The influence of spinal manipulation on lumbar proprioception
Résumé de l'étude
Back pain represents a major health economic problem worldwide. In cases of acute back pain, symptoms usually improve spontaneously, but in 10-15% of cases, the problem becomes chronic. Pain is often localized in the lumbar region and buttocks, and in most cases (up to 85%), no precise diagnosis can be made. Spinal manipulation, a technique of manual medicine, often leads to an improvement in pain symptoms. It is assumed that biomechanical as well as neurophysiological processes are associated with the observed pain relief. However, the underlying mechanisms are still largely unknown, necessitating further research to ultimately better understand and more effectively utilize spinal manipulation. There is evidence that spinal manipulation may have a positive effect on proprioception (the perception of the body in space, the position and movement of the trunk and limbs) (in patients with back pain, this is often impaired). By stimulating the proprioceptive system, spinal manipulation could stimulate the perception and processing of sensory signals, which could generally optimize the sensorimotor function (the interplay of the sensory and motor systems) of the spine and thus lead to pain relief and finer movement patterns.
(BASEC)
Intervention étudiée
spinal manipulation
(BASEC)
Maladie en cours d'investigation
chronic back pain
(BASEC)
- Age between 18 and 50 years. - No disorders that could affect gait or normal standing. (BASEC)
Critères d'exclusion
- No chiropractic treatment (or similar manual technique) in the last 2 weeks - Overweight or underweight (16 < Body Mass Index > 30). - Long-term use of corticosteroid medications. (BASEC)
Lieu de l’étude
Zurich
(BASEC)
Sponsor
-
(BASEC)
Contact pour plus d'informations sur l'étude
Personne de contact en Suisse
PD Dr Michael L. Meier
+41 44 510 73 80
michael.meier@clutterbalgrist.chBalgrist University Hospital
(BASEC)
Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)
Commission cantonale de Zurich
(BASEC)
Date d'approbation du comité d'éthique
07.09.2021
(BASEC)
Identifiant de l'essai ICTRP
NCT04869514 (ICTRP)
Titre officiel (approuvé par le comité d'éthique)
Does spinal manipulation therapy impact lumbar proprioception? (BASEC)
Titre académique
Does Spinal Manipulation Therapy Impact Lumbar Proprioception? A Double-blind Randomized Controlled Trial Examining the Influence of Spinal Manipulative Therapy (SMT) Versus a Sham and Non-sham Control Intervention on Proprioceptive Function (ICTRP)
Titre public
Does Spinal Manipulation Therapy Impact Lumbar Proprioception (ICTRP)
Maladie en cours d'investigation
Manipulation, Psychologic
Proprioception
Vibration; Exposure
(ICTRP)
Intervention étudiée
Procedure: spinal manipulation
(ICTRP)
Type d'essai
Interventional (ICTRP)
Plan de l'étude
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Basic Science. Masking: Triple (Participant, Care Provider, Outcomes Assessor). (ICTRP)
Critères d'inclusion/exclusion
Inclusion Criteria: - Aged between 18 and 50 - No chiropractic intervention (or similar) in the last 3 months - No episode of musculoskeletal pain in the past 3 months - No history of chronic pain (longer than 3 months) - No history of vestibular disorders Exclusion Criteria: - Excessive consumption of alcohol or consumption of other drugs or analgesics within the last 24 h - Pregnancy - Prior foot/ankle or spine surgery - Any neuromuscular diseases that might affect gait and posture and injuries of the motor system with permanent deformities - Body mass index (BMI) > 30 kg/m2
Minimum age: 18 Years
Maximum age: 50 Years
Sex: All (ICTRP)
non disponible
Critères d'évaluation principaux et secondaires
Postural sway (mm)
Proprioceptive weighting ratio (value between 0 and 1)
(ICTRP)
Belief score influence of manipulation on balance control
Tampa-Scale for Kinesiophobia for the general population (TSK-G) questionnaire score
(ICTRP)
Date d'enregistrement
28.04.2021 (ICTRP)
Inclusion du premier participant
01.09.2021 (ICTRP)
Sponsors secondaires
non disponible
Contacts supplémentaires
Michael L Meier, PhD, michael.meier@balgrist.ch, 0445107382 (ICTRP)
ID secondaires
Project Nexus (ICTRP)
Résultats-Données individuelles des participants
non disponible
Informations complémentaires sur l'essai
http://www.who.int/trialsearch/Trial2.aspx?TrialID=NCT04869514 (ICTRP)
Résultats de l'essai
Résumé des résultats
non disponible
Lien vers les résultats dans le registre primaire
non disponible