Effect of the Maitland Concept Techniques on Low Back Pain: A Systematic Review

Outeda, Lidia Romero; Cousiño, Lorenzo Antonio Justo; Carrera, Iria da Cuña; Caeiro, Eva María Lantarón

doi:10.1590/s1808-185120222102258429

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…Dois modos de tratamento são aplicados nesta técnica, a mobilização, definida como a movimentação passiva e de baixa velocidade da coluna vertebral dentro de seus limites fisiológicos, e a manipulação articular, definida como a manobra manual seletiva e rápida de pequena amplitude e alta velocidade. A melhor eficácia da técnica foi empregada quando associada a outros tipos de exercícios (Outeda et al, 2022).…”

Section: Terapia Não Farmacológicaunclassified

Tratamento de lombalgia crônica em pacientes obesos

Lino,

Silveira,

Moraes

2023

RSD

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Obesidade é um estado patológico resultante do excesso de gordura corporal, tal enfermidade ocorre quando há um desequilíbrio entre a ingestão e o gasto energético do indivíduo. O excesso de tecido adiposo provoca diversas reações bioquímicas anormais no organismo tornando este um ambiente inflamado e fator de risco para muitos outros acometimentos patológicos, principalmente no sistema músculo esquelético. A coluna lombar, como desempenha a função de sustentação de peso da parte superior do corpo, acaba sendo a região mais acometida pela obesidade trazendo, dentre várias consequências, a dor crônica e incapacidade funcional do doente. Desta forma, o presente artigo tem como objetivo elucidar o tratamento da dor lombar crônica ocasionada pelos processos fisiopatológicos da obesidade. Para isso, desenvolveu-se uma revisão de literatura narrativa simples, com uma abordagem bibliográfica e descritiva. Os artigos foram selecionados conforme data de publicação, palavras-chave e custo. Desta forma, foram encontrados 94 artigos, desse montante, conforme os critérios de inclusão e exclusão, para a versão final foram utilizadas 17 referências bibliográficas para compor a discussão. Na discussão, o tratamento da lombalgia crônica é abordado apresentando, primeiro, as várias modalidades de tratamento conservador, não farmacológico e farmacológico associado seguido do tratamento invasivo e, por fim, as abordagens cirúrgicas para a dor lombar crônica. Conclui-se, então, a partir desta pesquisa, que existe um arsenal terapêutico amplo para o tratamento da lombalgia crônica tornando possível escolher a terapia do paciente conforme a gravidade do quadro, capacidade do profissional que está atendendo e os custos envolvidos.

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Section: Terapia Não Farmacológicaunclassified

Tratamento de lombalgia crônica em pacientes obesos

Lino,

Silveira,

Moraes

2023

RSD

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Maitland Mobilization versus Core Stability Exercises in Management Chronic Nonspecific LBP

Alarab,

Salhab,

Darawy

et al. 2024

Biomed. Pharmacol. J.

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Background: Low back pain (LBP) is one of the main causes that affect mechanical function in human bodies worldwide, 90% of the cases with non-specific LBP. Different options are available for the management of non-specific LBP. While Maitland mobilization and core stability exercises are usually utilized in clinical practice for managing Chronic Nonspecific Low Back Pain, there is now a lack of research examining their comparative effectiveness. Objective: The objective of this study is to assess and compare the efficiency of Maitland mobilization and core stability exercise as treatment modalities for adults suffering from chronic non-specific low back pain. Methods: A total of 36 Non-specific low back pain (NSLBP) patients with ages 18 to 45 years were inducted and given their Informed consent. Subjects were allocated into two groups through simple random sampling. Group A (N=18) received central posterior-anterior vertebral mobilization while group B (N=18) received core stability exercises. Pain and functional disability were assessed using the Visual Analogue scale (VAS) and Oswestry Disability Index (ODI) respectively. Pre & post-treatment scores were documented and compared to achieve the aim of this study. Results: T-test indicated that the results pre- and post-treatment were showed a statistically positive significant difference by applying Maitland mobilization technique with non-specific LBP to improve functional disability (ODI) and reduce pain intensity (VAS) with (p = 0.001), respectively. On the other hand, results for the application of core stability exercises in management NSLBP also showed positive signs in reducing VAS and improving ODI with (p= 0.001) respectively. The findings suggest that there was no statistically significant difference between the Maitland mobilization technique and core stability exercises in treating NSLBP for pain reduction with (p = 0.312) and improvement in ODI with (p = 0.055). For applying Maitland mobilization in NSLBP, Pearson correlation results indicated that there was no relationship between body mass index (KG/M2) and functional disability (ODI) with (p = 0.034) and pain severity (VAS) with (p = 0.808). For core stability exercises, the results of Pearson's correlation indicated that there was no relationship between body mass index (KG/M2) and functional disability (ODI) with (p = 0.959) and pain intensity (VAS) with (p = 0.987). By gender, the results showed there were no statistically significant role for Maitland mobilization and core stability exercises in improving function and reducing pain among patients with chronic non-specific low back pain. Conclusion: Both core stability exercises and Maitland method have demonstrated effectiveness in reducing pain and improving functional disability in patients with chronic nonspecific low back pain.

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Comparing the Effectiveness of Specific Lumbar Mobilization and Core Stability Exercises in Mechanical Low Back Pain in Decreasing Pain and Disability: A Randomized Control Trial

Hayat,

Salik,

Rani

et al. 2024

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Low back pain (LBP) is a global neuro - muscular problem developing significant disability of thoracic, lumbar or sacroiliac joint at any age. Objective: To analysis comparative effectiveness of specific lumbar mobilizations and core stability exercises in mechanical low back pain in reducing pain, ROM and disability. Methods: A patient blinded randomized trial was executed in the department of Physical therapy of Mayo Hospital, Lahore including 45 LBP patients randomly distributed into three groups. Each group received Conventional physical therapy in which Group A was control group, Group B received specific lumbar mobilizations while Group C received core stability exercises. NPRS, RMDQ and MODI were used for assessing pain and disability. SPSS version 24.0 was used for analyzing within and between group analysis through Paired T-test and Independent T- test with p-value <0.05. Results: The results showed conventional therapy, specific lumbar mobilization and core stability exercises are effective in improving pain, ROM and functional status. However; Core stability exercises was more effective with p-values for NPRS (p=0.049), MODI (p=0.038), RMDQ (p=0.003) and for Ranges (R-side flexion; 0.008, L-side flexion; 0.033, R-side rotation; 0.00, L-side rotation; 0.00) as compared to lumbar mobilization. Additionally; there was no substantial difference was found between three groups for flexion and extension. Conclusions: Core stability exercises are statistically and clinically more effective than conventional therapy and specific lumbar mobilizations in improving ROM, decreasing pain and functional status.

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Effect of the Maitland Concept Techniques on Low Back Pain: A Systematic Review

Cited by 3 publications

References 47 publications

Tratamento de lombalgia crônica em pacientes obesos

Tratamento de lombalgia crônica em pacientes obesos

Maitland Mobilization versus Core Stability Exercises in Management Chronic Nonspecific LBP

Comparing the Effectiveness of Specific Lumbar Mobilization and Core Stability Exercises in Mechanical Low Back Pain in Decreasing Pain and Disability: A Randomized Control Trial

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