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CTRI Number  CTRI/2022/08/044925 [Registered on: 25/08/2022] Trial Registered Prospectively
Last Modified On: 24/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effects of High velocity, low amplitude thrust (HVLT) technique on individuals who have Non specific low back pain.  
Scientific Title of Study   Effects of High Velocity, Low Amplitude Thrust on Postural sway, Pain and Functional disability in individuals with chronic non-specific low back pain. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Not Applicable  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mitsu Desai 
Designation  Resident 
Affiliation  Dr. D. Y. Patil college of physiotherapy 
Address  MPT-2 classroom, 3rd floor, Left side to Kinesiology department, Dr. D. Y. Patil College of Physiotherapy, Sant tukaram Nagar, Pimpri, Pune. 411018
Kinesiology Department, 3rd floor, right side to MPT-1 classroom, Dr. D. Y. Patil college of Physiotherapy, Pimpri, Pune. 411018
Pune
MAHARASHTRA
411018
India 
Phone  7874372885  
Fax    
Email  mitsudesai18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mitsu Desai 
Designation  Resident 
Affiliation  Dr. D. Y. Patil college of physiotherapy 
Address  MPT-2 classroom, 3rd floor, Left side to Kinesiology department, Dr. D. Y. Patil College of Physiotherapy, Sant tukaram Nagar, Pimpri, Pune. 411018
Kinesiology Department, 3rd floor, right side to MPT-1 classroom, Dr. D. Y. Patil college of Physiotherapy, Pimpri, Pune. 411018
Pune
MAHARASHTRA
411018
India 
Phone  7874372885  
Fax    
Email  mitsudesai18@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mitsu Desai 
Designation  Resident 
Affiliation  Dr. D. Y. Patil college of physiotherapy 
Address  MPT-2 classroom, 3rd floor, Left side to Kinesiology department, Dr. D. Y. Patil College of Physiotherapy, Sant tukaram Nagar, Pimpri, Pune. 411018
Kinesiology Department, 3rd floor, right side to MPT-1 classroom, Dr. D. Y. Patil college of Physiotherapy, Pimpri, Pune. 411018
Pune
MAHARASHTRA
411018
India 
Phone  7874372885  
Fax    
Email  mitsudesai18@gmail.com  
 
Source of Monetary or Material Support  
Dr. D. Y. Patil physiotherapy OPD., Ground Floor, Dr. D. Y. Patil college of physiotherapy, Pimpri, Pune 
 
Primary Sponsor  
Name  Mitsu Desai 
Address  MPT-2 classroom, 3rd floor, Left side of kinesiology dept, Dr. D. Y. Patil college of Physiotherapy, Sant tukaram nagar, pimpri, pune 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrDivya Gohil  Dr. D. Y. Patil college of Physiotherapy  Kinesiology Department, 3rd floor, Right side cabin to MPT-1 classroom, Dr. D. Y. Patil College Of Physiotherapy, Pimpri, Pune. 411018
Pune
MAHARASHTRA 
7767828290

divya.gohil@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee - Dr. D. Y Patil college of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Non-Specific Low Back Pain 
Patients  (1) ICD-10 Condition: Z781||Physical restraint status,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Core stability Exercises.  It will be given for 14 days. i.e. 2 weeks. Core stability mainly focuses on strengthning of core muscles and back muscles which has been proved to reduce low back pain in individuals with chronic non specific low back pain. 
Intervention  High velocity, Low amplitude thrust.  It will be given thrice in 14 days intervention. This mechanism of action enables the vertebral segments to progress in a bigger range of motion and would diminish the mechanical pressure on paraspinal muscles, thus reducing pain and distress.  
Comparator Agent  Not Applicable  Not Applicabl 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Young and middle aged adults between age group 18-60 years16having chronic low back.(more than 3 months)
2. Hypomobility of lumbar spine.
3. NPRS severity of 3-7 with mild and moderate pain level.
 
 
ExclusionCriteria 
Details  1. Contraindications to spinal manipulation such as recent fractures, infections and spinal deformities.
2. Individuals undergone joint replacement surgeries.(hip and knee)
3. Individuals with (grade 3) OA of hip, knee.
4. Spondylolisthesis.
5. Mechanical low back pain.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Postural Sway will be assessed using Neuro-com BALANCE MASTER  Assessed at the first and then the last day of the intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
Pain  With NPRS scale at the first day and the last day of intervention. 
Functional Disability  Modified Oswestry Disability Index at the beginning and the last day of the intervention. (On the first day and the last day) 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/08/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

  The current research will be done to study and evaluate whether applying high velocity, low amplitude thrust  to the lumbar spine helps in improving postural sway and hence balance thereby reducing pain and improving functional disabilities in individuals with chronic non specific low back pain, also whether the technique can be implicated in routine practice along with exercise therapy and other management guidelines.

Our back is complex and multi joint region which has various structures that can cause pain and this can be recognized based on location of pain.

This mechanism of action enables the vertebral segments to progress in a bigger range of motion and would diminish the mechanical pressure on paraspinal muscles, thus reducing pain and distress. 

 20 subjects will receive spinal manipulation i.e. High velocity, low amplitude thrust, to the lumbar spine twice a week along with core stability exercises.

  20 subjects will receive conventional exercises- core stability exs.

 

 

 

 
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