Effect of Spinal Manipulation on Sensorimotor Functions in Back Pain Patients: Study Protocol for a Randomised Controlled Trial

Details

• Personal Author:
  DeVocht JW ; Goertz CM ; Gudavalli RM ; Long CR ; Meeker WC ; Owens EF ; Pohlman KA ; Vining RD ; Wilder DG ; Xia, T.
• Description:
  Background: Low back pain (LBP) is a recognized public health problem, impacting up to 80% of US adults at some point in their lives. Patients with LBP are utilizing integrative health care such as spinal manipulation (SM). SM is the therapeutic application of a load to specific body tissues or structures and can be divided into two broad categories: SM with a high-velocity low-amplitude load, or an impulse "thrust", (HVLA-SM) and SM with a low-velocity variable-amplitude load (LVVA-SM). There is evidence that sensorimotor function in people with LBP is altered. This study evaluates the sensorimotor function in the lumbopelvic region, as measured by postural sway, response to sudden load and repositioning accuracy, following SM to the lumbar and pelvic region when compared to a sham treatment. Methods/design: A total of 219 participants with acute, subacute or chronic low back pain are being recruited from the Quad Cities area located in Iowa and Illinois. They are allocated through a minimization algorithm in a 1:1:1 ratio to receive either 13 HVLA-SM treatments over 6 weeks, 13 LVVA-SM treatments over 6 weeks or 2 weeks of a sham treatment followed by 4 weeks of full spine "doctor's choice" SM. Sensorimotor function tests are performed before and immediately after treatment at baseline, week 2 and week 6. Self-report outcome assessments are also collected. The primary aims of this study are to 1) determine immediate pre to post changes in sensorimotor function as measured by postural sway following delivery of a single HVLA-SM or LVVA-SM treatment when compared to a sham treatment and 2) to determine changes from baseline to 2 weeks (4 treatments) of HVLA-SM or LVVA-SM compared to a sham treatment. Secondary aims include changes in response to sudden loads and lumbar repositioning accuracy at these endpoints, estimating sensorimotor function in the SM groups after 6 weeks of treatment, and exploring if changes in sensorimotor function are associated with changes in self-report outcome assessments. Discussion: This study may provide clues to the sensorimotor mechanisms that explain observed functional deficits associated with LBP, as well as the mechanism of action of SM. [Description provided by NIOSH]
• Subjects:
  Biomechanical Phenomena Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety
• Keywords:
  Biomechanics Clinical Techniques Effectiveness Research Low Back Pain Medical Research MSD Musculoskeletal Disorders Sensory Motor System
• ISSN:
  1745-6215
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Iowa ; Minnesota ; OSHA Region 5 ; OSHA Region 7 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  12
• NIOSHTIC Number:
  nn:20063720
• Citation:
  Trials 2011 Jun; 12:161
• Contact Point Address:
  Christine M Goertz, Palmer Center for Chiropractic Research, Davenport, IA, USA
• Email:
  christine.goertz@palmer.edu
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Trials
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a13fdee1574073083ce82ad61b6607115482027c2c899e4782a5a117cfaa73cf3fcb45f022c99ce3c8316ca2671c62d5d623293a2d9619b4d99848a656363907
• Download URL:
  https://stacks.cdc.gov/view/cdc/222281/cdc_222281_DS1.pdf
• File Type:
  [PDF - 639.03 KB ]