Study: NCT06150625

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Orthopedic Manaual Therapy
Description: Can include either spinal mobilizations or spinal manipulation therapy targeting the stiff or symptomatic level of the lumbar spine. Various types of mobilization or manipulation may be used based on the therapists clinical reasoning. The therapist will determine which technique and dosage parameters for each subject based on individual patient clinical data. Common mobilizations techniques involve gently and repeatedly applying pressure over different parts of the patient's spine that is associated with their symptoms. For a manipulation, the patient will be positioned in side-lying position. The therapist will then position the patient further to target the symptomatic level. The patient is asked to take a deep breathe in and out. The therapist will slowly add pressure through the trunk and apply a fast but small thrust motion toward the table.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Orthopedic Manaual Therapy
Description: Can include either spinal mobilizations or spinal manipulation therapy targeting the stiff or symptomatic level of the lumbar spine. Various types of mobilization or manipulation may be used based on the therapists clinical reasoning. The therapist will determine which technique and dosage parameters for each subject based on individual patient clinical data. Common mobilizations techniques involve gently and repeatedly applying pressure over different parts of the patient's spine that is associated with their symptoms. For a manipulation, the patient will be positioned in side-lying position. The therapist will then position the patient further to target the symptomatic level. The patient is asked to take a deep breathe in and out. The therapist will slowly add pressure through the trunk and apply a fast but small thrust motion toward the table.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Dry Needling
Description: dry needling both sides of the symptomatic level(s) of the lumbar spine as well as needling other areas in the lower extremity and pelvis based on the results of their clinical evaluation and/or the subjects presenting symptoms. Dry needling involves the insertion of a monofilament needle (nothing is injected) into symptomatic soft tissue. The therapist will determine which technique and dosage parameters for each subject based on individual patient clinical data.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Dry Needling
Description: dry needling both sides of the symptomatic level(s) of the lumbar spine as well as needling other areas in the lower extremity and pelvis based on the results of their clinical evaluation and/or the subjects presenting symptoms. Dry needling involves the insertion of a monofilament needle (nothing is injected) into symptomatic soft tissue. The therapist will determine which technique and dosage parameters for each subject based on individual patient clinical data.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Home exercise program
Description: 5 exercises will be selected from 10 options intended to reinforce the improvements made from treatment.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Home exercise program
Description: 5 exercises will be selected from 10 options intended to reinforce the improvements made from treatment.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Home exercise program
Description: 5 exercises will be selected from 10 options intended to reinforce the improvements made from treatment.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Patient education
Description: Patient education on the low back condition, advice to stay active, and home exercise performance.

Intervention type: OTHER
Group type: ACTIVE_COMPARATOR
Intervention: Patient education
Description: Patient education on the low back condition, advice to stay active, and home exercise performance.

Intervention type: OTHER
Group type: EXPERIMENTAL
Intervention: Patient education
Description: Patient education on the low back condition, advice to stay active, and home exercise performance.