Magnetic Resonance Elastography Of Chronic Low Back Pain Before And After Therapy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMayo Clinic

About this trial

The purpose of this study is to quantify Magnetic Resonance Elastography (MRE)-derived mechanical property biomarkers of the lumbar paraspinal musculature and associated myofascial tissue regions before and after the intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult males or females (age ≥ 18 years)

Report chronic low back pain (≥3 months) (measured by patient history and clinical evaluation)

Pain intensity reported at baseline must be ≥4 on the pain VAS scale

Presence of myofascial pain features in the lumbar region (e.g., localized tenderness and/or trigger points identified by a qualified clinician/therapist)

Disqualifiers

Pregnancy or breastfeeding

Patients with the inability to stay in a prone and supine position for the required procedure durations (e.g., ≥30 minutes at a time)

Any contraindication to an MRI exam, or severe claustrophobia that would prevent safe completion of the scan

Previous lumbar spine surgery or history of severe lumbar injury (e.g., fracture) that, in the investigation team's judgment, would interfere with participation or safety

Trial design

Design model

Single group

Treatments tested in this trial

  • EMMA (Expert Manipulative Massage Automation)

    Device

    Participants will receive device-assisted massage therapy using EMMA (Expert Manipulative Massage Automation). Each treatment session will last approximately 30 minutes. The device will be operated using conservative settings with predefined maximum force and pressure limits.

Treatment groups

38 Participants
are divided into 1 treatment group
Group A: Expert Manipulative Massage Automation (EMMA)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in SII-derived mobility index

Time frame
Baseline, 30 minutes post-intervention

Secondary outcomes

1

Change in Pain, Enjoyment of Life, and General Activity (PEG) Scale Score

The Pain, Enjoyment of Life, and General Activity (PEG) scale is a 3-item participant-reported measure used to assess pain intensity and pain-related interference with enjoyment of life and general activity. The total PEG score is calculated as the average of the 3 item scores and ranges from 0 to 10, with higher scores indicating greater pain severity and interference.

Time frame
Baseline, 30 minutes post-intervention
2

Change in Spinal Range of Motion (ROM)

Spinal range of motion will be assessed by a clinical assessor using a bubble inclinometer. Measurements will include lumbar flexion and right and left lateral bending. The outcome will be reported as the change from baseline in spinal range of motion, measured in degrees.

Time frame
Baseline, 30 minutes post-intervention

Other outcomes

Sponsors and contacts

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