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

Pain Clinical Trial

Official title:

The Use of Myofascial Release in Lumbopelvic Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00410397
• Other study ID #: 2006028
• Status: Completed
• Phase: N/A
• First received: December 11, 2006
• Last updated: January 8, 2008
• Start date: December 2006
• Est. completion date: February 2007

Study information

• Verified date: January 2008
• Source: Oklahoma State University Center for Health Sciences
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 27
• Est. completion date: February 2007
• Est. primary completion date: February 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 60 Years

Eligibility

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 Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Low Back Pain
• Pain

Intervention

Procedure:
• Osteopathic Manipulative Medicine
Pelvic balancing, myofascial release of the anterior pelvis.
• Sham Manipulation
Neutral positional, gentle palpation

Locations

Country	Name	City	State
United States	Oklahoma State University College of Osteopathic Medicine	Tulsa	Oklahoma

Sponsors (1)

Lead Sponsor	Collaborator
Oklahoma State University Center for Health Sciences

Country where clinical trial is conducted

United States, 

References & Publications (6)

Borenstein DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatol. 2001 Mar;13(2):128-34. Review. — View Citation

Hestbaek L, Larsen K, Weidick F, Leboeuf-Yde C. Low back pain in military recruits in relation to social background and previous low back pain. A cross-sectional and prospective observational survey. BMC Musculoskelet Disord. 2005 May 26;6:25. — View Citation

Hestbaek L, Leboeuf-Yde C, Kyvik KO. Is comorbidity in adolescence a predictor for adult low back pain? A prospective study of a young population. BMC Musculoskelet Disord. 2006 Mar 16;7:29. — View Citation

Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006 Apr;88 Suppl 2:21-4. Review. — View Citation

Licciardone JC, Brimhall AK, King LN. Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2005 Aug 4;6:43. Review. — View Citation

Porter JL, Wilkinson A. Lumbar-hip flexion motion. A comparative study between asymptomatic and chronic low back pain in 18- to 36-year-old men. Spine (Phila Pa 1976). 1997 Jul 1;22(13):1508-13; discussion 1513-4. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reduction in low back pain on a 1-10 scale.		Immediately following treatment.	No
Secondary	Reduction in low back pain on a 0-10 scale.		6-8 hours after treatment.	No
Secondary	Reduction in low back pain on a 0-10 scale.		After four weeks of therapy.	No