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Effects of Manual Therapy on Pain and Function of Patients with Chronic Low Back Pain

  • Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Science, Daegu University) ;
  • Lee, Kwan-sub (Department of Physical Therapy, Kang Hospital) ;
  • Choi, Seok-Joo (Department of Physical Therapy, Daegu Science University) ;
  • Jeon, Chun-Bae (Department of Physical Therapy, The Most Holy Trinity Hospital) ;
  • Kim, Gook-Joo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • Received : 2017.03.02
  • Accepted : 2017.04.27
  • Published : 2017.04.30

Abstract

Purpose: This study was conducted to determine how a manual therapy (joint mobilization and flexion-distraction technique) would affect pain and function with the chronic low back pain. Methods: Thirty patients were assigned to either the experimental group (n=15) or the control group (n=15). Patients in the experimental group performed joint mobilization and flexion-distraction technique. Patients in the control group performed spinal decompression therapy. Both exercises were performed for three days per week, for a period of six weeks. Pain was measured by the visual analogue scale (VAS) and functional disability was measured using the Oswestry disability index (ODI). A paired t-test was used for identify differences before and after treatment, and an independent t-test was used to identify differences between treatment groups. Results: In the within group comparison, the experimental group and control group differed significantly for all variables (p<0.05). However, no significant differences were observed in any variables between groups (p>0.05). Conclusion: The above results confirmed that it is necessary to confirm the various benefits of therapy with the joint mobilization and the flexion-distraction technique. The findings of the concerned study will be useful to doctors applying therapy to treat patients with the chronic low back pain.

