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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01AT006334-01 | U.S. NIH Grant/Contract | View source | |
| 439-2010 | Other Identifier | UF legacy |
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| Name | Class |
|---|---|
| National Center for Complementary and Integrative Health (NCCIH) | NIH |
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Body-based interventions have consistently shown clinical effectiveness in patients with back pain. The primary objective for this study is to compare the effect of body-based interventions commonly used in the management of low back pain on behavioral and cortical measures of pain sensitivity and central sensitization of pain. Participants will be randomly assigned to receive one of the interventions or be in a control group. The central hypothesis for this proposal is that spinal manipulation, a specific form of body-based intervention, inhibits central sensitization of pain normalizing pain sensitivity more rapidly than other interventions. The completion of the proposed study will elucidate underpinning mechanisms of body-based interventions. Identification of these mechanisms will improve the clinical application and utilization of these interventions in the management of musculoskeletal pain conditions, especially back pain.
170 participants will be randomly assigned to receive one of the interventions or be in a control group. The investigators will use of a model of experimentally induced low back pain to investigate the effects of manipulative and body-based interventions in acute onset low back pain without some of the clinical confounds. The investigators will collect fMRI and psychophysical data about pain sensitivity before and after the induction of pain, and before and after interventions for that pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Spinal Manipulation | Experimental | High-velocity manual technique applied to the pelvis with the participant in supine |
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| Static Touch | Sham Comparator | Practitioner hands are placed on the lumbar spine with the participant in prone. |
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| Spinal Mobilization | Active Comparator | Oscillation of the third lumbar level performed with the participant in prone |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinal Manipulation | Other | High velocity low amplitude joint-biased intervention |
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| Measure | Description | Time Frame |
|---|---|---|
| Immediate change in temporal sensory summation | We will use both behavioral (ratings) and cortical (using fMRI) measures of temporal sensory summation. | 10 minutes post-intervention |
| Change in temporal sensory summation | The change temporal sensory summation (determined using quantitative sensory testing and fMRI) will be calculated from pre-intervention to 48 hours post-intervention | 48 hours post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Physical Impairment Index | Physical Impairment Index is a group of tests including trunk and limb range of motion, muscle tenderness and abdominal muscle performance | 48 hours post-intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark D Bishop, PT, PhD | University of Florida | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Florida | Gainesville | Florida | 32610-0154 | United States |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D020393 | Manipulation, Spinal |
| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Spinal Mobilization | Other | Low velocity, large amplitude oscillating joint biased technique |
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| Static Touch | Other | The investigators maintains hand contact with both hands over the lumbar area of the participant |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |