Randomized Controlled Trial full article https://pubmed.ncbi.nlm.nih.gov/28946522/

. 2017 Nov 6;30(6):1303-1309.

doi: 10.3233/BMR-169673.

The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial

Ozlem Ulger, Aynur Demirel, Müzeyyen Oz, Seval Tamer

Abstract

Background and objectives: To determine the effects of spinal stabilization exercises (SSE) and manual therapy methods on pain, function and quality of life (QoL) levels in individuals with chronic low back pain (CLBP).

Methods: A total of one-hundred thirteen patients diagnosed as CLBP were enrolled to the study. The patients allocated into Spinal Stabilization group (SG) and manual therapy group (MG), randomly. While SSE performed in SG, soft tissue mobilizations, muscle-energy techniques, joint mobilizations and manipulations were performed in MG. While the severity of pain was assessed with Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and Short Form 36 (SF-36) assessments were performed to evaluate the functional status and QoL, respectively. All assessments were repeated before and after the treatment.

Results: Intragroup analyses both treatments were effective in terms of sub parameters of pain, function and life quality (p< 0.05). Inter group analyses, there was more reduction in pain and improvement in functional status in favor of MG (p< 0.05).

Conclusions: This study showed that SSE and manual therapy methods have the same effects on QoL, while the manual treatment is more effective on the pain and functional parameters in particular.

Keywords: Low back pain; exercise; pain; quality of life; rehabilitation.

 

CORE Physical Therapy in Omaha Explains…

By, Dr. Mark Rathjen PT DPT CSCS

CORE Physical Therapy and Sports Performance PC.

The conclusion of the study reads “This study showed that SSE and manual therapy methods have the same effects on QoL, while the manual treatment is more effective on the pain and functional parameters in particular.”

What does this mean?

In the Parameters of the study with low back pain patients doing physical therapy and manual therapy showed more reduction in pain and improvement of functional status as reported by the patients vs just stabilization only. This study was more than 100 patients with diagnosis of chronic lower back pain.

We saw in the last blog that we also saw the effectiveness of stabilization exercises for the lumbar spine. This study would show and suggest that we would infer that combining the lumbar stabilization and the manual therapy spinal work performance by a qualified physical Therapist, would be one of the most effective forms of treatment for the Chronic lower back pain patient.

I would argue that adding in trigger point dry needling would also be beneficial for the patient in these parameters as countless studies suggest Trigger point needling very effective in the population of chronic pain patients.

Manual therapy in terms of this article are manual techniques of muscle energy, manual joint mobilizations, and pain manipulation techniques. Soft tissue, ART, TRG DN ETC are not part of this study.

CORE Physical Therapy in Omaha specializes in the treatment of athletes and utilizes trigger point needling, manual therapy and then progresses to heavy stabilization exercises. After a baseline is reached, we work to increased full functional rehab sport specific exercises to continue building the foundation. This is paramount to ensure injury prevention long term.

CORE Physical therapy provides full spectrum physical therapy. CORE specializes in Athletes. CORE specializes in One On One care. CORE physical therapy provides all treatments to our patients with a Doctor of Physical Therapy.

 

C.O.R.E. Physical Therapy and Sports Performance PC,

At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. 

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Dr. Mark Rathjen and Dr. Claire Rathjen. 

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established in 2015 

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Omaha, NE 68130

 

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