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Titre : | Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial (2020) |
Auteurs : | Taise Angeli Boff ; Fernanda Pasinato ; Ângela Jornada Ben ; Judith E. Bosmans ; Rodrigo Luiz Carregaro |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 107, 2020) |
Article en page(s) : | p. 71-80 |
Note générale : | https://doi.org/10.1016/j.physio.2019.11.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Équilibre postural ; Lombalgie ; Manipulations de l'appareil locomoteur ; Personnes handicapées ; Qualité de vie ; Résultat thérapeutique |
Résumé : |
Objective
To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP). Design Randomized controlled trial with three months follow-up. Setting Rehabilitation clinic. Participants Seventy-two individuals (between 18 and 50 years of age; CNLBP ≥12 consecutive weeks) were enrolled and randomly allocated to one of two groups: (1) Spinal manipulation and myofascial release SMMRG; n = 36) or (2) Spinal manipulation alone (SMG; n = 36). Interventions Combined spinal manipulation (characterized by high velocity/low amplitude thrusts) of the sacroiliac and lumbar spine and myofascial release of lumbar and sacroiliac muscles vs manipulation of the sacroiliac and lumbar spine alone, twice a week, for three weeks. Main outcome measures Assessments were performed at baseline, three weeks post intervention and three months follow-up. Primary outcomes were pain intensity and disability. Secondary outcomes were quality of life, pressure pain-threshold and dynamic balance. Results No significant differences were found between SMMRG vs SMG in pain intensity and disability post intervention and at follow-up. We found an overall significant difference between-groups for CNLBP disability (SMG-SMMRG: mean difference of 5.0; 95% confidence interval of difference 9.9; −0.1), though this effect was not clinically important and was not sustained at follow-up. Conclusions We demonstrated that spinal manipulation combined with myofascial release was not more effective compared to spinal manipulation alone for patients with CNLBP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940619301245 |