Comparing the Effectiveness of Lumbar Rotation to Central Posteroanterior Mobilization in the Treatment of Individuals with Bilateral Nonspecific Low Back Pain
Abstract
Non-specific low back pain (NSLBP) is the most common diagnosis of individuals with low back pain. Spinal manipulative therapy is one of treatments that use to treat individuals with NSLBP. The lumbar rotation and central posteroanterior (central PA) mobilization are recommended as the treatment in bilateral NSLBP. The objective of this study was to estimate appropriate sample size and compare the effectiveness of these two approaches in the treatment of individuals with bilateral NSLBP. Twenty individuals with NSLBP were randomized into two groups: central PA group and rotation group. The outcome measurements consisted of pain intensity, and active lumbar range of motion. The outcome was measured at baseline, after placebo treatment, after mobilization, and 48 hours follow. The result of this study, found that both groups were significantly reduced pain and increased active lumbar range of motion (p<0.05). The central PA group had a better immediate effect on lumbar lateral flexion to the left than the rotation group ((p<0.05). However, even though both mobilization techniques were successful in alleviating pain and increasing lumbar range of motion.
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Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020;396(10258):1204-22.
Traeger A, Buchbinder R, Harris I, Maher C. Diagnosis and management of low-back pain in primary care. Can Med Assoc J 2017;189(45):E1386-95.
Cohen SP, Argoff CE, Carragee EJ. Management of low back pain. Br Med J 2008;337:a2718.
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet 2018;391(10137):2356-67.
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017;389(10070):736-47.
Filiz MB, Firat SCF. Effects of physical therapy on pain, functional status, sagittal spinal alignment, and spinal mobility in chronic non-specific low back pain. Eurasian J Med 2019;51(1):22-6.
Wong JJ, Côté P, Sutton DA, Randhawa K, Yu H, Varatharajan S, et al. Clinical practice guidelines for the noninvasive management of low back pain: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur J Pain 2017; 21(2):201-16.
Bardin LD, King P, Maher CG. Diagnostic triage for low back pain: a practical approach for primary care. Med J Aust 2017;206(6):268-73.
Hengeveld E, Banks K, editors. Maitland’s vertebral manipulation: management of neuromusculoskeletal disorders - volume 1. Edinburgh: Elsevier; 2013.
Coulter ID, Crawford C, Hurwitz EL, Vernon H, Khorsan R, Booth MS, et al. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J 2018;18(5):866-79.
Aure OF, Nilsen JH, Vasseljen. Manual therapy and exercise therapy in patients with chronic low back pain: a randomized, controlled trial with 1-year follow-up. Spine 2003;28(6):525-31.
Mohseni-Bandpei MA, Critchley J, Staunton T, Richardson B. A prospective randomised controlled trial of spinal manipulation and ultrasound in the treatment of chronic low back pain. Physiotherapy 2006;92(1):34- 42.
Krekoukias G, Gelalis ID, Xenakis T, Gioftsos G, Dimitriadis Z, Sakellari V. Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial. J Man Manip Ther 2017;25(2):66-73.
Maitland G, Hengeveld E, Banks K, English K. Maitland’s vertebral manipulation.7th ed. Edinburgh: Elsevier; 2005.
Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol 2005;19(4):593-607.
Suriyaamarit D, Leevattananukool P, Chiradejnant A. Test-retest and inter-rater reliability of lumbar range of motion procedure using back range of motion instrument. Physiother Quart. In press 2024.
Freidlin B, Miao W, Gastwirth JL. On the use of the Shapiro-Wilk test in two-stage adaptive inference for paired data from moderate to very heavy tailed distributions. Biom J 2003;45(7):887-900.
Ali MN, Sethi K, Noohu MM. Comparison of two mobilization techniques in management of chronic non-specific low back pain. J Bodyw Mov Ther 2019;23(4):918- 23.
Chesterton P, Payton S, McLaren S. Acute effects of centrally-and unilaterally-applied posterior-anterior mobilizations of the lumbar spine on lumbar range of motion, hamstring extensibility and muscle activation. J Back Musculoskelet Rehabil 2018;31(6):1013-23.
Kulig K, Landel RF, Powers CM. Assessment of lumbar spine kinematics using dynamic MRI: a proposed mechanism of sagittal plane motion induced by manual posterior-to-anterior mobilization. J Orthop Sports Phys Ther 2004;34(2):57-64.
Chiradejnant A, Latimer J, Maher CG. Forces applied during manual therapy to patients with low back pain. J Manipulative Physiol Ther 2002;25(6):362-9.
Wright A. Hypoalgesia post-manipulative therapy: a review of a potential neurophysiological mechanism. Man Ther 1995;1(1):11-6.
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