Myofascial release improves pain and disability in non-specific chronic low back pain: A randomized clinical trial

Abstract

BACKGROUND: Despite its high prevalence, the etiology and the nature of chronic low back pain (CLBP) have not yet been fully understood. It has been suggested that soft tissues such as thoracolumbar fascia [1,2] and other lumbar muscles might be related to LBP [3,4]. Myofascial Release (MFR) is a form of manual medicine widely used by physiotherapists in the management of different musculoskeletal pathologies [5]. Up to this moment, no previous studies have reported the effects of an isolated MFR treatment in patients with CLBP. The purpose of this study is to investigate the effects of an isolate MFR protocol on pain, disability, and fearavoidance beliefs in patients with CLBP.

Can a single trial of a thoracolumbar myofascial release technique reduce pain and disability in chronic low back pain? Randomized balanced cross-over study

“…As far as we know, only one study investigated the effects of an isolate myofascial release protocol on pain intensity and disability in patients with CLBP. Although the authors did not show clearly whether the improvement on pain intensity and disability was clinically relevant, they suggested the myofascial protocol used reduced these outcomes 3 . Therefore, the present study aims to verify if there is an immediate effect of a specific myofascial release protocol on TLF of individuals with nonspecific CLBP, concerning pain intensity and disability, in comparison with control and placebo situations [15,16] .…”

“…Chronic low back pain (CLBP) is an important undesirable health problem throughout the world [1] . Manual therapy (MT) is one of the possible management options to the treatment of CLBP [2][3][4] . Myofascial release is a form of MT, which involves the application of a low-load, and long-duration stretches to the myofascial complex and widely used by physical therapists in the management of CLBP [5][6][7][8] .…”

Effects of crochet technique associated with kinesiotherapy in patients with chronic low back pain

“…Chronic low back pain (LBP) can be defined as persistent or recurrent pain with duration greater than three months; is one of the most common musculoskeletal changes in industrialized societies, affecting 70% to 80% of the adult population at some point in the life, having a predilection for young adults, in an economically active phase (1) . It is characterized by sensory and emotional experience elicited by a tissue injury, real or potential (2). A loss of lumbar and pelvic mobility may also be associated LBP (1,2) .…”

“…It is characterized by sensory and emotional experience elicited by a tissue injury, real or potential (2). A loss of lumbar and pelvic mobility may also be associated LBP (1,2) . One of the main difficulties in the study of LBP is related to its source.…”

“…Some factors that make lumbar pain studies difficult are: the lack of a reliable correlation between clinical and imaging findings; be the segment lumbar spine innervated by a diffuse and intertwined network of nerves, making it difficult to with precision the place of origin of the pain, except in the radiculo-medullary affections; fur fact of muscle contractions, frequent and painful, do not accompany injury demonstrable histology; and, because they are rarely surgical, there are scarce and inadequate the anatomical and histological findings of compromised, making the interpretation of the painful phenomenon difficult (1)(2)(3) . According to Arguisuelas et al (2) besides the lumbar fascia, other soft tissues are also related to LBP. Studies with images show asymmetries in the section area of the lumbar square muscle, psoas and multifidus in subjects with pain with asymptomatic individuals (2) .…”