Short-term response of hip mobilizations and exercise in individuals with chronic low back pain: a case series

Abstract

This case series suggests that an impairment-based approach directed at the hip joints may lead to improvements in pain, function, and disability in patients with CLBP. A neurophysiologic mechanism may be a plausible explanation regarding the clinical outcomes of this study. A larger, well-controlled trial is needed to determine the potential effectiveness of this approach with patients with CLBP.

Effects of manual therapy and exercise targeting the hips in patients with low‐back pain—A randomized controlled trial

“…This effect strengthened over the course of intervention and was the highest at discharge. The magnitude of our effect sizes is consistent with prior studies that have compared various LBP interventions as well as studies on the use of hip flexibility exercises and manual therapy for individuals with LBP . Burns and colleagues found that 3 sessions of manual therapy along with a prescribed home exercise program targeting hip flexibility led to an improvement of 24% on the ODI and 62.5% of patients reported that they were “moderately better” or greater on the GRoC.…”

“…Others have recommended treatment of the hip in subjects with LBP who “do not have” hip‐spine syndrome: who are asymptomatic at the hip . The authors of these studies have recommended a concomitant treatment approach on the basis of a conceptualized concept of regional interdependence, which assumes that relatively disconnected anatomical regions may influence other anatomical regions, through unknown causes .…”

“…A case series by Burns et al that consisted of 8 subjects demonstrated some short‐term benefit toward recovery of LBP when manual therapy and range of motion (ROM) exercises targeted the hip. However, they had very strict inclusion criteria including the documentation of an identified hip impairment.…”

Manual Therapy: Art or Science?

“…However, in accordance with a Manual Therapy model based on the improvement of the patient's function, Manual Therapy techniques can be useful in improving all the musculoskeletal impairments that can biomechanically and neurophysiologically contribute to the patient's symptoms and daily limitations [35]. For instance, sedentary patients with lower back pain may benefit from the treatment of any limitations present at hip level, which due to phenomena related to referred pain and afferent convergence may support pain perception [111][112][113].…”

The efficacy of surface electromyographic biofeedback assisted stretching for the treatment of chronic low back pain: A case-series

“…The revised ODI, which replaced the original versions question of sex-life to employment/homemaking, has been shown to be reliable and valid in patients with low back pain Fritz & Irrgang, 2001). The MCID for the ODI is reportedly between 6-15 points (Burns, Mintken, Austin, & Cleland, 2011;Fritz & Irrgang, 2001;Maughan & Lewis, 2010;Ostelo et al, 2008). A threshold of 50% improvement on the ODI has also been proposed to be a valid measure for defining a successful outcome for patients with chronic LBP Ostelo et al, 2008).…”