CClinicalTrials.gg
CompletedNCT01562756PRiSMUpdated Jul 31, 2017Results posted

Patient Response to Spinal Manipulation - Pilot Study

An interventional study of HVLA-SM in Low Back Pain, sponsored by Palmer College of Chiropractic. Completed at 1 site in United States. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-07-31.

Sponsored by Palmer College of Chiropractic · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
21 Years to 65 Years
Sex
All
01

Study summary

In collaboration with the University of Iowa, the Palmer Center for Chiropractic Research will conduct a pilot study for the purposes of testing equipment, finalizing data collection protocol, and training study personnel before conducting the full-scale trial.

Read the detailed description

In collaboration with the University of Iowa, the Palmer Center for Chiropractic Research will conduct a pilot study for the purposes of testing equipment, finalizing the data collection protocol, and training study personnel before conducting the full-scale trial. Only feasibility data will be collected and reported for this pilot study.

The full-scale trial, titled as "Patient response to spinal manipulation" (Trial registration: NCT01670292 on clinicaltrials.gov), is the Project 1 of the Developmental Center for Clinical and Translational Science in Chiropractic (Award No. U19AT004663).

In the current pilot study, we test how research clinicians can treat patients under study measurement conditions and with equipment resulting in modified treatment procedures. This pilot study will also test spinal stiffness using 3 different methods on 2 study visits. We will also assess the function of low back muscles during standing and while bending forward on 2 visits. These measurements include placing sensors on the back with tape and measuring the electrical activity of low back muscles. Participants with low back pain are treated with side-lying high-velocity low-amplitude spinal manipulation by experienced research clinicians who are doctors of chiropractic. Specifically, we will recruit 6 participants who are 21 - 64 years old and have had low back pain for at least 3 months. Each participant will attend 1 baseline visit, 1 enrollment visit, and 4 treatment visits over a period of approximately 4 weeks. Following the baseline visit, participant eligibility will be determined. The enrollment visit will be scheduled on the same day as the first treatment visit. The following feasibility data will be collected:

  • # of participants recruited
  • # of participants consented
  • # of participants enrolled
  • # of participants who completed the study
  • Total duration of the study from launch data to the final study visit
02

Conditions studied

  • Low Back Pain

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03

In context

Low Back Pain

2,818 studies on the registry are indexed under Low Back Pain; 482 are open to participants now.

This study's enrollment of 6 is below the median of 60 across 2,268 interventional studies indexed under Low Back Pain.

Browse Low Back Pain studies →

Lead sponsor

Palmer College of Chiropractic is the lead sponsor of 14 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 21-65
  • Signed informed consent document
  • Chronic (12+ weeks) low back pain (LBP)
  • Average pain within past 24 hours ≥ 2/10 at phone screen, baseline visit 1, and baseline visit 2

Exclusion criteria

Exclusion Criteria:

  • Compliance concerns such as refusal to shave body hair
  • No manipulable lesion in L3, L4, L5 or SI joints (The absence of typical palpatory characteristics as well as the absence of a global assessment that would indicate that spinal manipulation is likely to generate a positive therapeutic effect, even without the presence of standard palpatory findings)
  • Comorbid Conditions:
  • Serious Contaminant Illness
  • Inflammatory or Destructive Spinal Tissue change
  • Ankylosing Spondylitis
  • Fibromyalgia
  • Rheumatoid Arthritis
  • Neuromuscular Disease (e.g. Parkinson's, Muscular Dystrophy, Cerebral Palsy, or Myasthenia gravis)
  • Spinal Surgery \< 6 mo
  • Suspicion of drug or alcohol abuse
  • Uncontrolled hypertension
  • Peripheral Arterial Disease
  • Undetermined, infectious or visceral source of LBP
  • Other comorbid conditions prohibiting treatment and/or testing
  • Safety Concerns
  • Bleeding Disorders
  • Contraindications to HVLA-SM
  • Quebec Task Force (QTF) criterion 4-11:
  • QTF 4: Pain + radiation to upper/lower limb with signs
  • QTF 5: Presumptive compression of a spinal nerve root on a simple roentgenogram
  • QTF 6: Compression of a spinal nerve root confirmed by specific imaging techniques
  • QTF 7: Spinal Stenosis
  • QTF 8: Postsurgical status, 1-6 months after intervention
  • QTF 9: Postsurgical status, >6 months after intervention
  • QTF 10: Chronic pain syndrome
  • QTF 11: Other diagnoses
  • Pregnancy
  • Pacemaker or defibrillator
  • Inability to read or verbally comprehend English
  • Joint Replacement
  • Sensitivity to adhesive
  • Additional diagnostic procedures other than x-ray necessary
  • BDI-II > 29
  • Retention of legal advice and open or pending case related to LBP
  • BMI > 40
  • Unwilling to have low back and wrist shaved
  • Seeking or receiving compensation for any disability?
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    HVLA-SM

