Comparison of the Effects of Positional Release Therapy and Lumbar Stabilization Exercises in the Management of Chronic Mechanical Low Back Pain-Randomized Controlled Trial

Zakari, Usman Usman; Bello, Bashir; Sokumbi, Ganiyu O.; Yakasai, Abdulsalam Mohammed; Danazumi, Musa Sani

doi:10.1615/critrevphysrehabilmed.2020032738

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…. Kelencz et al [27,28] found PRT reduced muscle tension in the upper trapezius, which if the same is true for the wrist extensors, a diminishing of muscular tension may allow for better vascular perfusion of the tissues to combat tendinosis. While IASTM did not improve blood flow over PRT, other studies have found improvements in blood flow after treatment of IASTM [29][30][31][32][33].…”

Section: Discussionmentioning

confidence: 94%

Manual Therapy Improves Immediate Blood Flow and Tissue Fiber Alignment of the Forearm Extensors

Speicher¹,

Selkow

Warren

2022

J Phys Med Rehabil

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Background: Manual therapy is commonly used by clinicians to improve blood flow and tissue fiber orientation. Hypothesis/Purpose: Using diagnostic ultrasound, the purpose of the study was to examine how the application of Positional Release Therapy (PRT), instrumented assisted soft tissue mobilization (IASTM), therapeutic ultrasound (US) and a combination of all three, affect lateral elbow immediate blood flow and tissue fiber alignment. Study Design: Controlled laboratory study. Methods: Twenty-five participants (26.0 ± 4.5 years; 69.3 ± 4.3 cm; 81.8 ± 16.9 kg) received PRT =13, US =12, IASTM =13, and a combination treatment = 12. Results: Blood flow was significantly higher following PRT (691.54 ± 1237.16 mm2) compared to IASTM (18.73 ± 227.10 mm2) (p=0.050; ES=0.073 (0.16-1.5) and US (-10.09 ± 479.26 mm2) (p=0.042; ES=0.72 (-0.03-1.29), but no different from the combination intervention (627.64 ± 820.22 mm2) (p=0.849). Seventy-five percent of elbows in the PRT intervention showed improvement in blood flow, 54% in the IASTM group, 45% in US, and 73% in the combination group. Tissue fiber alignment was significantly better following IASTM (-5756.00 ± 8156.19 mm2) compared to PRT (-1552.54 ± 3896.58 mm2) (p=0.042; ES=0.66 (-0.01 – 1.31), but no difference was demonstrated among the other interventions (p>0.066). All elbows (100%) that received IASTM showed improved tissue orientation, 77% in the PRT group, 64% in US and 64% in the combination group. Conclusion: Manual therapy, particularly PRT and IASTM, seem to be better at increasing blood flow and muscle fiber orientation, respectively. Level of Evidence: II.

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Section: Discussionmentioning

confidence: 94%

Manual Therapy Improves Immediate Blood Flow and Tissue Fiber Alignment of the Forearm Extensors

Speicher¹,

Selkow

Warren

2022

J Phys Med Rehabil

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“…In the supplementary evidence synthesis (see Online Resource 8), our findings aligned with our primary synthesis, except the certainty of evidence was lower (due to including RCTs rated as having high overall ROB). The supplementary evidence synthesis included 68 RCTs (13 identified from our primary synthesis [ 21 – 33 ], and 55 identified for the supplementary synthesis [ 37 – 91 ]. The 68 RCTs included a total of 4195 participants (ranging from 14 to 313 participants per RCT).…”

Section: Resultsmentioning

confidence: 99%

“…The 68 RCTs included a total of 4195 participants (ranging from 14 to 313 participants per RCT). The trials were conducted in high to upper-middle income economies: Australia (3 RCTs) [ 22 , 72 , 90 ], Brazil (7 RCTs) [ 23 , 25 , 26 , 47 , 48 , 74 , 77 ], Canada (2 RCTs) [ 64 , 67 ], China (8 RCTs) [ 53 , 54 , 68 – 71 , 83 , 88 ], France (1 RCT) [ 78 ], Germany (3 RCTs) [ 28 , 49 , 50 ], Italy (1 RCT) [ 45 ], Japan (1 RCT) [ 24 ], Malaysia (1 RCT) [ 37 ], Netherlands (1 RCT) [ 29 ], South Korea (4 RCTs) [ 65 , 66 , 76 , 86 ], Thailand (1 RCT) [ 59 ], Turkey (1 RCT) [ 31 ], United Kingdom (1 RCT) [ 32 ], and the United States (2 RCTs) [ 33 , 46 ]; and low to lower-middle income economies: Egypt (2 RCTs) [ 37 , 52 ], India (5 RCTs) [ 21 , 51 , 55 , 79 , 87 ], Iran (18 RCTs) [ 27 , 29 , 40 , 42 – 44 , 56 – 58 , 62 , 63 , 72 , 75 , 81 , 81 , 83 , 84 , 89 ], Nigeria (2 RCTs) [ 59 , 91 ], and Pakistan (4 RCTs) [ 39 ...…”

Section: Resultsmentioning

confidence: 99%

Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured Exercise Programs for Chronic Primary Low Back Pain in Adults

Verville,

Ogilvie,

Hincapié

et al. 2023

J Occup Rehabil

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Purpose Evaluate benefits and harms of structured exercise programs for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline. Methods We searched for randomized controlled trials (RCTs) in electronic databases (inception to 17 May 2022). Eligible RCTs targeted structured exercise programs compared to placebo/sham, usual care, or no intervention (including comparison interventions where the attributable effect of exercise could be isolated). We extracted outcomes, appraised risk of bias, conducted meta-analyses where appropriate, and assessed certainty of evidence using GRADE. Results We screened 2503 records (after initial screening through Cochrane RCT Classifier and Cochrane Crowd) and 398 full text RCTs. Thirteen RCTs rated with overall low or unclear risk of bias were synthesized. Assessing individual exercise types (predominantly very low certainty evidence), pain reduction was associated with aerobic exercise and Pilates vs. no intervention, and motor control exercise vs. sham. Improved function was associated with mixed exercise vs. usual care, and Pilates vs. no intervention. Temporary increased minor pain was associated with mixed exercise vs. no intervention, and yoga vs. usual care. Little to no difference was found for other comparisons and outcomes. When pooling exercise types, exercise vs. no intervention probably reduces pain in adults (8 RCTs, SMD = − 0.33, 95% CI − 0.58 to − 0.08) and functional limitations in adults and older adults (8 RCTs, SMD = − 0.31, 95% CI − 0.57 to − 0.05) (moderate certainty evidence). Conclusions With moderate certainty, structured exercise programs probably reduce pain and functional limitations in adults and older people with CPLBP.

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Exercise therapy for chronic low back pain

Hayden

Ellis

Ogilvie

et al. 2021

Cochrane Database of Systematic Reviews

243

171

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Comparison of the Effects of Positional Release Therapy and Lumbar Stabilization Exercises in the Management of Chronic Mechanical Low Back Pain-Randomized Controlled Trial

Cited by 5 publications

References 10 publications

Manual Therapy Improves Immediate Blood Flow and Tissue Fiber Alignment of the Forearm Extensors

Manual Therapy Improves Immediate Blood Flow and Tissue Fiber Alignment of the Forearm Extensors

Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured Exercise Programs for Chronic Primary Low Back Pain in Adults

Exercise therapy for chronic low back pain

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