The influence of spinal manipulation on lumbar proprioception
Descrizione riassuntiva dello studio
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)
Intervento studiato
spinal manipulation
(BASEC)
Malattie studiate
chronic back pain
(BASEC)
- Age between 18 and 50 years. - No disorders that could affect gait or normal standing. (BASEC)
Criteri di esclusione
- 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)
Luogo dello studio
Zurigo
(BASEC)
Sponsor
-
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
PD Dr Michael L. Meier
+41 44 510 73 80
michael.meier@clutterbalgrist.chBalgrist University Hospital
(BASEC)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione etica Zurigo
(BASEC)
Data di approvazione del comitato etico
07.09.2021
(BASEC)
ID di studio ICTRP
NCT04869514 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Does spinal manipulation therapy impact lumbar proprioception? (BASEC)
Titolo accademico
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)
Titolo pubblico
Does Spinal Manipulation Therapy Impact Lumbar Proprioception (ICTRP)
Malattie studiate
Manipulation, Psychologic
Proprioception
Vibration; Exposure
(ICTRP)
Intervento studiato
Procedure: spinal manipulation
(ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Basic Science. Masking: Triple (Participant, Care Provider, Outcomes Assessor). (ICTRP)
Criteri di inclusione/esclusione
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 disponibile
Endpoint primari e secondari
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)
Data di registrazione
28.04.2021 (ICTRP)
Inclusione del primo partecipante
01.09.2021 (ICTRP)
Sponsor secondari
non disponibile
Contatti aggiuntivi
Michael L Meier, PhD, michael.meier@balgrist.ch, 0445107382 (ICTRP)
ID secondari
Project Nexus (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
http://www.who.int/trialsearch/Trial2.aspx?TrialID=NCT04869514 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile