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Spinal ManipulationNCT02550132

The Role of the Rate of Force Application in Responses to Spinal Manipulation Therapy

A study testing Spinal manipulation and Apparatus used to deliver spinal manipulations in people with Spinal Manipulation, run by Université du Québec à Trois-Rivières.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the present study is to determine if spinal manipulations with a constant rate of force application but with different peak force and time to peak force lead to similar responses in healthy adults. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Spinal Manipulation
What is being tested?
Spinal manipulation and Apparatus used to deliver spinal manipulations
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
No sites listed yet
Study dates
Jun 2013to Jun 2014
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy adult

Who cannot join

  • Thoracic or lumbar pain
  • History of back trauma or surgery
  • Severe osteoarthritis
  • Inflammatory arthritis
  • Vascular conditions
  • Contraindication to the use of SMT

About this study

Official title: Neuromechanical Response to Spinal Manipulation Therapy: Effects of a Constant Rate of Force Application

The objective of the present study is to determine if spinal manipulations with a constant rate of force application but with different peak force and time to peak force lead to similar responses in healthy adults.

Read the detailed description

Although there are indirect evidences that the rate of force application modulates neuromuscular responses to spinal manipulation therapy (SMT) through peak force or thrust duration modulations, such an assumption remains to be confirmed. Therefore, the objective of the present study was to determine if different SMT force-time profiles where a constant rate of force application would be maintained (through the modulation of the peak force and the time to peak force) lead to similar neuromechanical responses. Based on the available data relative to the effect of SMT biomechanical parameters modulation, it was hypothesized that neuromuscular responses would be similar across SMT force-time profiles, while vertebral displacements would increase as SMT peak force increases.

Being tested
Spinal manipulation, Apparatus used to deliver spinal manipulations
Keywords
electromyography, biomechanical phenomena, dose-response relationship, musculoskeletal manipulations, spinal manipulation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Spinal manipulationProcedure or surgery

    Also called Manual therapy

    Participants will lie down during the 45-minute experimental session. Vertebral displacements (cm) and muscle response amplitude (RMS value) will be recorded through kinematic markers (on T6, T7 and T8 spinous processes) and surface electromyography electrodes (on the left and right erector spinae at T6 and T8 vertebra level). Each SMT (4 per participant) will be delivered at T7 transverse processes by an apparatus. Responses during the thrust phase (duration equal to twice the time to peak force) and after the thrust (1,5s duration) will be compared between SMTs.

  • Apparatus used to deliver spinal manipulationsDevice

    An apparatus using a servo-controlled linear actuator motor (Linear Motor Series P01-48x360, LinMot Inc., Switzerland) will be used to deliver spinal manipulations.

Study groups in NCT02550132
Study groupRoleWhat they receive
ParticipantsExperimentalAll volunteers will participate in an experimental session. Participants will be delivered four different spinal manipulations (SMT) at T7 with a rate of force application of about 2200 Newtons/seconds and a preload force of 25 Newtons (N). SMTs will differed in their time to peak force (ms) and peak force (N), respectively fixed as follow for each applied SMT: (1)57 ms / 150 N, (2)80 ms / 200 N, (3)102 ms / 250 N and (4)125 ms / 300 N.
Receives: Procedure: Spinal manipulation; Device: Apparatus used to deliver spinal manipulations

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Left T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  2. Left T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  3. Right T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  4. Right T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  5. Left T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  6. Left T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  7. Right T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  8. Right T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  9. Left T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  10. Left T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  11. Right T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  12. Right T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  13. Left T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  14. Left T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  15. Right T6 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  16. Right T8 Normalized Root Mean Square (RMS) Value

    Normalized amplitude (RMS) of surface electromyography response. The normalisation was achieved by dividing the obtained RMS by the RMS value before thrust application.

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  17. Vertebral Displacement of the Sixth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  18. Vertebral Displacement of the Seventh Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  19. Vertebral Displacement of the Eighth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  20. Vertebral Displacement of the Sixth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  21. Vertebral Displacement of the Seventh Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  22. Vertebral Displacement of the Eighth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 200N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  23. Vertebral Displacement of the Sixth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  24. Vertebral Displacement of the Seventh Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  25. Vertebral Displacement of the Eighth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 250N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  26. Vertebral Displacement of the Sixth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  27. Vertebral Displacement of the Seventh Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

  28. Vertebral Displacement of the Eighth Thoracic Vertebra

    Absolute posterior to anterior vertebral displacement during the spinal manipulation in centimeter

    Measured: During the 300N spinal manipulation procedure, assessed up to 2 seconds following thrust onset

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2015 (estimated)
  2. Study startJun 2013
  3. Primary completionJun 2014
  4. Study completionJun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02550132
Sponsor's protocol ID
UQTR-2013-SMTrate
Status last verified
Jan 2016
First submitted
8 Sep 2015
Last updated
5 Feb 2016
Data monitoring committee
No

Publications

  • Nougarou F, Page I, Loranger M, Dugas C, Descarreaux M. Neuromechanical response to spinal manipulation therapy: effects of a constant rate of force application. BMC Complement Altern Med. 2016 Jun 2;16:161. doi: 10.1186/s12906-016-1153-6.

    PubMed 27249939

Questions about this trial

What is this clinical trial studying?

A study testing Spinal manipulation and Apparatus used to deliver spinal manipulations in people with Spinal Manipulation, run by Université du Québec à Trois-Rivières.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Left T6 Normalized Root Mean Square (RMS) Value (time frame: During the 150N spinal manipulation procedure, assessed up to 2 seconds following thrust onset). The study lists 28 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02550132, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2016.

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