Spinal Manipulative Therapy Treatment Effect Modifiers in Individuals With Low Back Pain

Spinal Manipulative Therapy Treatment Effect Modifiers in Individuals With Low Back Pain

This study considers whether treatment effects in response to spinal manipulative therapy for individuals experiencing low back pain are dependent upon the context in which the intervention is provided. Half of the participants will receive spinal manipulative therapy with encouragement to interact with the provider and information to enhance expectations for the effectiveness of the intervention. The other half will receive spinal manipulative therapy with minimal interaction with the provider.

Inclusion Criteria:

• Currently experiencing low back pain defined as pain located below the 12th rib and above the inferior gluteal fold with or without corresponding leg pain;
• Low back pain symptom intensity rated as 4/10 or higher during the last 24 hour;
• Appropriate for conservative treatment for low back pain.

Exclusion Criteria:

• Non-English speaking;
• Systemic medical conditions know to affect sensation (e.g. diabetes);
• History of lumbar surgery or fracture within the past 6 months;
• Received spinal manipulative therapy for treatment of low back pain within past 6 months;
• Current or history of chronic pain condition other than low back pain