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Trial registered on ANZCTR
Registration number
ACTRN12614000682640
Ethics application status
Approved
Date submitted
20/06/2014
Date registered
27/06/2014
Date last updated
30/05/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The Effect of Spinal Manipulation upon Local and Remote Deep and Superficial Pain Perception
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Scientific title
The Effect of Spinal Manipulation upon Local and Remote Deep and Superficial Pain Perception in Asymptomatic Adults
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Secondary ID [1]
284846
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pain intensity
292239
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Condition category
Condition code
Physical Medicine / Rehabilitation
292575
292575
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Side posture spinal manipulation commonly referred to as a hypothenar transverse push procedure will be applied unilaterally to the L5 region of ther lumbar spine. The manipulation will be provided by an experienced chiropractor with 15 years of clinical experience. The duration of the procedure is approximately 1 minute and will be performed once.
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Intervention code [1]
289642
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Treatment: Other
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Comparator / control treatment
Comparing the effect of lumbar spinal manipulation when applied to either the left or right hand side of the spine. One group will receive the manipulation on the right (group 1) and one group will receive the manipulation on the left (group 2).
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Control group
Active
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Outcomes
Primary outcome [1]
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Pressure pain thresholds will be measured using a Wagner pressure algometer 2cm inferior and lateral to the root of the spine of the scapula, over the belly of the infraspinatus muscle bilaterally.
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Assessment method [1]
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Timepoint [1]
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Primary outcome [2]
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Pressure pain thresholds will be measured using a Wagner pressure algometer 2cm lateral to the L5 spinous process bilaterally.
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Assessment method [2]
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Timepoint [2]
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Primary outcome [3]
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Pressure pain thresholds will be measured using a Wagner pressure algometer at the mid-point of the medial head of the gastrocnemius muscle bilaterally.
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Assessment method [3]
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Timepoint [3]
292491
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Secondary outcome [1]
308945
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Pinprick sensitivity will be determined using the Neuropen whereby a constant 40g pressure is applied to the skin and the participant rates their perceived sharpness on an 11 point numerical pain rating scale 2cm inferior and lateral to the root of the spine of the scapula, over the belly of the infraspinatus muscle bilaterally.
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Assessment method [1]
308945
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Timepoint [1]
308945
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Secondary outcome [2]
309091
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Pinprick sensitivity will be determined using the Neuropen whereby a constant 40g pressure is applied to the skin and the participant rates their perceived sharpness on an 11 point numerical pain rating scale 2cm lateral to the L5 spinous process bilaterally
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Assessment method [2]
309091
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Timepoint [2]
309091
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Secondary outcome [3]
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Pinprick sensitivity will be determined using the Neuropen whereby a constant 40g pressure is applied to the skin and the participant rates their perceived sharpness on an 11 point numerical pain rating scale at the mid-point of the medial head of the gastrocnemius muscle.
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Assessment method [3]
309092
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Timepoint [3]
309092
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Immediately, 10 minutes, 20 minutes and 30 minutes after administration of intervention
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Eligibility
Key inclusion criteria
No current chronic pain condition
No current acute or sub-acute painful condition affecting the lumbar spine
No contraindications to spinal manipulation
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Any rheumatologic disease
Currently receiving anticoagulant therapy
Has taken pain-relieving medication in the previous 24 hours
Alcohol intake within the last 12 hours
Suffers a neurological condition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The group assignment will be placed in sequentially numbered, opaque, sealed, envelopes. The researcher who will apply the intervention, will use these envelopes to allocate participants to their respective groups.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Upon meeting the criteria outlined in section, participants will be randomly assigned to a group. Using a random number generator a randomisation list consisting of equal numbers of 1s and 2s representing the group allocation will be created by a researcher not taking outcomes measures or applying the intervention. The group assignment will be placed in sequentially numbered, opaque, sealed, envelopes. The researcher who will apply the intervention, will use these envelopes to allocate participants to their respective groups. Group 1 will receive the intervention on the right, while group 2 will receive the intervention on the left.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2014
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Actual
27/10/2014
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Date of last participant enrolment
Anticipated
31/01/2015
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Actual
26/05/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
34
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
289458
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University
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Name [1]
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Murdoch University
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Address [1]
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Murdoch University
South Street
Murdoch
Western Australia
Australia
6150
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Country [1]
289458
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Australia
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Primary sponsor type
Individual
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Name
Barrett Losco
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Address
Murdoch University
South Street
Murdoch
Western Australia
Australia
6150
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Country
Australia
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Secondary sponsor category [1]
288145
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None
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Name [1]
288145
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Address [1]
288145
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Country [1]
288145
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291217
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Murdoch University Human Research Ethics Committee
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Ethics committee address [1]
291217
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Murdoch University South Street Murdoch Western Australia Australia 6150
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Ethics committee country [1]
291217
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Australia
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Date submitted for ethics approval [1]
291217
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27/06/2014
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Approval date [1]
291217
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24/07/2014
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Ethics approval number [1]
291217
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2014/141
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Summary
Brief summary
The aim of the study is to investigate whether manipulation of the lumbar spine effects measures of deep and superficial pain intensity at local and remote locations, for up to 30 minutes post manipulation. We also aim to investigate whether, if differences exist, these changes follow a segmental or non-segmental pattern, and whether the side to which spinal manipulation (SM) is applied creates asymmetrical changes in pain intensity.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Barrett Losco
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Address
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Murdoch University
South Street
Murdoch
Western Australia
Australia
6150
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Country
49370
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Australia
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Phone
49370
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+61 08 9360 6913
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Fax
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Email
49370
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[email protected]
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Contact person for public queries
Name
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Barrett Losco
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Address
49371
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Murdoch University
South Street
Murdoch
Western Australia
Australia
6150
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Country
49371
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Australia
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Phone
49371
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+61 08 9360 6913
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Fax
49371
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Email
49371
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[email protected]
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Contact person for scientific queries
Name
49372
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Barrett Losco
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Address
49372
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Murdoch University
South Street
Murdoch
Western Australia
Australia
6150
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Country
49372
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Australia
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Phone
49372
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+61 08 9360 6913
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Fax
49372
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Email
49372
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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