Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Comparison of Muscle Energy Technique and Positional Release Therapy in Acute Low Back Pain - RCT


Affiliations
1 K.L.E.S, J.N. Medical College, Belgaum, Karnataka, India
     

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Purpose of study

The objective was to study the effectiveness of Muscle energy technique and Positional release therapy in Acute Low Back Ache on pain and disability.

Material and methods

60 participants with acute low back pain were randomly assigned to Group A (HMP+MET) and Group B (HMP+PRT) during the study period of April 2008 to January 2009. The outcome measures were visual analogue scale (VAS), lumbar extension ROM by Schobers method, and disability level in terms of MODQ. Pre and post session intervention values of outcome measures were noted on 1st and 8th day of intervention.

Results

The participants treated within groups showed a statistically significant decrease in pain, increase in amount of lumbar extension ROM, and decrease in disability level as per MODQ with p<0.0001, but there was no statistically significant difference when compared between groups in decreasing pain (p= 0.1611) increase in amount of lumbar extension ROM (p=0.4642), and decrease in disability level as per MODQ (P=0.3303) after 8 days of intervention.

Conclusion

Both MET and PRT along with HMP for acute low back pain showed improvement following 8 days of treatment as per significant decrease in pain (VAS), amount of lumbar extension ROM, and disability level as per MODQ and can be used as an effective treatment regime in participants with acute low back pain.


Keywords

Low Back Pain; MET, PRT, Manual Therapy, HMP
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  • Capt. Eric Wilson, Otto Payton, Lisa Donegan-Shoaf, Katherine Dec: Muscle energy technique in patients with low back pain: A pilot clinical trial JOSPT. 2003:33(9):502-510.

  • Sharma SC, Singh R, Sharma AK, Mittal R: Incidence of low back pain in workage adults in rural North India. Medical journal of India.2003:57:4: 145-147

  • Jouhua A. Cleland et al: The use of lumbar spine manipulation technique by physical therapists in patients who satisfy clinical prediction rule: a case series. JOSPT.2006:36:4

  • George E. Ehrlich: Bulletin of the World Health Organization; Special Theme –Bone and Joint Decade 2000 –2010; 2003; 81:671-676

  • White AH, Anderson R. "The challenge of conservative care." In: White AH, Anderson R. Conservative Care of Low Back Pain. Baltimore: Williams & Wilkins, 1991:427-434.

  • McGregor A, Anderson L, Gedroyc W. the assessment of intersegmental motion and pelvic tilt oarsmen. Med Sci Sports Exerc. 2002;34:1143-1149

  • Burton Ak, Battie MC, Gibbions L, et al. Lumbar disc degeneration and saggital flexibility. J Spinal Disorder. 1996;9:418-424.

  • Latimer J, Lee M, Adams R, Moran CM. An investigation of relationship low back pain and lumbar posteroanterior stiffness. J Manipulative Physical Ther.1996; 19: 587-591

  • Troup JD, Foreman TK, Baxter CE, Brown D. 1987 Volvo award in clinical sciences: the perception of back pain and role of psychophysical tests of lifting capacity. Spine. 1987; 12:645-657

  • Melllin G. Decreased joint and spinal mobility associated with low back pain in young adults. J Spinal Disord. 1990; 3:238-243

  • Pearcy M, Portek I, Shepherd J. the effect of low back ache on lumbar spine movements measured by three dimensional X-ray analysis. Spine. 1985; 10:150-153

  • Julie Moreland, Elspeth Fiinoh et al: Interater reliability of Six tests of Trunk Muscle Function and Endurance. J OrthopSportsPhys Ther.1997;26(4):200-208.

  • Jorgensen K, Nicolaisen et al: Trunk Extensor Endurance Determination and Relation to Low Back Trouble. J Orthop Sports Phys Ther 1987; 30: 259-267.

  • http://www.faqs.org/abstracts/Business/Effects-of-atedposture- on-erector-spinae-EMG

  • Kerry J.D’Ambrogio, George B. Roth.Positional release therapy Assessment & Treatment of Musculoskeletal Dysfunction. Mosby publication: Philadelphia: 1997:20-25

  • DiGiovanna EL, Martinke DJ, Dowling DJ. Introduction to osteopathic medicine. An Osteopathic Approach to Diagnosis and Treatment. Philadelphia: JB Lippincott; 1991:1-31.

  • Heilig D. The 1984 Thomas L. Northup memorial address: osteopathic manipulative care in preventive medicine. J Am Osteopath Assoc. 1986;86:645651.

  • Leon Chaitow, Judith Walker Delany. Clinical application of neuromuscular techniques. Vol 2. London: Elsevier Health Science. 2000

  • Leon Chaitow, Ed Wilson, Dylan Morrissey, John M. McPartland. Positional Release Techniques. 2 Edi. London: Elsevier Health Sciences, 2002

  • Korr IM: The neural basis of the osteopathic lesion JAOA 1947; 47:191-198

  • John V. Basmajian, Rich Nyberg: Rational Manual Therapies. Manipulation, Spinal Motion, and Soft Tissue Mobilization: Williams & Wilkins : University of Michigan: 1993: 301-313

  • http://www.centerimt.com/ejournal/articles/ej00037.htm

  • Sjolie, Astrid N, Ljunggren et al: The Significance of High Lumbar Mobility and Low Lumbar Strength for Current and Future Low Back Pain In Adolescents. Spine. 2001;26(23):2629-2636

  • Fritz and Irrgang: A Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Physical Therapy. 2001;81(2):776-7


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  • Comparison of Muscle Energy Technique and Positional Release Therapy in Acute Low Back Pain - RCT

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Authors

P. Naik Prashant
K.L.E.S, J.N. Medical College, Belgaum, Karnataka, India
Heggannavar Anand
K.L.E.S, J.N. Medical College, Belgaum, Karnataka, India
M. Khatri Subhash
K.L.E.S, J.N. Medical College, Belgaum, Karnataka, India

Abstract


Purpose of study

The objective was to study the effectiveness of Muscle energy technique and Positional release therapy in Acute Low Back Ache on pain and disability.

Material and methods

60 participants with acute low back pain were randomly assigned to Group A (HMP+MET) and Group B (HMP+PRT) during the study period of April 2008 to January 2009. The outcome measures were visual analogue scale (VAS), lumbar extension ROM by Schobers method, and disability level in terms of MODQ. Pre and post session intervention values of outcome measures were noted on 1st and 8th day of intervention.

Results

The participants treated within groups showed a statistically significant decrease in pain, increase in amount of lumbar extension ROM, and decrease in disability level as per MODQ with p<0.0001, but there was no statistically significant difference when compared between groups in decreasing pain (p= 0.1611) increase in amount of lumbar extension ROM (p=0.4642), and decrease in disability level as per MODQ (P=0.3303) after 8 days of intervention.

Conclusion

Both MET and PRT along with HMP for acute low back pain showed improvement following 8 days of treatment as per significant decrease in pain (VAS), amount of lumbar extension ROM, and disability level as per MODQ and can be used as an effective treatment regime in participants with acute low back pain.


Keywords


Low Back Pain; MET, PRT, Manual Therapy, HMP

References