline (day1) to immediately post-treatment (day 1)
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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- STUDY00148661
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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