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


 
 
Field Value
 
Title 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
 
Creator Sturion, Leandro A. Nowotny, Alexandre H. Barillec, Fabrice Barette, Gilles Santos, Gabriela K. Teixeira, Fellipe A. Fernandes, Karen P. da Silva, Rubens
 
Subject Health, physical therapy low back pain; osteopathic manipulative treatment; high-velocity low-amplitude; muscle energy; electromyography; postural balance; physiotherapy; biomechanics
Description 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.
 
Publisher AOSIS
 
Contributor CAPES and CNPq
Date 2020-10-26
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v76i1.1420
 
Source South African Journal of Physiotherapy; Vol 76, No 1 (2020); 9 pages 2410-8219 0379-6175
 
Language eng
 
Relation https://sajp.co.za/index.php/sajp/article/view/1420/2167 https://sajp.co.za/index.php/sajp/article/view/1420/2166 https://sajp.co.za/index.php/sajp/article/view/1420/2168 https://sajp.co.za/index.php/sajp/article/view/1420/2165
 
Coverage — — Low back pain
Rights Copyright (c) 2020 Leandro A. Sturion, Alexandre H. Nowotny, Fabrice Barillec, Gilles Barette, Gabriela K. Santos, Fellipe A. Teixeira, Karen P. Fernandes, Rubens da Silva https://creativecommons.org/licenses/by/4.0