NCT03049644

A Trial Comparing Mechanical Diagnosis and Treatment to Manual Therapy

Management of Chronic Lower Back Pain: A Randomized Controlled Trial Comparing Mechanical Diagnosis and Treatment to Manual Therapy Utilizing a Point of Care Methodology

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 15 (actual)
• Sponsor: Canandaigua VA Medical Center · Federal
• Sex: All
• Age: 18 Years – 89 Years
• Healthy volunteers: Not accepted

Summary

Mechanical diagnosis and treatment (MDT) and Manual Therapy (MT) have both demonstrated efficacy in the management of CLBP. The use of a Point of Care (POC) design in this study will allow for comparison of these two treatment modalities in a clinical setting. The purpose of this study is to demonstrate the feasibility of recruiting, enrolling and collecting outcome data on CLBP patients utilizing the POC methodology.

Detailed description

20 new patients entering the chiropractic clinic who meet inclusion criteria including demonstrating a directional preference upon physical examination during their initial evaluation will be recruited. Patients will be queried as to interest and those interested will be consented. Patients will then be randomized utilizing a computer generated randomization chart to receive either MDT or MT delivered in a pragmatic manner. Outcomes will include: Pain (PEG), Quality of Life (PROMIS Global Health Survey (GHS)), psychosocial questions and Self Efficacy (2 Question). Outcomes will be collected at baseline, 4 weeks and 8 weeks post baseline.

Conditions

• Chronic Lower Back Pain

Interventions

Type	Name	Description
PROCEDURE	Mechanical Diagnosis and Therapy	Identification of directional preference.
PROCEDURE	Manual Therapy	Mechanically based treatment based on taking joint to end range and thrusting or soft tissue manipulation.

Timeline

• Start date: 2017-02-01
• Primary completion: 2017-06-30
• Completion: 2018-12-30
• First posted: 2017-02-10
• Last updated: 2022-04-07

Locations

1 site across 1 country: United States