Pilate mat exercise versus muscle energy technique on chronic non specific low back pain

Gendy, Mohamed H. El; Hekal, Hager Nazieh; Kadah, Mohamed Abdelhaleem; Hussein, Hisham M.; Ewais, Najlaa Fathi

doi:10.53730/ijhs.v6ns5.9429

ijhs

2022

DOI: 10.53730/ijhs.v6ns5.9429

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Pilate mat exercise versus muscle energy technique on chronic non specific low back pain

Mohamed H. El Gendy

Hager Nazieh Hekal

Mohamed Abdelhaleem Kadah

et al.

Abstract: Background: Many studies have been performed to evaluate the best physical therapy technique for treating chronic nonspecific low back pain. Pilate exercises and muscle energy techniques showed favorable results in many trials. Yet, no comparisons were conducted to compare their effects. Purpose: To compare between the effects of pilate mat exercise (PME) and Muscle energy technique (MET) on pain intensity, functional disability, trunk range of motion, and flexibility in patients with chronic non specific low … Show more

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Cited by 3 publications

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Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Al Matif,

Alfageer,

ALNasser

et al. 2023

Bull Fac Phys Ther

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Background Low back pain (LBP) is a highly prevalent musculoskeletal condition and causes activity limitations resulting in reduced productivity and high medical expenditure. Muscle energy technique (MET) is a therapeutic technique that has the potential to be successful in LBP, although the evidence for this notion is still inconclusive. The effectiveness of the muscular energy technique on pain intensity and disability for individuals with chronic low back pain was evaluated in published studies through this systematic review of the literature. Methods Studying the English language and humans, as well as scanning article reference lists from PubMed, Scopus, ScienceDirect, the Cochrane Library, Ovid, ClinicalTrials.gov, and Embase, was searched until October 30, 2022. Randomised controlled studies reporting on the effectiveness of muscle energy technique on pain intensity and disability for chronic low back patients were included. Information related to demographics, number and duration of treatment, MET protocol, assessment tools used for pain and disability, and key findings was extracted. The Physiotherapy Evidence Database (PEDro) classification scale was used to assess the methodological quality of studies, and two authors assessed the risk of bias and extracted the data independently. Results Seventeen research studies (including 817 participants) were retrieved and included for qualitative analysis. The studies published between 2011 and 2022 were retrieved, and the sample size ranged from 10 to one hundred twenty-five participants. The age of the subjects ranged between 18 and 60 years, and interventions were done between 2 days and 12 weeks. Of the included 17 studies, five were from Egypt, four were from India, two each from Iran and Nigeria, and one each from Brazil, Poland, Thailand, and Pakistan. Compared to other interventions or the control groups, MET was found to significantly, although modestly, decrease the severity of pain and reduce functional disability in patients with chronic LBP. Most of the included studies had moderate to high study quality. Conclusion In patients with chronic low back pain (CLBP), it was observed that MET alone as well as in conjunction with other interventions was found to be beneficial in reducing pain intensity, improving lumbar spine range of motion, and decreasing the degree of functional disability.

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Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Al Matif,

Alfageer,

ALNasser

et al. 2023

Bull Fac Phys Ther

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Effectiveness of muscle energy technique on the range of motion, flexibility, and function in musculoskeletal disorders: Systematic review and meta-analysis

Hussein,

Alshdokhi,

Almuqati

et al. 2023

Physiotherapy Practice and Research: The Official Journal of Th

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OBJECTIVES: Muscle energy technique (MET) is a voluntary contraction of a patient’s muscle in a predetermined direction, at varying levels of intensity. Its commonly used as a treatment option in musculoskeletal rehabilitation. This study aims to investigate the effectiveness of MET in the treatment of people with musculoskeletal injuries with particular emphasis on flexibility, range of motion (ROM), and function. METHODS: Scopus (via Science Direct), CINAHL via (EBSCO), Embase (via OvidSP), PubMed, and PEDro were searched using specified keywords to select randomized controlled trials that assessed the effect of MET on flexibility, ROM, or function in patients with musculoskeletal disorders. Two authors extracted all related information from the included trials and presented them in an excel spreadsheet. Two other authors independently conducted the quality assessment. Meta-analysis was performed where homogeneity (similirty regarding population and outcomes) was sufficient and required data were available. RESULTS: A total of 42 studies were included. Yet, twelve joined the meta-analysis where six comparisons were conducted. Of them, four comparisons were composed of two trials, one comparison consisted of six, and another one was composed of four. No statistically significant differences were observed between MET and other comparators regarding function and ROM, especially in patients with low back or neck pain. MET was statistically significantly better than control or sham interventions on the flexibility of patients with sacroiliac joint (SIJ) problems. CONCLUSIONS: MET can produce better flexibility than placebo and control interventions in patients with SIJ problems. MET is not better than other interventions regarding function and ROM. Although the existence of multiple trials testing the effectiveness of MET, there is obvious heterogeneity. There is no sufficient evidence to reliably determine the clinical effect of MET in practice.

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Low back pain-related misbeliefs: across-sectional study in Kingdom of Saudi Arabia

Alhumayani,

Alzaidani,

Ibrahim

et al. 2024

Fiz Pol

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Introduction. Pain in the lower back has gained considerable attention within the medical community because of its major socioeconomic impact. Misconceptions and myths are widespread in many communities, especially in developing countries, which affects the prognosis of LBP. Aim of the study. The major goal of this study was to investigate the current LBP-related beliefs among the Saudi Arabian adult population. Methods. A cross-sectional, self-administered survey design was used to investigate the current beliefs related to LBP among 519 Saudi Arabian adults in different areas of Saudi Arabia (East, West, North, South, and Middle regions), conducted by Taif University from January 2023 to August 2023. The survey, including the LBP Beliefs Questionnaire (LBPBQ), demographic questions, and inquiries about LBP history, was made available online on a digital platform. Results. The most prevalent disbeliefs are “Back pain indicates the presence of organic injury or serious disease” (31.2% disagreed), “Back pain means one should refrain from physical activity” (36.61% disagreed), “Bed rest is the mainstay of therapy” (25.05% disagreed), “Remaining physically active is the best remedy against back pain” (38.4% rather agreed on this reversed-score question), “Someone with back pain can do things himself to ease recovery” (45.09% agreed on this reversed-score question), “Psychological factors such as thoughts and feelings can influence pain intensity” (38.73% rather agreed on this reversed-score question). Conclusion. Several misbeliefs related to LBP are still extant in the adult population in Saudi Arabia, particularly regarding physical activity, lack of self-control, pain medication, and the need for surgery.

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Pilate mat exercise versus muscle energy technique on chronic non specific low back pain

Cited by 3 publications

References 21 publications

Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Effectiveness of muscle energy technique on the range of motion, flexibility, and function in musculoskeletal disorders: Systematic review and meta-analysis

Low back pain-related misbeliefs: across-sectional study in Kingdom of Saudi Arabia

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