A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain

Background and Objective: With regard to high prevalence of mechanical low back pain (LBP) and its increasing in society and known treatment of physical therapy and also previous successes of spinal manipulation, this study was carried out to compare spinal manipulation and physical therapy for trea...

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Autores principales:	M Rayegani, MH Bahrami, M Farjad, MN Ahrari, N Valaie
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2002
Materias:	mechanical lbp spinal manipulation physical therapy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e352eb56e0f74602b5d5f7acdc77bf47
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spelling	oai:doaj.org-article:e352eb56e0f74602b5d5f7acdc77bf472021-11-10T09:19:48ZA comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain1561-41072251-7170https://doaj.org/article/e352eb56e0f74602b5d5f7acdc77bf472002-10-01T00:00:00Zhttp://jbums.org/article-1-2809-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: With regard to high prevalence of mechanical low back pain (LBP) and its increasing in society and known treatment of physical therapy and also previous successes of spinal manipulation, this study was carried out to compare spinal manipulation and physical therapy for treatment of mechanical LBP in patients who referred to Shohada-e-Tajrish hospital during 2001. Methods: This single blind clinical study was performed on 105 patients (20-60 years old) with LBP for 2 weeks to 6 months and with normal lumbosacral radiography. Pregnant patients, opiate addicts, patients with physical therapy (PT) or spinal manipulation during last six months and those with neurological deficits were excluded from this study. Patients were randomly divided into three groups. An educational pamphlet was given to control group, PT group was treated with hot pack, ultrasound and ordinary TENS and manipulation group was treated with spinal manipulation (Maigne technique). Roland-Morris questionnaire, a visual-analogue pain scale (VAS) and measurement of lumbar spine were used to determine the efficacy of treatment during a 6-week period. Findings: 96 patients (56 females and 40 males) were studied. All groups were similar according to age, sex, BMI, severity of LBP and disability. Severity of LBP and disability were decreased in all groups. Decrease of LBP severity in manipulation group in comparison to two other groups was more (P<0.001). Conclusion: Spinal manipulation was more effective than PT and educational pamphlet for treatment of mechanical LBP. For overcoming with Novelty effect, another study with higher sample size and at least for a 6 month follow up is recommended.M RayeganiMH BahramiM FarjadMN AhrariN ValaieBabol University of Medical Sciencesarticlemechanical lbpspinal manipulationphysical therapyMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 4, Iss 4, Pp 26-31 (2002)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	mechanical lbp spinal manipulation physical therapy Medicine R Medicine (General) R5-920
spellingShingle	mechanical lbp spinal manipulation physical therapy Medicine R Medicine (General) R5-920 M Rayegani MH Bahrami M Farjad MN Ahrari N Valaie A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
description	Background and Objective: With regard to high prevalence of mechanical low back pain (LBP) and its increasing in society and known treatment of physical therapy and also previous successes of spinal manipulation, this study was carried out to compare spinal manipulation and physical therapy for treatment of mechanical LBP in patients who referred to Shohada-e-Tajrish hospital during 2001. Methods: This single blind clinical study was performed on 105 patients (20-60 years old) with LBP for 2 weeks to 6 months and with normal lumbosacral radiography. Pregnant patients, opiate addicts, patients with physical therapy (PT) or spinal manipulation during last six months and those with neurological deficits were excluded from this study. Patients were randomly divided into three groups. An educational pamphlet was given to control group, PT group was treated with hot pack, ultrasound and ordinary TENS and manipulation group was treated with spinal manipulation (Maigne technique). Roland-Morris questionnaire, a visual-analogue pain scale (VAS) and measurement of lumbar spine were used to determine the efficacy of treatment during a 6-week period. Findings: 96 patients (56 females and 40 males) were studied. All groups were similar according to age, sex, BMI, severity of LBP and disability. Severity of LBP and disability were decreased in all groups. Decrease of LBP severity in manipulation group in comparison to two other groups was more (P<0.001). Conclusion: Spinal manipulation was more effective than PT and educational pamphlet for treatment of mechanical LBP. For overcoming with Novelty effect, another study with higher sample size and at least for a 6 month follow up is recommended.
format	article
author	M Rayegani MH Bahrami M Farjad MN Ahrari N Valaie
author_facet	M Rayegani MH Bahrami M Farjad MN Ahrari N Valaie
author_sort	M Rayegani
title	A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
title_short	A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
title_full	A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
title_fullStr	A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
title_full_unstemmed	A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
title_sort	comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain
publisher	Babol University of Medical Sciences
publishDate	2002
url	https://doaj.org/article/e352eb56e0f74602b5d5f7acdc77bf47
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A comparison of spinal manipulation with physical therapy for treatment of patients with mechanical low back pain

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