Nonspecific Low Back Pain
Conditions
Keywords
Diaphragm, Low Back Pain, Osteopathy, Osteopathic Medicine, Stretching Technique, Young Adults
Brief summary
This study aims to analyze the efficacy of diaphragm stretching technique on symptomatology in young adults with nonspecific low back pain.
Detailed description
Nonspecific low back pain occurs when there is an imbalance in the lower back between functional load and the ability to perform daily tasks. It is characterized as such when there is no specific and well-determined diagnosis and there are no structural changes. The diaphragm and abdominal muscles together create a hydraulic effect in the abdominal cavity, which helps stabilize the spine, providing rigidity to the lumbar spine by increasing intra-abdominal pressure. Diaphragmatic changes in patients diagnosed with low back pain may contribute to the lack of spinal control activity through several mechanisms. Thus, it is concluded that the diaphragm is anatomically related to the lumbar spine, through its muscle fibers. There are articles that relate the topic of low back pain with Osteopathic Manual Treatment, demonstrating that, despite this lack of scientific evidence, the results obtained at a clinical level are favorable. This study aims to evaluate the effectiveness of diaphragm stretching techniques on symptoms experienced by young adults with non-specific low back pain. In this study, the investigators will analyze the effects of the diaphragm stretching technique on the following variables: the sniff nasal inspiratory pressure test (SNIP test) , Visual Analogue Scale (VAS) score, the Schober test and measurement of the distance between the fingers and the ground during anterior flexion of the trunk, without flexion of the lower limbs (also known as the Finger Tip Test).
Interventions
OTHERPlacebo Technique
In the control group, manual contact will be carried out without any therapeutic intention. This contact will be maintained for the same period of time as the experimental group.
OTHERDiaphragm Stretching
The participant will be in supine position and the researcher will be at the headrest of the examination table, placing his hands on the lower costal margin. Superior direction traction is performed during inspiration, remaining during expiration. The procedure is repeated for a maximum period of 4 minutes.
Sponsors
Escola Superior de Tecnologia da Saúde do Porto
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
* Nonspecific low back pain; * Age between 18 and 30.
Exclusion criteria
* Serious cardiovascular and cardiorespiratory causes; * Spinal pathologies and injuries to the lumbar spine; * Cancer patients; * Pacemaker or implant carriers; * Pregnant women or volunteers suspected of being pregnant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in level of inspiratory capacity immediately after intervention | Immediately after the intervention | Assessment instruments to assess the degree of disability resulting from low back pain include the respiratory pressure meter. |
| Change in the level of disability derived from low back pain immediately after the intervention | Immediately after the intervention | Assessment instruments to evaluate the degree of disability resulting from low back pain include the Visual Analogue Scale. In this scale, a higher score indicates a greater level of pain, correlating with a worse outcome. Conversely, a lower score indicates less pain, corresponding to a better outcome. |
| Change in the level of functionality of the lumbar spine immediately after the intervention | Immediately after the intervention | Assessment instruments to assess the degree of disability resulting from low back pain include the Schober test. |
Countries
Portugal
Contacts
Primary ContactNatália MO Campelo, PhD
Outcome results
None listed