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Muscle WeaknessNCT06534931

Effects of a Thoracic Manipulation on Hip Adductor, Extensor, and Latissimus Dorsi Force in Those With Adductor Weakness

A study testing High velocity low amplitude thoracic spine manipulation in people with Muscle Weakness, run by University of New England at 1 site in United States.

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 goal of this trial was to determine if a mid-thoracic high velocity low amplitude spinal manipulation improves force output in those with unilateral hip adductor weakness. The main aims were to determine if the intervention: Improved hip adductor force and muscle activation immediately and 48 h post manipulation… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Muscle Weakness
What is being tested?
High velocity low amplitude thoracic spine manipulation
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteUnited States
Study dates
8 Nov 2021to 13 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Unilateral hip adductor weakness, as assessed by manual muscle testing
  • Pain free hip motion
  • No contraindications to high velocity thoracic spine manipulation including:
  • Any known active cancer/ Metastatic Bone Cancer Osteoporosis or other metabolic bone disorders Signs of spinal cord compression Nerve root compression with increasing neurologic deficit Signs of Vertebrobasilar insufficiency/ cervical artery abnormalities Bleeding Diatheses Angina pectoris

Who cannot join

  • Current pain in the adductor muscle group
  • Past history of hip surgery
  • Past history of hip fracture
  • History of spine or rib fractures
  • Psoas muscle group (hip flexor) weakness as determined by manual muscle testing
  • Received a chiropractic manipulation in past week

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of New England

    Portland, Maine, 04103

Other trials in United States

About this study

Official title: Effects of a High Velocity Low Amplitude Mid-Thoracic Spinal Segment Manipulation on the Force Output of the Hip Adductors and Extensors and the Latissimus Dorsi in Healthy Individuals With Unilateral Hip Adductor Weakness

The goal of this trial was to determine if a mid-thoracic high velocity low amplitude spinal manipulation improves force output in those with unilateral hip adductor weakness. The main aims were to determine if the intervention:

Improved hip adductor force and muscle activation immediately and 48 h post manipulation compared to a control group.

Read more

Improved gluteus maximus and latissimus dorsi force and muscle activation immediately and 48 h post manipulation compared to a control group.

Strength and muscle activation of the hip adductors, hip extensors (gluteus maximus), and shoulder extensors (latissimus dorsi) were measured prior to, immediate after, and 48 hours after receiving a high velocity low amplitude manipulation to the thoracic spine. The manipulation was performed by a licensed chiropractor.

A control group received a validated sham manipulation to the thoracic spine. Participants were blinded to group assignment.

Conditions
Muscle Weakness
Being tested
High velocity low amplitude thoracic spine manipulation, Sham
Medical subject headings
Muscle Weakness

What participants receive

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

  • High velocity low amplitude thoracic spine manipulationProcedure or surgery

    Participants were supine on a treatment table. The chiropractor determined levels of apparent spinal dysfunction by means of static palpation. Participants were then asked to curl forward and bring their knees to their chest as the chiropractor placed a fist just inferior to the targeted level, anywhere between the T4 - T10 vertebrae. The participant was instructed to inhale and then exhale, at which point the chiropractor lowered the participant's torso back to the table and delivered a thrust using his body into his fist.

  • ShamProcedure or surgery

    A previously validated physiologically inert manual procedure to the thoracic spine

Study groups in NCT06534931
Study groupRoleWhat they receive
ManipulationExperimentalThose in the intervention group received a high velocity low amplitude manipulation to the mid-thoracic spine provided by a licensed chiropractor.
Receives: Procedure: High velocity low amplitude thoracic spine manipulation
ShamSham comparatorThose in the control group received a validated sham manipulation to the mid-thoracic spine. The sham manipulation was done so that there was minimal downward force applied to the spine.
Receives: Procedure: Sham

What is being measured

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

  1. Hip adductor force (weak limb)

    Isometric force produced by the hip adductors in the weaker limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

  2. Hip adductor muscle activity (weak limb)

    Mean muscle activity during isometric contraction. Measured with surface electrode and reported as a percentage of maximum activation.

