Low Back Pain, Chronic Disease
Conditions
Keywords
Low Back Pain, Chronic Pain, Manipulation, Manual Therapy, Randomized Controlled Trial
Brief summary
The purpose of the current randomized clinical trial was to compare the effectiveness of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability, and kinesiophobia in individuals with chronic non-specific low back pain.
Detailed description
Design: Randomized Clinical Trial. Objective: to determine the effects of myofascial soft tissue release versus mobilization with impulse technique torsion (anterior) on pain, disability and kinesiophobia in individuals with chronic non-specific low back pain. Methods and Measures: sixty-four individuals will be randomly assigned to one of two groups. Intervention: For 12-week, the group 1 will undergo treatment comprising a myofascial soft tissue release protocol (1/week) and the group 2 will receive a mobilization with impulse technique torsion (anterior) (1/week). Main Outcome Measures: Intensity of pain, disability, fear of movement, isometric endurance of trunk flexor muscles and lumbar mobility in flexion data will be collected at baseline, and 24hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome measure.
Interventions
Protocol: Transverse Plane-Level Clavicular Release. Diaphragmatic Transverse Plane Release. Square the Lumbar Fascia Release. Gluteal Fascia Release. Hint Of Pubic Region Release. Fascia Psoas Release. Lumbo-sacral Decompression. Pelvic Floor Release.
OTHERMobilization with impulse technique.
Subject in lateral decubitus with extension and lower limb traction contact the couch with contralateral lower limb was performed triple flexion and left trunk rotation. This technique reduces the slack (tension joints) of the ventral pelvis, head and into the contralateral side of the sacrum support (base) with the forearm.
Sponsors
Universidad de Almeria
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Score ≥4 on the Roland Morris Disability Questionnaire * Inability to achieve lumbar muscle flexion-relaxation in trunk flexion * Low back pain for ≥3 months * Not undergoing another physical therapy treatment
Exclusion criteria
* Disease of the central or peripheral nervous system * Having previously undergone spinal manipulative therapy * Contraindication to low back thrust manipulation * A history of spinal surgery * Treatment with corticosteroid in the past two weeks * Clinical signs of radiculopathy * Presence of lumbar stenosis * Diagnosis of spondylolisthesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Roland Morris Disability Questionnaire (RMDQ) | At baseline, 12 weeks and 16 weeks | This is a self-reported questionnaire consisting of 24 items reflecting limitations in different activities of daily living attributed to low back pain including walking, bending over, sitting, lying down, dressing, sleeping, self-care and daily activities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Oswestry Low Back Pain Disability Index (ODI) | At baseline, 12 weeks and 16 weeks | The ODI has 10 items referring to activities of daily living that might be disrupted by low back pain. Each item is answered on a 6-point Likert scale ranging from no problem at all \[0\] to not possible \[5\]. The total score ranges from 0 to 50. |
| Change from baseline in Numerical Pain Rating Scale | At baseline, 12 weeks and 16 weeks | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) assesses the patients' current level of pain, and the worst and lowest level of pain experienced in the preceding 24 hours. |
| Change from baseline in Tampa Scale of Kinesiophobia | At baseline, 12 weeks and 16 weeks | The Tampa Scale of Kinesiophobia (TSK) is a 17-item questionnaire developed to measure the fear of movement and (re)injury. Each item is scored on a four-point Likert scale ranging from strongly disagree \[1\] to strongly agree \[4\]. |
| Change from baseline in Isometric endurance of trunk flexor muscles | At baseline, 12 weeks and 16 weeks | The McQuade test measures the isometric resistance of abdominal muscles in seconds. |
| Change from baseline in Lumbar mobility in flexion | At baseline, 12 weeks and 16 weeks | Lumbar mobility in flexion is determined by measuring the finger-to-floor distance with a tape. |
Countries
Spain
Outcome results
None listed