Osteopathic Manipulative Treatment Versus Therapeutic Exercises in Subjects With Chronic Non-specific Low Back Pain

Study Overview
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Brief Summary
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This study evaluates the effectiveness of treatment osteopathic manipulation in the treatment of subjects with chronic nonspecific low back pain.

Official Title
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Osteopathic Manipulative Treatment Versus Therapeutic Exercises in Subjects With Chronic Non-specific Low Back Pain: a Randomized Controlled and Double-blind Trial

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: Osteopathic Manipulative Treatment
* Other: Exercise Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects with constant or intermittent low back pain with intensity greater than 30 mm visual analog scale (VAS) for at least three months duration, with a diagnosis of chronic low back pain Exclusion Criteria: Subjects who have spine fractures, Dislocations Ligament ruptures Muscle ruptures Skin lacerations Sacroiliitis Vertebral osteomyelitis Infection Disc herniations with radicular symptoms Rheumatic disorders Cauda equina syndrome Tumors Referred pain visceral Red flags Lower limb discrepancy greater than 2 cm Several conditions requiring participants to be absent for more than two weeks of activities in the experiment Positioning itself as not volunteer the same.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 59 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: Osteopathic Manipulative Treatment<br>We selected two types of osteopathic techniques for this study: Technical articulation: rhythmic technique with low speed in which the goal is the full gain range of motion. Myofascial techniques (Neuromuscular): techniques involving lateral stretching, linear, deep pressures and pulls of the origins and insertions aiming at a myofascial relaxation. Sacroiliac articulatory technique; Dorsal articulatory technique; Lumbar paraspinal muscles stretching technique; Lumbar myofascial technique (inhibitory). | Other: Osteopathic Manipulative Treatment<br> <br> |
| Active Comparator: Exercise Therapy<br>2 types of therapeutic exercises techniques were used: Stabilization exercises Stretches Stabilization exercises: Bridge on the ball 10 - 15 sec Side plank 10 - 15 sec Front board 10 - 15 sec active mobilization lumbopelvic 3 x 6 rep Squats with the ball on the wall 3 x 8 rep Static-passive stretch (2 x 30 sec): Paraspinal; Abdominals; Quadratus lumborum; Hip extenders; Hip flexors; Hip abductors; Hip adductors. | Other: Exercise Therapy<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain | VAS (VISUAL ANALOGUE SCALE) | 5 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disability | Oswestry Disability Index 2.0 | 5 weeks | 
| kinesiophobia | Tampa Scale for Kinesiophobia | 5 weeks | 
| Depression | Beck Scale for Depression | 5 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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osteopathic manipulative treatment, Chronic nonspecific low back pain, low back pain