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| Name | Class |
|---|---|
| University of Houston | OTHER |
| Whittier College | UNKNOWN |
| Private Practice | UNKNOWN |
| Miami University |
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To assess the effect of chiropractic distraction manipulation on postural sway and simple measures of performance in patients with the clinical diagnosis of lumbar spinal stenosis.
This study aims to assess the effect of chiropractic distraction manipulation in reducing postural sway and improving performance-based mobility and disability in patients with the clinical diagnosis of lumbar spinal stenosis. This study will identify if distraction spinal manipulation will reduce postural sway center of pressure (COP) movements as determined by a force plate, if distraction spinal manipulation will improve simple measures of performance-based mobility and if distraction spinal manipulation will improve perception of balance confidence and will reduce self-rated stenosis associated disability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbar Spinal Stenosis | Questionnaire, chiropractic treatment, and posture and performance testing. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lumbar Spinal Stenosis | Other | Posture and Performance testing: ABC-6 Scale, low back pain NRS, buttock or leg pain NRS, five times sit-to-stand, timed up-and-go, PGIC, eyes open force plate assessment (30 seconds), and eyes closed force plate assessment (30 seconds). |
| Measure | Description | Time Frame |
|---|---|---|
| Balance tracking | The primary outcome is static balance as assessed by center of pressure (COP) using a portable force plate (Balance Tracking Systems, BTrackS™). | Each participant will be tested for one minute |
| Measure | Description | Time Frame |
|---|---|---|
| Questionnaire: Pain sclae | Pain severity of the lower back and buttock using a numerical rating scale (0-10) | 5 Minutes |
| Questionnaire: Disability | Stenosis specific disability using the Zurich Claudication Questionnaire; symptom and function. Zurich Claudication Questionnaire has a 7-item symptom severity subscale with scores from 1 to 5 and a 5-item physical function subscale with scores from 1 to 4. The total score range is 12 to 55 points, with higher scores indicating higher levels of self-reported disability. |
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Inclusion Criteria:
Exclusion Criteria:
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The population studied will be existing and/or new patients at the Cox Certified Doctor's private practice.
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| Name | Affiliation | Role |
|---|---|---|
| Katie Pohlman, DC, MS, PhD | Parker University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parker University | Dallas | Texas | 75229 | United States |
Information about this study and individual data will be made available per request and approval from all investigator members.
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| OTHER |
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| 5 Minutes |
| Questionnaire: Balance | Balance Specific Confidence (ABC-6) | 5 Minutes |
| Questionnaire: Change | Patient Global Impression of Change, this 1-item question has a 7-point rating scale with 1 being no change and 7 being considerable improvement. | 5 Minutes |
| Sit to Stand | physical performance as assessed by the 5 Times Sit to Stand and Timed Up and Go tests. | 5 Minutes |