Ignite Creation Date:
2024-05-06 @ 6:47 PM
Last Modification Date:
2024-10-26 @ 2:54 PM
Study NCT ID:
NCT05780593
Status:
COMPLETED
Last Update Posted:
2023-07-25
First Post:
2023-03-13
Brief Title:
Effects of Manual Therapy and Inclined Board Standing on Low Back Pain
Sponsor:
Agile Institute of Rehabilitation Sciences
Organization:
Agile Institute of Rehabilitation Sciences
Study Overview
Official Title:
Effects of Manual Therapy and Inclined Board Standing on Low Back Pain
Status:
COMPLETED
Status Verified Date:
2023-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To date there have been limited clinical trials conducted to determine the effects of manual therapy combined with passive stretching and inclined board standing for treating low-back pain This will be the first randomized controlled trial to evaluate the effects of these integrated interventions The study aims to develop a new approach towards the cost-effective management of low-back pain in line with the World Health Organizations WHO vision of maximizing health outcomes preventing disability and reducing the cost of care
Detailed Description:
Manual therapy is a sub-type of physical therapy that uses hands-on maneuver to diagnose and treat musculoskeletal pain and dysfunction Mobilization and manipulation are widely used for the management of low-back-pain LBP a common and debilitating condition that affects millions of people worldwide The goal of manual therapy is to improve mobility reduce pain and discomfort and enhance functional capacity Evidence is growing now a days that is in the direction of usage of manual therapy for the treatment of the lower back pain Many studies have demonstrated the effectiveness of manual-therapy procedures such as spinal high velocity low amplitude thrust low velocity and high intensity joint passive movement and massage in alleviating pain and dysfunction and enhancing physical and mental functions in clinical cases with lower backache
The prime purpose of this research aimed to investigate the relationship between the length of the tensor fasciae lata TFL and pelvic rotation during one-leg stance in healthy adults 41 participants were assessed using a 3-dimensional motion analyzer and their TFL length and hip rotation range of motion were measured The results divided participants into two groups based on their pelvic rotation during one-leg stance Although there was no significant difference in TFL length between the two groups the study suggests that pelvic instability may cause trunk instability during one-leg stance
Another study looked at static balance in three different standing positions with and without a foam surface It found that standing over slanted surfaces increased postural unsteadiness and that dorsiflexed ankles over a foam surface created more postural instability
To create a human-like biped posture a study created a Neural Controllable NC model to represent a human-like biped posture The model generated physiologically reasonable muscle activations and captured the idea that individuals choose a low active stiffness level while standing to use less energy
Another researcher reviewed the involvement of the kinetic chain in overhead athletes and applied it to clinical workout adjustments for the prevention and treatment of shoulder injuries The study found that lower extremities trunk and scapular area all play a role in the formation of adequate terminal segment acceleration during overhead throwing and serving actions The study suggests that traditional shoulder exercises should include scapular stabilizer and core musculature activation in addition to rotator cuff activation
Research Gap
Low-back-pain LBP is a Musculo-skeletal ailment that has a negative societal impact and is extremely common around the world causing disability LBP is one of the most common reasons people seek medical attention in the United States along with neck pain which is connected with the greatest healthcare expenses Surgical patients are the most expensive per care episode however the vast majority of lower backache management spending can be attributable to the substantially higher number of non-operative care episodes
In 2021 Academy of Orthopedic Physical Therapy AOPT has published updated Clinical Practice Guidelines CPG for acute and chronic low-back-pain linked to the ICF model for physical therapists The updated Clinical Practice Guidelines CPGs for the treatment of lower back pain LBP recommend four interventional categories exercise manual and other-directed therapies classification systems and patient education The guidelines were developed to be applicable globally and acknowledge that differences in factors such as healthcare systems cultural norms and social health determinants may impact the implementation of these recommendations Physical therapists are the primary audience but other stakeholders may also find the guidelines useful The CPG update has identified knowledge gaps in the treatment of LBP and recommended further research using Single Level I RCT or Small-Sample Level II RCTs With Short Follow-up Times to develop better and cost-effective management approaches
The prime purpose of this research aimed to investigate the relationship between the length of the tensor fasciae lata TFL and pelvic rotation during one-leg stance in healthy adults 41 participants were assessed using a 3-dimensional motion analyzer and their TFL length and hip rotation range of motion were measured The results divided participants into two groups based on their pelvic rotation during one-leg stance Although there was no significant difference in TFL length between the two groups the study suggests that pelvic instability may cause trunk instability during one-leg stance
Another study looked at static balance in three different standing positions with and without a foam surface It found that standing over slanted surfaces increased postural unsteadiness and that dorsiflexed ankles over a foam surface created more postural instability
To create a human-like biped posture a study created a Neural Controllable NC model to represent a human-like biped posture The model generated physiologically reasonable muscle activations and captured the idea that individuals choose a low active stiffness level while standing to use less energy
Another researcher reviewed the involvement of the kinetic chain in overhead athletes and applied it to clinical workout adjustments for the prevention and treatment of shoulder injuries The study found that lower extremities trunk and scapular area all play a role in the formation of adequate terminal segment acceleration during overhead throwing and serving actions The study suggests that traditional shoulder exercises should include scapular stabilizer and core musculature activation in addition to rotator cuff activation
Research Gap
Low-back-pain LBP is a Musculo-skeletal ailment that has a negative societal impact and is extremely common around the world causing disability LBP is one of the most common reasons people seek medical attention in the United States along with neck pain which is connected with the greatest healthcare expenses Surgical patients are the most expensive per care episode however the vast majority of lower backache management spending can be attributable to the substantially higher number of non-operative care episodes
In 2021 Academy of Orthopedic Physical Therapy AOPT has published updated Clinical Practice Guidelines CPG for acute and chronic low-back-pain linked to the ICF model for physical therapists The updated Clinical Practice Guidelines CPGs for the treatment of lower back pain LBP recommend four interventional categories exercise manual and other-directed therapies classification systems and patient education The guidelines were developed to be applicable globally and acknowledge that differences in factors such as healthcare systems cultural norms and social health determinants may impact the implementation of these recommendations Physical therapists are the primary audience but other stakeholders may also find the guidelines useful The CPG update has identified knowledge gaps in the treatment of LBP and recommended further research using Single Level I RCT or Small-Sample Level II RCTs With Short Follow-up Times to develop better and cost-effective management approaches
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None