Osteopathic Manipulative Treatment Versus Therapeutic Exercises in Subjects With Chronic Non-specific Low Back Pain

Overview

This study evaluates the effectiveness of treatment osteopathic manipulation in the treatment of subjects with chronic nonspecific low back pain.

Full Title of Study: “Osteopathic Manipulative Treatment Versus Therapeutic Exercises in Subjects With Chronic Non-specific Low Back Pain: a Randomized Controlled and Double-blind Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Double (Investigator, Outcomes Assessor)
  • Study Primary Completion Date: August 2016

Interventions

  • Other: Osteopathic Manipulative Treatment
  • Other: Exercise Therapy

Arms, Groups and Cohorts

  • Experimental: Osteopathic Manipulative Treatment
    • We selected two types of osteopathic techniques for this study: Technical articulation: rhythmic technique with low speed in which the goal is the full gain range of motion. Myofascial techniques (Neuromuscular): techniques involving lateral stretching, linear, deep pressures and pulls of the origins and insertions aiming at a myofascial relaxation. Sacroiliac articulatory technique; Dorsal articulatory technique; Lumbar paraspinal muscles stretching technique; Lumbar myofascial technique (inhibitory).
  • Active Comparator: Exercise Therapy
    • 2 types of therapeutic exercises techniques were used: Stabilization exercises Stretches Stabilization exercises: Bridge on the ball 10 – 15 sec Side plank 10 – 15 sec Front board 10 – 15 sec active mobilization lumbopelvic 3 x 6 rep Squats with the ball on the wall 3 x 8 rep Static-passive stretch (2 x 30 sec): Paraspinal; Abdominals; Quadratus lumborum; Hip extenders; Hip flexors; Hip abductors; Hip adductors.

Clinical Trial Outcome Measures

Primary Measures

  • Pain
    • Time Frame: 5 weeks
    • VAS (VISUAL ANALOGUE SCALE)

Secondary Measures

  • Disability
    • Time Frame: 5 weeks
    • Oswestry Disability Index 2.0
  • kinesiophobia
    • Time Frame: 5 weeks
    • Tampa Scale for Kinesiophobia
  • Depression
    • Time Frame: 5 weeks
    • Beck Scale for Depression

Participating in This Clinical Trial

Inclusion Criteria

  • Subjects with constant or intermittent low back pain with intensity greater than 30 mm visual analog scale (VAS) for at least three months duration, with a diagnosis of chronic low back pain Exclusion Criteria:

  • Subjects who have spine fractures, – Dislocations – Ligament ruptures – Muscle ruptures – Skin lacerations – Sacroiliitis – Vertebral osteomyelitis – Infection – Disc herniations with radicular symptoms – Rheumatic disorders – Cauda equina syndrome – Tumors – Referred pain visceral – Red flags – Lower limb discrepancy greater than 2 cm – Several conditions requiring participants to be absent for more than two weeks of activities in the experiment – Positioning itself as not volunteer the same.

Gender Eligibility: All

Minimum Age: 30 Years

Maximum Age: 59 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Rio de Janeiro State University
  • Collaborator
    • Estácio S.A.
  • Provider of Information About this Clinical Study
    • Principal Investigator: Frederico de Oliveira Meirelles, MEIRELLES, F. O. – Rio de Janeiro State University
  • Overall Official(s)
    • Frederico Meirelles, Master /PT, Principal Investigator, UERJ

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