Comparison of Three Manual Therapy Techniques as Trigger Point Therapy for Chronic Nonspecific Low Back Pain: A Randomized Controlled Pilot Trial

Dayanır, Ismail Oguz; Birinci, Tansu; Mutlu, Ebru Kaya; Akçetin, Mustafa Ali; Akdemir, Ali

doi:10.1089/acm.2019.0435

Cited by 28 publications

(26 citation statements)

References 30 publications

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“…The author added that hot fermentation could reduce LBP by blocking the pain signal [31]. Dayanır et al compared three manual therapy techniques for chronic NSLBP; it involved myofascial trigger points (MTrPs) [32]. The signs of MTrPs were the existence of a taut band that was palpable in the muscle, a hyperirritable spot in the muscle band, a reaction of local twitch elicited on the palpation of the muscle, and the replication of pain upon palpation.…”

Section: Discussionmentioning

confidence: 99%

“…The signs of MTrPs were the existence of a taut band that was palpable in the muscle, a hyperirritable spot in the muscle band, a reaction of local twitch elicited on the palpation of the muscle, and the replication of pain upon palpation. Manual therapy techniques such as MTrP decrease pain severity, pressure pain threshold (PPT), and disability due to pain, depression, and anxiety and improve active range of motion (AROM) in patients with chronic NSLBP [32].…”

Section: Discussionmentioning

confidence: 99%

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Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Subjects With Nonspecific Low Back Pain: A Comparative Study

Chitale¹,

Patil²,

Phansopkar³

2022

Cureus

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BackgroundPain lasting more than three months is termed chronic pain. Treating chronic pain is always a challenge for the therapist. Low back pain (LBP) with a high prevalence is a point of concern. Various treatment methods are available. The two treatment methods are integrated neuromuscular inhibition technique (INIT) and Mulligan mobilization with movement (MWM). In this study, we have compared INIT with MWM. MethodIt was an interventional study carried out at Ravi Nair Physiotherapy College and Acharya Vinoba Bhave Rural Hospital. A total of 80 participants with nonspecific LBP were included in the study. The participants were randomly divided into two groups and treated for two weeks with three weekly sessions. Statistical analysis and resultStatistical analysis was done post the completion of sampling. Paired and unpaired t-tests were used. A pvalue of <0.05 was considered significant. The result was obtained after comparing the pre-and post-values of the numerical pain rating scale (NPRS), modified Oswestry disability index (MODI), and range of motion (ROM) of the lumbar joint. After two weeks of treatment, a reduction in functional disability and pain was seen in the INIT and MWM groups. ROM was increased after two weeks of treatment in both INIT and MWM groups. When compared, INIT showed better results than MWM. ConclusionIn conclusion, we saw that the integrated neuromuscular inhibition technique might be a better technique than Mulligan mobilization with movement in terms of reducing pain and functional disability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Subjects With Nonspecific Low Back Pain: A Comparative Study

Chitale¹,

Patil²,

Phansopkar³

2022

Cureus

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“…Spinal pain can be caused by a multitude of factors, including mechanical, structural, functional, psychological, and neuromuscular dysfunctions. MTrPs are most common in quadratus lumborum and iliocostalis lumborum muscles, and a higher number of active MTrPs was found linked with increased pain intensity [10]. They are characterized by muscle stiffness, tenderness, and pain that radiates to other regions, a condition known as referred pain [11].…”

Section: Pathophysiology Of Lbpmentioning

confidence: 99%

A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

Chitale¹,

Patil²,

Phansopkar³

et al. 2022

Cureus

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Low back pain is a leading cause of functional disability. Low back pain is a problem that every one of all age groups faces and there are various methods used to correct low back pain. Manual therapy is a specialized area in physiotherapy which manages neuromuscular pain. Manual therapy techniques include the Maitland mobilization technique, Kaltenborn mobilization technique, Mulligan technique, Active release technique, and many more. Manual therapy mainly works on arthrokinematics and osteokinematics of the joint. It is one of the main strategies used to manage low back pain. Low back pain can be because by spinal dysfunction, Sacroiliac dysfunction, muscle pathology, or any ligamentous strain. The cause of the low back pain should be identified and treated accordingly. Articles using keywords -chronic low back pain, Mulligan, and non-specific low back pain were searched on the database of Pubmed and Scopus a total of 30 articles from the timeframe of 2011 to 2021 were included in the study. From this review, we can conclude that Mulligan mobilization with movement is an effective way to reduce low back pain. Further studies need to be conducted to check the effectiveness of manual therapy techniques in chronic low back pain.

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“…On other hand, several studies found that SIJ dysfunction may occur with sudden heavy lifting, prolonged lifting, bending, torsional strain, and arising from stooped position (7,8). Pain associated with SIJ dysfunction may be aggravated by any activities that require asymmetrical loading through the lower extremity with standing and walking, or by prolonged sitting and forward flexion in the standing position with knees fully extended (9,10).…”

Section: Introductionmentioning

confidence: 99%

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

Hussein¹,

Hassan

EL-Nahass

2022

ijhs

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Background: The sacroiliac joint (SIJ) has been long considered an important source of low back pain because its prevalence varies from 10% to 30% with axial low back pain. Several manual techniques were used in SIJ dysfunction (SIJD) treatment as manipulation, muscle energy technique (MET), strain-counterstrain (SCS), and mobilization. However, there is little evidence about the efficacy of MET and SCS have been reported. Design: Randomized controlled trial. Setting: Evaluation and treatment were taken at Warraq Central hospital and El-Sahel hospital in the Giza governorate, Egypt. Purpose: Examine the effect of (SCS) versus (MET) on pain pressure threshold (PPT), functional disability, and the innominate angle tilt with SIJ dysfunction. Methods: Fifty-six patients with SIJD were recruited and randomly assigned to receive treatment with either SCS or MET. The outcomes were PPT by Pressure algometer and functional disability by Oswestry Disability Index (ODI) and the innominate angle tilt by Palpation Meter (PALM). All outcomes were assessed at pre and post intervention and frequency of treatment was 3 sessions/week for 4 weeks.

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Comparison of Three Manual Therapy Techniques as Trigger Point Therapy for Chronic Nonspecific Low Back Pain: A Randomized Controlled Pilot Trial

Cited by 28 publications

References 30 publications

Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Subjects With Nonspecific Low Back Pain: A Comparative Study

Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Subjects With Nonspecific Low Back Pain: A Comparative Study

A Review on Treatment Approaches for Chronic Low Back Pain via Mulligans Movement With Mobilization and Physical Therapy

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

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