    Measured: Pre intervention, immediatly post intervention

Secondary outcomes (10)
  1. Hip extension force (strong limb)

    Isometric force produced by the hip extensors in the strong limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

  2. Gluteus maximus muscle activity (strong limb)

    Mean muscle activity during isometric contraction. Measured with surface electrode and reported as a percentage of maximum activation.

    Measured: Pre intervention, immediatly post intervention

  3. Hip extension force (weak limb)

    Isometric force produced by the hip extensors in the weak limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

  4. Gluteus maximus muscle activity (weak limb)

    Mean muscle activity during isometric contraction. Measured with surface electrode and reported as a percentage of maximum activation.

    Measured: Pre intervention, immediatly post intervention

  5. Shoulder extension force (weak limb)

    Isometric force produced by the shoulder extensors in the weak limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

  6. Latissimus dorsi muscle activity (weak limb)

    Mean muscle activity during isometric contraction. Measured with surface electrode and reported as a percentage of maximum activation.

    Measured: Pre intervention, immediatly post intervention

  7. Shoulder extension force (strong limb)

    Isometric force produced by the shoulder extensors in the strong limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

  8. Latissimus dorsi muscle activity (strong limb)

    Mean muscle activity during isometric contraction. Measured with surface electrode and reported as a percentage of maximum activation.

    Measured: Pre intervention, immediatly post intervention

  9. Hip adductor muscle activity (strong limb)

    Mean muscle activity during isometric contraction. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention

  10. Hip adductor force (strong limb)

    Isometric force produced by the hip adductors in the strong limb. Measured with a force transducer and reported in Newtons.

    Measured: Pre intervention, immediatly post intervention, 48 hours post intervention

Timeline

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

  1. First posted2 Aug 2024
  2. Study start8 Nov 2021
  3. Primary completion13 Dec 2023
  4. Study completion13 Dec 2023

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06534931
Sponsor's protocol ID
ThoracicManip
Status last verified
Jul 2024
First submitted
30 Jul 2024
Last updated
2 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Haavik H, Kumari N, Holt K, Niazi IK, Amjad I, Pujari AN, Turker KS, Murphy B. The contemporary model of vertebral column joint dysfunction and impact of high-velocity, low-amplitude controlled vertebral thrusts on neuromuscular function. Eur J Appl Physiol. 2021 Oct;121(10):2675-2720. doi: 10.1007/s00421-021-04727-z. Epub 2021 Jun 23.

    PubMed 34164712
  • Christiansen TL, Niazi IK, Holt K, Nedergaard RW, Duehr J, Allen K, Marshall P, Turker KS, Hartvigsen J, Haavik H. The effects of a single session of spinal manipulation on strength and cortical drive in athletes. Eur J Appl Physiol. 2018 Apr;118(4):737-749. doi: 10.1007/s00421-018-3799-x. Epub 2018 Jan 11.

    PubMed 29327170
  • Holt K, Niazi IK, Nedergaard RW, Duehr J, Amjad I, Shafique M, Anwar MN, Ndetan H, Turker KS, Haavik H. The effects of a single session of chiropractic care on strength, cortical drive, and spinal excitability in stroke patients. Sci Rep. 2019 Feb 25;9(1):2673. doi: 10.1038/s41598-019-39577-5.

    PubMed 30804399
  • Niazi IK, Kamavuako EN, Holt K, Janjua TAM, Kumari N, Amjad I, Haavik H. The Effect of Spinal Manipulation on the Electrophysiological and Metabolic Properties of the Tibialis Anterior Muscle. Healthcare (Basel). 2020 Dec 10;8(4):548. doi: 10.3390/healthcare8040548.

