A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods

手动与手动的比较。

基本信息

项目摘要

This Study will be a small randomized trial (n=40 per group) comparing the clinical effectiveness of mechanical instrument assisted manipulation (MIAM) with traditional manual thrust manipulation (MTM) for the treatment of low back pain (LBP). Systematic reviews of the literature have described at least 42 randomized trials using spinal manipulation as a treatment for LBP, the majority of which utilized some variety of MTM but no high quality studies utilizing MIAM. This trial mil explore the differences in clinical effectiveness of these two manipulative methods for LBP. Eighty patients with a new onset of LBP within the past 12 weeks will be recruited and randomized into two groups; treatment with MTM or treatment with MIAM. ITie treatment frequency will be twice per week for 4 weeks (8 visits in total). Outcome measures will be gathered at 4,12, and 24 weeks. The primary outcome measure will be the Oswestry Disability Questionnaire (ODQ) score at 4-weeks. The secondary outcome measure will be the Numeric Pain Rating Scale (NPRS). Other secondary variables of interest will include treatment expectancy for each type of manipulation, fear-avoidance beliefs score, and presence of predictor variables from previously validated clinical prediction rules associated with manipulation and stabilization exercise successes. The primary analysis will be a generalized Imear regression model with 6-week ODQ score as the dependent variable and treatment group as the key independent variable; while controlling for baseline randomization variables and treatment expectation scores as covariates in the model. The secondary analysis will be a shnilar regression model using NPRS score as the dependent variable. The key aims of this study are; (1) to acquire infonnation that will be used to design a large clinical trial (ROl) on the comparative effectiveness of different types of spinal manipxUation and to determine its feasibility, and (2) to obtain parameter estimates of effect sizes and explore potential confounders or treatment effect mediators for the future larger trial.
本研究将是一项小型随机试验(每组n=40),比较两种药物的临床疗效

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
The association of biomarkers with pain and function in acute and subacute low back pain: a secondary analysis of an RCT.
  • DOI:
    10.1186/s12891-022-06027-9
  • 发表时间:
    2022-12-05
  • 期刊:
  • 影响因子:
    2.3
  • 作者:
    Tonelli Enrico, Valerio;Schneider, Michael;Haas, Mitchell;Vo, Nam;Huang, Wan;McFarland, Christine;Weber, Nick;Sowa, Gwendolyn
  • 通讯作者:
    Sowa, Gwendolyn
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MICHAEL J SCHNEIDER其他文献

MICHAEL J SCHNEIDER的其他文献

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{{ truncateString('MICHAEL J SCHNEIDER', 18)}}的其他基金

Distance Education OnLine Intervention for Evidence Based Practice Literacy
远程教育在线干预循证实践素养
  • 批准号:
    8540907
  • 财政年份:
    2012
  • 资助金额:
    $ 24.71万
  • 项目类别:
Distance Education OnLine Intervention for Evidence Based Practice Literacy
远程教育在线干预循证实践素养
  • 批准号:
    8424023
  • 财政年份:
    2012
  • 资助金额:
    $ 24.71万
  • 项目类别:
A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods
手动与手动的比较。
  • 批准号:
    8137141
  • 财政年份:
    2008
  • 资助金额:
    $ 24.71万
  • 项目类别:
A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods
手动与手动的比较。
  • 批准号:
    8103448
  • 财政年份:
    2008
  • 资助金额:
    $ 24.71万
  • 项目类别:
A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods
手动与手动的比较。
  • 批准号:
    7661467
  • 财政年份:
    2008
  • 资助金额:
    $ 24.71万
  • 项目类别:
A Comparison of Manual VS. Mechanical Chiropractic Manipulation Methods
手动与手动的比较。
  • 批准号:
    7532169
  • 财政年份:
    2008
  • 资助金额:
    $ 24.71万
  • 项目类别:
Core--ES Cell and Microinjection Facility
核心--ES细胞及显微注射设备
  • 批准号:
    7464621
  • 财政年份:
    2007
  • 资助金额:
    $ 24.71万
  • 项目类别:
Core--ES Cell and Microinjection Facility
核心--ES细胞及显微注射设备
  • 批准号:
    7255609
  • 财政年份:
    2006
  • 资助金额:
    $ 24.71万
  • 项目类别:
Core--ES Cell and Microinjection Facility
核心--ES细胞及显微注射设备
  • 批准号:
    7071812
  • 财政年份:
  • 资助金额:
    $ 24.71万
  • 项目类别:

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