    High velocity, low amplitude lumbo-pelvic manipulation

    Other: HVLA-SM

Interventions

  • OtherHVLA-SM

    High velocity, low amplitude spinal manipulation

06

What researchers measure

Primary outcomes

  1. Feasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Number of Participants Who Were Recruited, Consented, Enrolled, and Completed the Study

    Feasibility was measured by the numbers of participants: recruited, consented, enrolled, and retained. This pilot study allowed for testing of equipment, finalizing the data collection protocol, and training study personnel before conducting the full-scale trial.

    Time frame: Approximately 4-6 weeks including initial eligibility screening, baseline visits, and 2 weeks of treatment visits

  2. Feasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Study Duration.

    Feasibility was measured by the study duration from study launch to collection of final study outcomes. This pilot study allowed for testing of equipment, finalizing the data collection protocol, and training study personnel before conducting the full-scale trial.

    Time frame: Approximately 4-6 weeks including initial eligibility screening, baseline visits, and 2 weeks of treatment visits

07

Results

Posted Jul 31, 2017

Participant flow

Participant flow — Overall Study
MilestoneHVLA-SM
Started6
Completed6
Not completed0

Outcome measures

PrimaryFeasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Number of Participants Who Were Recruited, Consented, Enrolled, and Completed the Study

Feasibility was measured by the numbers of participants: recruited, consented, enrolled, and retained. This pilot study allowed for testing of equipment, finalizing the data collection protocol, and training study personnel before conducting the full-scale trial.

Time frame:
Approximately 4-6 weeks including initial eligibility screening, baseline visits, and 2 weeks of treatment visits
Reported as:
Number · participants
Feasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Number of Participants Who Were Recruited, Consented, Enrolled, and Completed the Study
participantsFeasibility Outcomes
# Participants Recruited19
# Participants Consented9
# Participants Enrolled6
# Participants Completed6
PrimaryFeasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Study Duration.

Feasibility was measured by the study duration from study launch to collection of final study outcomes. This pilot study allowed for testing of equipment, finalizing the data collection protocol, and training study personnel before conducting the full-scale trial.

Time frame:
Approximately 4-6 weeks including initial eligibility screening, baseline visits, and 2 weeks of treatment visits
Reported as:
Number · months
Feasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Study Duration.
monthsFeasibility Outcomes
Feasibility of Conducting a Full-scale Randomized Control Trial to Evaluate Patient Response to Spinal Manipulation: Study Duration.4

Adverse events

Collected over 6 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HVLA-SM0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)HVLA-SM
Mean53 ± 10.5
Sex: Female, Male
Sex: Female, Male(Participants)HVLA-SM
Female1
Male5
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)HVLA-SM
White5
Other1
Region of Enrollment
Region of Enrollment(participants)HVLA-SM
United States6
08

Study locations

1 site
  • Palmer College of Chiropractic
    Davenport, Iowa 52803, United States
09

References and documents

Individual participant data

Plan to share: No — Feasibility/pilot study

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01562756
Lead sponsor
Palmer College of Chiropractic
Collaborators
National Center for Complementary and Integrative Health (NCCIH), University of Iowa
Responsible party
Sponsor
First posted
Mar 26, 2012
Start date
Feb 2012
Primary completion
May 2012
Completion
May 2012
Results posted
Jul 31, 2017
Last update
Jul 31, 2017

Study contacts

Ting Xia, PhD
principal investigator · Palmer College of Chiropractic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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