Does Spinal Manipulation Therapy Impact Lumbar Proprioception
Switzerland254 participantsStarted 2023-03-01
Plain-language summary
Spinal manipulation therapy (SMT) has long been a component of manual therapy and physical rehabilitation programs, especially as a modality for pain relief. However, the underlying physiological mechanisms for manipulation-related pain relief and functional improvement remain largely unexplored. To promote targeted treatments for musculoskeletal conditions and to better identify the indication and scope of SMT, its mechanisms must be better understood.
Who can participate
Age range18 Years – 50 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria chronic LBP patients:
* Aged between 18 and 50
* History of chronic (\>3months) LBP clinically not attributable to "red flags" (i.e., infection, trauma, fractures, inflammatory spondylarthropathies).
* Source of LBP clinically at the L4/5 or L5/S1 segment
* No history of vestibular disorders
* Body mass index (BMI) \> 16 kg/m2
The presence of any one of the following exclusion criteria will lead to exclusion of the participant:
Exclusion criteria chronic LBP patients:
* Excessive consumption of alcohol or consumption of other drugs or analgesics within the last 24 h
* Pregnancy or breastfeeding
* Prior foot/ankle or spine surgery
* chiropractic (or other manual) treatment in the last 2 weeks
* facet joint, epidural or periradicular injections in the last 6 months
* any contraindication to spinal manipulative interventions (or are deemed unable to tolerate SMT to both body sides)
* 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
Inclusion criteria healthy controls:
* Aged between 18 and 50
* No episode of musculoskeletal pain in the past 3 months
* No history of chronic pain (longer than 3 months)
* No history of vestibular disorders
* Body mass index (BMI) \> 16 kg/m2
The presence of any one of the following exclusion criteria will lead to exclusion of the participant:
Exclusion criteria healthy controls:
* Excessive consumption of alcohol …
What they're measuring
1
Postural sway (mm)
Timeframe: 15 minutes
2
Proprioceptive weighting ratio (value between 0 and 1)