• Gevers-Montoro C
• Murray KJ
• Santamaría B
• Dominguez-Vera G
• Álvarez-Galovich L
• Vindigni D
• Azari MF
• Ortega de Mues A
• Castro-Mendez A

• Affiliation / Fundación Jiménez Díaz Hospital. Spinal Unit
• Affiliation / Monash University. Alfred Hospital. Central Clinical School. Department of Neuroscience
• Affiliation / Private Practice
• Affiliation / Real Centro Universitario Escorial Maria Cristina. Chiropractic Program
• Affiliation / RMIT University. School of Health and Biomedical Sciences, Discipline of Chiropractic
• Affiliation / University of Seville. Department of Podiatry
• Affiliation(G) / Australia / Victoria / Melbourne
• Affiliation(G) / Spain / Madrid
• Affiliation(G) / Spain / Seville
• Chronic Pain
• Combined Modality Therapy
• Low Back Pain
• Orthotic Devices
• Podiatry

Objective: The purpose of this article is to describe a protocol to examine the feasibility of combining podiatric orthotic treatment with multimodal chiropractic treatment to treat chronic low back pain (CLBP) in those with a functional short leg on the same side as a unilateral pronated foot.

Methods: This is a protocol for a multicenter feasibility 2-arm parallel randomized controlled trial. One hundred and thirty-two adults with CLBP and a functional short leg on the same side as a unilateral pronated foot are to be recruited in Melbourne, Australia, and Madrid and Seville, Spain. Forty-four participants at each site are to be randomized to multimodal chiropractic treatment including spinal manipulation or to multimodal chiropractic treatment also involving spinal manipulation, together with podiatric custom-made orthoses. Chiropractic visits are to comprise 12 treatments over 4 weeks. Outcome measures will be recruitment, compliance, costs, CLBP-related disability, and perceived low back pain.

Results: Feasibility results will be reported in text format and the clinical data reported using descriptive statistics focusing on any clinically significant results.

Conclusion: This protocol describes a feasibility study for assessing the combination of podiatric orthotic treatment with multimodal chiropractic treatment to treat CLBP in those with a functional short leg on the same side as a unilateral pronated foot.

Author Keywords:  Chiropractic; Podiatry; Low Back Pain; Chronic Pain; Manipulation, Spinal; Orthotic Devices

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