    PubMed 33321904
  • Niazi IK, Turker KS, Flavel S, Kinget M, Duehr J, Haavik H. Changes in H-reflex and V-waves following spinal manipulation. Exp Brain Res. 2015 Apr;233(4):1165-73. doi: 10.1007/s00221-014-4193-5. Epub 2015 Jan 13.

    PubMed 25579661
  • Chilibeck PD, Cornish SM, Schulte A, Jantz N, Magnus CR, Schwanbeck S, Juurlink BH. The effect of spinal manipulation on imbalances in leg strength. J Can Chiropr Assoc. 2011 Sep;55(3):183-92.

    PubMed 21886280
  • Grindstaff TL, Hertel J, Beazell JR, Magrum EM, Ingersoll CD. Effects of lumbopelvic joint manipulation on quadriceps activation and strength in healthy individuals. Man Ther. 2009 Aug;14(4):415-20. doi: 10.1016/j.math.2008.06.005. Epub 2008 Sep 20.

    PubMed 18805726
  • Hillermann B, Gomes AN, Korporaal C, Jackson D. A pilot study comparing the effects of spinal manipulative therapy with those of extra-spinal manipulative therapy on quadriceps muscle strength. J Manipulative Physiol Ther. 2006 Feb;29(2):145-9. doi: 10.1016/j.jmpt.2005.12.003.

    PubMed 16461174
  • Botelho MB, Andrade BB. Effect of cervical spine manipulative therapy on judo athletes' grip strength. J Manipulative Physiol Ther. 2012 Jan;35(1):38-44. doi: 10.1016/j.jmpt.2011.09.005. Epub 2011 Nov 10.

    PubMed 22079053
  • Fernandez-Carnero J, Fernandez-de-las-Penas C, Cleland JA. Immediate hypoalgesic and motor effects after a single cervical spine manipulation in subjects with lateral epicondylalgia. J Manipulative Physiol Ther. 2008 Nov-Dec;31(9):675-81. doi: 10.1016/j.jmpt.2008.10.005.

    PubMed 19028251
  • Dishman JD, Ball KA, Burke J. First Prize: Central motor excitability changes after spinal manipulation: a transcranial magnetic stimulation study. J Manipulative Physiol Ther. 2002 Jan;25(1):1-9.

    PubMed 11898013
  • Hegedus EJ, Goode A, Butler RJ, Slaven E. The neurophysiological effects of a single session of spinal joint mobilization: does the effect last? J Man Manip Ther. 2011 Aug;19(3):143-51. doi: 10.1179/2042618611Y.0000000003.

    PubMed 22851877
  • Lawrence MA, Raymond JT, Look AE, Woodard NM, Schicker CM, Swanson BT. Effects of Tibiofibular and Ankle Joint Manipulation on Hip Strength and Muscle Activation. J Manipulative Physiol Ther. 2020 Jun;43(5):406-417. doi: 10.1016/j.jmpt.2019.10.005. Epub 2020 Jul 20.

    PubMed 32703611
  • Michener LA, Kardouni JR, Lopes Albers AD, Ely JM. Development of a sham comparator for thoracic spinal manipulative therapy for use with shoulder disorders. Man Ther. 2013 Feb;18(1):60-4. doi: 10.1016/j.math.2012.07.003. Epub 2012 Aug 9.

    PubMed 22883130
  • Parkinson AO, Apps CL, Morris JG, Barnett CT, Lewis MGC. The Calculation, Thresholds and Reporting of Inter-Limb Strength Asymmetry: A Systematic Review. J Sports Sci Med. 2021 Oct 1;20(4):594-617. doi: 10.52082/jssm.2021.594. eCollection 2021 Dec.

    PubMed 35321131

Questions about this trial

What is this clinical trial studying?

A study testing High velocity low amplitude thoracic spine manipulation in people with Muscle Weakness, run by University of New England at 1 site in United States.

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 4 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 2 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Hip adductor force (weak limb) (time frame: Pre intervention, immediatly post intervention, 48 hours post intervention). The study lists 2 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 NCT06534931, which also lists 15 linked publications.

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 2 Aug 2024.

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