Low Back Pain Clinical Trial
Official title:
Short, Medium and Long Term Effects of Specific and Nonspecific Spinal Manipulative Therapy in Patients With Chronic Non-specific Low Back Pain: A Randomized Controlled Trial
We aim to evaluate the long-term effects of 10 sessions of spinal manipulative therapy applied in a vertebral region-specific or region nonspecific level immediately after treatment and 3 and 6 months after randomization.
To evaluate the long-term effects of 10 sessions of spinal manipulative therapy applied in a
vertebral region-specific or region nonspecific level immediately after treatment and 3 and 6
months after randomization.
148 patients with chronic non-specific low back pain will be enrolled for this clinical
trial. Patients will undergo to a specific physical examination in order to determine the
ideal lumbar spine level to be manipulated. The outcomes of interest are pain intensity, pain
pressure threshold, global perceived effect and disability associated with back pain. After
the first assessment patients will be randomly assigned to two groups that will receive 10
sessions of spinal manipulation over a period of four weeks, and may receive manipulation
according to the findings on physical examination (specific manipulation) or may receive
manipulation in the upper thoracic region, disregarding the physical examination findings
(nonspecific manipulation).
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