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Comparison between high-velocity low-amplitude manipulation and muscle energy technique on pain and trunk neuromuscular postural control in male workers with chronic low back pain: A randomised crossover trial

Sturion Leandro A., Nowotny Alexandre H., Barillec Fabrice, Barette Gilles, Santos Gabriela K., Teixeira Fellipe A., Fernandes Karen P. et da Silva Rubens Alexandre. (2020). Comparison between high-velocity low-amplitude manipulation and muscle energy technique on pain and trunk neuromuscular postural control in male workers with chronic low back pain: A randomised crossover trial. South African Journal of Physiotherapy, 76, (1),

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URL officielle: http://dx.doi.org/doi:10.4102/sajp.v76i1.1420

Résumé

Background: A therapeutic recommendation for restoring function in individuals with chronic low back pain (CLBP) is manual therapy through manipulative spinal or muscle energy techniques.

Objectives: To compare the effectiveness of two osteopathic manipulative techniques on clinical low back symptoms and trunk neuromuscular postural control in male workers with CLBP.

Method: Ten male workers with CLBP were randomly allocated to two groups: high-velocity low-amplitude (HVLA) manipulation or muscle energy techniques (MET). Each group received one therapy per week for both techniques during 7 weeks of treatment. Pain and function were measured by using the Numeric Pain-Rating Scale, the McGill Pain Questionnaire and the Roland Morris Disability Questionnaire. The lumbar flexibility was assessed by Modified Schober Test. Electromyography (EMG) and force platform measurements were used for evaluation of trunk muscular activation and postural balance, respectively at three different times: baseline, post intervention, and 15 days later.

Results: Both techniques were effective (p < 0.01) in reducing pain with large clinical differences (-1.8 to -2.8) across immediate and after 15 days. However, no significant effect between groups and times was found for other variables, namely neuromuscular activation and postural balance measures.

Conclusion: Both techniques (HVLA thrust manipulation and MET) were effective in reducing back pain immediately and 15 days later. Neither technique changed the trunk neuromuscular activation patterns nor postural balance in male workers with LBP.

Clinical implications: These results may facilitate clinical decision-making for CLBP management in physiotherapy programs.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:0379-6175
Volume:76
Numéro:1
Version évaluée par les pairs:Oui
Date:2020
Identifiant unique:10.4102/sajp.v76i1.1420
Sujets:Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Sciences de la santé > Sciences de l'activité physique et réadaptation > Physiothérapie
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Unité d'enseignement en physiothérapie
Mots-clés:biomechanics, electromyography, high-velocity low-amplitude, low back pain, muscle energy, osteopathic manipulative treatment, physiotherapy, postural balance, phénomènes biomécaniques, électromyographie, haute vitesse faible amplitude, lombalgie, énergie musculaire, manipulation ostéopathique, physiothérapie, équilibre postural
Déposé le:22 avr. 2021 21:15
Dernière modification:22 avr. 2021 21:15
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