Keywords

References

  1. Kim SB. Effect of manual adjustment and gym-ball exercise on sEMG, Cobb's angle, VAS, flexibility, and strength in elderly women with low back pain symptom. Kyung-hee University. Dissertation of Doctorate Degree. 2012.
  2. Kang SS, Goo BO. The effects of yoga low back pain exercise and lumbar extensor muscle endurance exercise on chronic low back pain patients. J Kor Phys Ther. 2012;24(2):107-12.
  3. Fordyce WE, Brockway JA, Bergman JA et al. Acute back pain: a control-group comparison of behavioral vs traditional management methods. J Behav Med. 1986;9(2):127-40. https://doi.org/10.1007/BF00848473
  4. Lee WJ, Park SI. The effect of cigarette smoking on physical fitness and depression of patients with chronic low back pain. J Kor Phys Ther. 2015;27(4):275-80. https://doi.org/10.18857/jkpt.2015.27.4.275
  5. Song GB, Park EC. Effects of neck and trunk stabilization exercise on balance in older adults. J Kor Phys Ther. 2016;28(4):221-6. https://doi.org/10.18857/jkpt.2016.28.4.221
  6. Seo JK, Kim SY. The Relationship between hip abductor muscle strength and lumbar instability in patients with chronic low back pain. J Kor Phys Ther. 2011;23(4):15-22.
  7. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
  8. Yuk GC, Park SH, Kim CS. Kinematics analysis of lumbar spine during breathing in lying position purpose. J Kor Phys Ther. 2011;23(5):15-21.
  9. Kim K, Kim EK, Lee DK. Effects of PNF patterns exercise on pain, functional disability and fear avoidance belief in chronic low back pain patients. J Kor Phys Ther. 2014;6(2):110-6.
  10. Kong YS, Hwang YT. Comparison of the activity and proprioception of trunk muscles according to different types of bridge exercises in subjects with and without chronic low back pain. J Kor Phys Ther. 2015;27(6): 400-6. https://doi.org/10.18857/jkpt.2015.27.6.400
  11. Bae SS, Kim SY, Kim TY et al. Orthopedic physical therapy. 3th ed. Seoul, Dae-Hag, 2009.
  12. Kim HB, Kim SY, Kim YM. The comparison about a evaluation and treatment concept of the manual therapy techniques. J Kor Aca Ortho Manu Ther. 2005;11(1):49-64.
  13. Kisner C, Colb LA. Therapeutic exercise: foundation and techniques. 2nd ed. Philadelphia, FA Davis, 1990.
  14. Godges JJ, Mattson-Bell, Shah D et al. The immediate effects of soft tissue mobilization with proprioceptive neuromuscular facilitation on glenohumeral external rotation and overhead reach. J Orthop Sports Phys Ther. 2003;33(12):713-8. https://doi.org/10.2519/jospt.2003.33.12.713
  15. Onel D, Tuzlaci M, Sari H et al. Computed tomographic investigation of the effect of traction on lumbar disc herniations. Spine. 1989;14(1):82-90. https://doi.org/10.1097/00007632-198901000-00017
  16. Gudavalli MR, Cambron JA, McGregor M et al. A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain. Eur Spine J. 2006;15(7):1070-82. https://doi.org/10.1007/s00586-005-0021-8
  17. Gionis, Thomas A, Groteke E. Spinal decompression. Orthopedic technology review. 2003;5:36-9.
  18. Paul-Dauphin A, Guillemin F, Virion JM et al. Bias and precision in visual analogue scales: a randomized controlled trial. Am J Epidemiol. 1999;150(10):1117-27. https://doi.org/10.1093/oxfordjournals.aje.a009937
  19. Philip BK. Parametric statistics for evaluation of the visual analog scale. Anesth Analg. 1990;71(6):710. https://doi.org/10.1213/00000539-199012000-00027
  20. Fairbank JCT, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940-52. https://doi.org/10.1097/00007632-200011150-00017
  21. Lee HJ, Song JM. Analysis of the characteristics of patients with chronic low back pain using the ICF concept. J Kor Phys Ther. 2013;25(5):282-7.
  22. Lee HJ, Song JM. Mapping items of functioning questionnaires into the international classification of functioning, disability and health: low back pain. J Kor Phys Ther. 2016;28(5):321-7. https://doi.org/10.18857/jkpt.2016.28.5.321
  23. Kaltenborn FM, Evjenth O, Kaltenborn TB et al. The spine: basic evaluation and mobilization techniques. 3rd ed. Oslo, Olaf Norlis Bokhandel, 1993.
  24. Kwon WA, Ryu Y-Sa, Ma SY. The effects of Cox distraction manipulation on functional assessment measures and disc herniation index in patients with L4-5 herniated disc. J Kor Data and Info Sci Soc. 2012;23(4): 727-38. https://doi.org/10.7465/jkdi.2012.23.4.727
  25. Ferreira ML, Ferreira PH, Latimer J et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain. 2007;131(1-2):31-7. https://doi.org/10.1016/j.pain.2006.12.008
  26. Giles LG, Muller R. Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine. 2003;28(14):1490-502. https://doi.org/10.1097/01.BRS.0000077932.80560.02
  27. Gillette RG, Kramis RC, Roberts WJ. Characterization of spinal somatosensory neurons having receptive fields in lumbar tissues of cats. Pain. 1993;54(1):85-98. https://doi.org/10.1016/0304-3959(93)90103-V
  28. Kim SY. The effect of mobilization for spinal facet joint on pin and ran of motion in patients with chronic low back pain. Catholic University. Dissertation of Master's Degree. 2011.
  29. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg. 1994;81(3)350-3. https://doi.org/10.3171/jns.1994.81.3.0350
  30. Kwon WA, Lee SH, Lee JH. Effects of decompression therapy for 6 cases with lumbar herniated disc. J aca indu tech, 2012;13(5):2133-41.
  31. Sutlive TG, Mabry LM, Easterling EJ et al. Comparison of short-term response to two spinal manipulation techniques for patients with low back pain in a military beneficiary population. Military Med. 2009;174(7): 750-6. https://doi.org/10.7205/MILMED-D-02-4908
  32. Kruse RA, Gudavalli S, Cambron J. Chiropractic treatment of a pregnant patient with lumbar radiculopathy. J Chiro Med. 2007;6(4):153-8. https://doi.org/10.1016/j.jcme.2007.08.005
  33. Ghroubi, S, Elleuch H, Baklouti S et al. Chronic low back pain and vertebral manipulation. Ann Readapt Med Phys. 2007;50(7):570-6. https://doi.org/10.1016/j.annrmp.2007.02.012
  34. Adams M, Hutton W. Prolapsed intervertebral disc: a hyperflexion injury. Spine. 1982;7(3):184-91. https://doi.org/10.1097/00007632-198205000-00002
  35. Kim MC, Kim. HS. Effect of fatigue on EMG activity and dynamic balance of subjects with functional lumbar instability. J Kor Phys Ther. 2015;27(4):207-13. https://doi.org/10.18857/jkpt.2015.27.4.207
  36. Gose EE, Naguszewski WK, Naguszewski RK. Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. J Neuro Res. 1998;20(3):186-276. https://doi.org/10.1080/01616412.1998.11740504
  37. Ma SR, Kwon WA, Lee JH et al. The Effects of spinal decompression combined with therapeutic modalities for patients with lumbar radiculopathy. J aca-ind tech. 2013;14(1):336-43.
  38. Park SH, Kim CS, Lee DG et al. The short term effects of the decompression (KNX $7000^{(R)}$) and traction device on pain in patients with chronic low back pain with or without radicular pain. J Kor Phys Ther. 2011;23(5):29-34. https://doi.org/10.1589/jpts.23.29

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