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Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study.
Wahyuddin, Wahyuddin; Vongsirinavarat, Mantana; Mekhora, Keerin; Bovonsunthonchai, Sunee; Adisaipoapun, Rachaneewan.
Afiliación
  • Wahyuddin W; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
  • Vongsirinavarat M; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
  • Mekhora K; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
  • Bovonsunthonchai S; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
  • Adisaipoapun R; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
Hong Kong Physiother J ; 40(2): 109-119, 2020 Dec.
Article en En | MEDLINE | ID: mdl-33005075
BACKGROUND: Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly used in physical therapy clinic. However, little evidences of the effects of MET have been reported. OBJECTIVE: This study aimed to compare the immediate effects of MET and LSE in patients with chronic LBP with suspected facet joint origin. METHODS: Twenty-one patients with low back pain were recruited and randomly assigned to receive treatment either MET or LSE. The outcomes were kinematic changes, pain intensity, and disability level. Lumbar active range of motion (ROM) of flexion, extension, left and right lateral flexion, and left and right rotation were evaluated using the three-dimension motion analysis system at baseline and immediately after treatment. Pain intensity was evaluated using visual analogue scale (VAS) at baseline, immediately after, and two days after treatment. Thai version of the modified Oswestry disability questionnaire (ODQ) was utilized at baseline and two days after treatment. The mixed model analysis of variance was used to analyze all outcomes. RESULTS: The results showed that all outcomes were not different between groups after treatments. Although there were statistically significant improvements after the treatments when collapsing the groups, the minimal clinically important change was found only for pain but not for lumbar movements and disabilities scores. CONCLUSION: The effect of MET and LSE alone in single session might not be intensive enough to improve movements and decrease disability in patients with chronic LBP with suspected facet joint origin.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: Hong Kong Physiother J Año: 2020 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Singapur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: Hong Kong Physiother J Año: 2020 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Singapur