Investigating the effects of myofascial induction therapy techniques on pain, function and quality of life in patients with chronic low back pain

Ünal, Mehmet; Evci̇k, Ender; Kocatürk, Muammer; Algün, Zeliha Candan

doi:10.1016/j.jbmt.2020.07.014

Cited by 15 publications

(23 citation statements)

References 27 publications

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“…Although mode study level distribution of sex was similar across most comparisons for the primary outcomes (<50% males), 10 (26%) of 38 comparisons for physical function and 14 (35%) of 40 comparisons for pain intensity either had a mode of 50% or more males, or a bimodal distribution of sex. However, for physical function, the distribution of sex in six (67%) of nine unique studies comprising the dissimilar comparisons was less than 55% males, 65 66 67 68 69 70 while for pain intensity, the distribution of sex in 10 (59%) of 17 unique studies comprising the dissimilar comparisons was less than 54% males. 60 65 66 68 70 71 72 73 74 75 For the secondary outcomes, the mode study-level distribution of sex was similar across most comparisons except in three (17%) of 18 comparisons for fear avoidance and four (31%) of 13 comparisons for intervention compliance.…”

Section: Resultsmentioning

confidence: 93%

“…However, for physical function, the distribution of sex in six (67%) of nine unique studies comprising the dissimilar comparisons was less than 55% males, 65 66 67 68 69 70 while for pain intensity, the distribution of sex in 10 (59%) of 17 unique studies comprising the dissimilar comparisons was less than 54% males. 60 65 66 68 70 71 72 73 74 75 For the secondary outcomes, the mode study-level distribution of sex was similar across most comparisons except in three (17%) of 18 comparisons for fear avoidance and four (31%) of 13 comparisons for intervention compliance. For fear avoidance, the distribution of sex in three (50%) of six individual studies comprising the three dissimilar comparisons was less than 52% males.…”

Section: Resultsmentioning

confidence: 93%

“…The available evidence suggests that pain education delivered alone 68 70 or in conjunction with physiotherapy care, 85 86 cognitive behavioural therapy delivered with physiotherapy care, 87 88 and counselling delivered with physiotherapy care 89 are more effective than physiotherapy care alone for improving health related quality of life. Evidence is conflicting for the effectiveness of combined psychological approaches delivered with physiotherapy care for improving health related quality of life, compared with physiotherapy care alone (ranging from no effect 90 to a significant effect at short term 91 or long term follow-up 92 93 ).…”

Section: Resultsmentioning

confidence: 99%

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Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis

Chen

Simić

et al. 2022

BMJ

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Objective To determine the comparative effectiveness and safety of psychological interventions for chronic low back pain. Design Systematic review with network meta-analysis. Data sources Medline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, SCOPUS, and CINAHL from database inception to 31 January 2021. Eligibility criteria for study selection Randomised controlled trials comparing psychological interventions with any comparison intervention in adults with chronic, non-specific low back pain. Two reviewers independently screened studies, extracted data, and assessed risk of bias and confidence in the evidence. Primary outcomes were physical function and pain intensity. A random effects network meta-analysis using a frequentist approach was performed at post-intervention (from the end of treatment to <2 months post-intervention); and at short term (≥2 to <6 months post-intervention), mid-term (≥6 to <12 months post-intervention), and long term follow-up (≥12 months post-intervention). Physiotherapy care was the reference comparison intervention. The design-by-treatment interaction model was used to assess global inconsistency and the Bucher method was used to assess local inconsistency. Results 97 randomised controlled trials involving 13 136 participants and 17 treatment nodes were included. Inconsistency was detected at short term and mid-term follow-up for physical function, and short term follow-up for pain intensity, and were resolved through sensitivity analyses. For physical function, cognitive behavioural therapy (standardised mean difference 1.01, 95% confidence interval 0.58 to 1.44), and pain education (0.62, 0.08 to 1.17), delivered with physiotherapy care, resulted in clinically important improvements at post-intervention (moderate quality evidence). The most sustainable effects of treatment for improving physical function were reported with pain education delivered with physiotherapy care, at least until mid-term follow-up (0.63, 0.25 to 1.00; low quality evidence). No studies investigated the long term effectiveness of pain education delivered with physiotherapy care. For pain intensity, behavioural therapy (1.08, 0.22 to 1.94), cognitive behavioural therapy (0.92, 0.43 to 1.42), and pain education (0.91, 0.37 to 1.45), delivered with physiotherapy care, resulted in clinically important effects at post-intervention (low to moderate quality evidence). Only behavioural therapy delivered with physiotherapy care maintained clinically important effects on reducing pain intensity until mid-term follow-up (1.01, 0.41 to 1.60; high quality evidence). Conclusions For people with chronic, non-specific low back pain, psychological interventions are most effective when delivered in conjunction with physiotherapy care (mainly structured exercise). Pain education programmes (low to moderate quality evidence) and behavioural therapy (low to high quality evidence) result in the most sustainable effects of treatment; however, uncertainty remains as to their long term effectiveness. Although inconsistency was detected, potential sources were identified and resolved. Systematic review registration PROSPERO CRD42019138074.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

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Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis

Chen

Simić

et al. 2022

BMJ

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“…Esse achado corrobora com o de um estudo anterior (18) . A dor lombar tem um impacto significativo na capacidade funcional, pois restringe as atividades ocupacionais, sendo uma das principais causas de absenteísmo (7) . Além disso, relatou-se que a saúde psicossocial dos pacientes deste estudo foi afetada, em consonância com estudos anteriores (13,17) .…”

Section: Discussionunclassified

“…Tem sido também associada a alterações corticais neuroquímicas, estruturais e funcionais de várias regiões do cérebro, incluindo o córtex somatossensorial (6) . É a principal causa de limitação de ati-vidades e afastamento do trabalho em todo o mundo, e é um enorme fardo econômico para indivíduos, famílias e sociedade (7) . Atividades diárias, como limpeza, prática de esportes e outras ocupações recreativas podem se tornar uma grande tarefa a cumprir para pessoas com dor lombar crônica.…”

Section: Introductionunclassified

Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic

Mbada¹,

Oladapo²,

Igwe³

et al. 2022

Rev Rene

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Objective: to assess therapeutic itinerary of patients with chronic low-back pain. Methods: qualitative study involving the use of an in-depth semi structured interviews were used to collect data on therapeutic itinerary among ten patients with chronic low-back pain who from physiotherapy clinic of a tertiary hospital. Data was analysed using thematic content analysis. Results: emerging themes were as follows: onset of low-back pain, symptoms that initiated the journey for care, steps taken to find pain relief, respondent’s perception on care received, interference of chronic low-back pain with normal life, family and relations, multiple practices in which chronic low-back pain patients are involved, perception of effectiveness of the multiple practices, and hurdles to seeking care. Conclusion: patients with chronic low-back pain take different routes in search of care. Chronic low-back pain markedly altered patients’ life and made them prone to practicing medical pluralism.

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Efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization: A randomized, single-blind, controlled trial

Sumariva-Mateos

León-Valenzuela

Vinolo-Gil

et al. 2022

Complementary Therapies in Clinical Practice

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Investigating the effects of myofascial induction therapy techniques on pain, function and quality of life in patients with chronic low back pain

Cited by 15 publications

References 27 publications

Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis

Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis

Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic

Efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization: A randomized, single-blind, controlled trial

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