Effectiveness of spinal manipulation combined with other interventions in patients with nonspecific low back pain: a randomized controlled trial
DOI:
https://doi.org/10.47197/retos.v61.110304Keywords:
low back pain, spinal manipulation, exercise therapy, taping, randomized controller trial, physical therapy modalitiesAbstract
Low back pain is a very common symptom in most countries worldwide and affects populations of all ages, being the main cause of years lived with disability. In 85% of cases of low back pain are non-specific. The combined use of passive and active physiotherapy techniques appears as the main treatment option in most of these guidelines. The main objective of this study is to determine whether combining spinal manipulation with lumbar exercises increases the short-term functionality of patients with non-specific low back pain treated in a Physiotherapy program more than combining it with breathing exercises or another passive technique such as elastic bandage. A single-blind randomized clinical trial was carried out, with three treatment groups combining spinal manipulation plus another physiotherapeutic technique. The initial study population was 106 people diagnosed with non-specific low back pain of more than three months' duration. Among them there were 53 women and 53 men. It was observed that there are significant changes at one month of follow-up in the spinal manipulation plus trunk exercises group with a significant decrease in disability measured with the Oswestry scale. Physiotherapy programs for low back pain that combine spinal manipulation with either lumbar therapeutic exercise or elastic bandage achieve similar improvements in functionality, but the former improve their functionality more after one month of follow-up.
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