The Use of Manual Therapy to Treat Low-Back and Hip Pain

Study Overview
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Brief Summary
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Low back pain (LBP) is a common problem in the adult population with many approaches to treatment, but no clear answer. One of the causes of LBP, musculoskeletal pain, can be triggered by spasm of the deep muscles of the back and pelvis. This study, therefore, focuses on treating pelvic muscle pain as a way of lessening LBP.

Detailed Description
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Osteopathic manipulative medicine (OMM) is a well-researched standard of care in the treatment of low back pain (LBP). Under the heading of OMM, many different modalities exist to decrease a patient's somatic dysfunction. Among the most commonly used are high velocity (thrusting through an immobilized joint) and muscle energy (engaging a restrictive barrier using the patient's own strength). Although a very common complaint, there is no exact etiology for LBP. Many different theories exist, including postural disturbances, leg length discrepancies, and even genetic predispositions. A study in Spine finds that among those with chronic LBP there is a subgroup of people with reduced hip flexion, and concludes that hip motion should be considered in treatment of patients with LBP. Currently, there exists no research on the manipulation of hip flexors in the treatment of LBP. This study, therefore, will test the efficacy of OMM on the deep pelvic musculature as a way of decreasing LBP.

Official Title
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The Use of Myofascial Release in Lumbopelvic Pain

Conditions
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Low Back Pain, Pain

Intervention / Treatment
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* Procedure: Osteopathic Manipulative Medicine
* Procedure: Sham Manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Written informed consent Age-older than 18 years and younger than 65 years Lumbopelvic pain Exclusion Criteria: Cardiovascular disease (heart-failure, myocardial infarction, hypertension) Diabetes Rheumatoid Arthritis Osteoarthritis Chronic Illness Pregnancy-self reported Neurodegenerative Disease Osteopenia Osteoporosis Metastatic Cancer

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: A<br>Osteopathic Manipulative Medicine | Procedure: Osteopathic Manipulative Medicine<br>* Pelvic balancing, myofascial release of the anterior pelvis.<br>|
| Placebo Comparator: B<br> | Procedure: Sham Manipulation<br>* Neutral positional, gentle palpation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in low back pain on a 1-10 scale. |  | Immediately following treatment. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in low back pain on a 0-10 scale. |  | 6-8 hours after treatment. | 
| Reduction in low back pain on a 0-10 scale. |  | After four weeks of therapy. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Low back pain, Hip pain