Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review

Cuenca‐Martínez, Ferrán; Cortés‐Amador, Sara; Espí-López, Gemma Victoria

doi:10.1298/ptr.e9937

Cited by 41 publications

(39 citation statements)

References 40 publications

(65 reference statements)

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“…Most people who experience LBP do not have a recognisable or specific pathology, such as nerve root compression or serious spinal pathology [2]. Thus, this pathological condition is often referred to as nonspecific LBP [2,3]. Pelvic asymmetry has been reported to be a potential contributor to the development of LBP and a primary source of pain [4,5].…”

Section: Introductionmentioning

confidence: 99%

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

Huang

Zhang

et al. 2020

BMC Musculoskelet Disord

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Background: Empirical evidence that demonstrates the relationship between pelvic asymmetry and non-specific chronic low back pain (NCLBP) is currently lacking. Objective: To establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults. Design: A cross-sectional, regression study. Methods: People who were aged between 18 and 30 and were diagnosed with NCLBP were recruited. Healthy individuals who were matched for age, sex, and education level were recruited as controls. Global Postural System (GPS) was employed to assess pelvic asymmetry. Prior to exploring the association, the reliability of GPS was assessed by the ICC (2, k) for interrater reliability, ICC (3, k) for intra-rater reliability, standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the relationship between pelvic asymmetry and the occurrence of NCLBP. Results: Twenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters. The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odds ratio = 1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odds ratio = 1.21) were associated with NCLBP. Limitations: This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/ pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population. Conclusions: The GPS is a reliable method to assess pelvic asymmetry in a clinical setting. Two pelvic parameters were associated with the presence of NLBP. Measurement of pelvic asymmetry may assist in the early identification of potential occurrence of NCLBP but further work is required.

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Section: Introductionmentioning

confidence: 99%

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

Huang

Zhang

et al. 2020

BMC Musculoskelet Disord

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“…Currently, physical therapy [5] , pulsed electromagnetic eld therapy [6] , opioid therapy [7] , and nonsteroidal anti-in ammatory drugs (NSAIDs) [8] are used for CNSLBP. However, these methods still could not achieve good effects.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Silver Needle Therapy for The Treatment of Chronic Nonspecific Low Back Pain: A Prospective, Single-Center, Randomized, Parallel-Controlled Clinical Trial

Dong

Zhang

et al. 2020

Preprint

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Background: Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.Methods: In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low frequency measurement (InLF) and the natural logarithms of high frequency measurement (InHF) of heart rate variability (HRV) were recorded.Results: In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).Conclusions: SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registration: This work has registered in the Chinese Clinical Trial Registry (No. ChiCTR-OOC-17013237; Date: 2017.11.09).

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“…Most people who experience LBP do not have an identifiable pathology or radiographic evidence of arthrogenic or discogenic changes in the spinal column. Thus, this pathological condition is often referred to as nonspecific LBP (2,3). Pelvic asymmetry has been reported to be a potential contributor to the development of LBP and a primary source of pain (4,5).…”

Section: Introductionmentioning

confidence: 99%

Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

Yu¹,

Huang²,

Zhang³

et al. 2020

Preprint

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KEYWORDSpelvic asymmetry, low back pain, photographic assessment, pelvic posture 3 Abstract Background Empirical evidence that identifies the pelvic asymmetry in which movement plane that contribute to non-specific chronic low back pain (NCLBP) is currently lacking.Objective To establish the reliability of the Global Postural System (GPS) in assessing pelvic asymmetry and identify the association between pelvic asymmetry parameters and the occurrence of NCLBP in young adults.Design A cross-sectional, regression study.Methods People who aged between 18 and 30 and were diagnosed with NCLBP were recruited.Healthy individuals who were matched for age, gender, and education level were recruited as controls and for the reliability analysis. Reliability was assessed by the ICC (3, k), standard error and minimal detectable difference. Bivariate correlation analysis and logistic regression analysis were used to determine the risk factors.Results Twenty-eight healthy participants and 28 people with NCLBP were recruited. Moderate to excellent ICCs were observed for the inter-rater and intra-rater reliability of most postural parameters.The bivariate correlation analysis indicated that age, body mass index and pelvic asymmetry parameters were related to the occurrence of NCLBP. Pelvic angle asymmetry (odd ratio=1.17), and asymmetry of the distance between the posterior superior iliac spine and the floor (odd ratio=1.21)were significant risk factors of NCLBP.Limitation This study did not explore the causal relationship between pelvic asymmetry in the sagittal plane/pelvic asymmetry in the transverse plane and the occurrence of NCLBP. The interpretation of the results may not be generalized beyond the sample population.Conclusions The GPS is a reliable method to assess pelvic asymmetry in a clinical setting. The pelvic asymmetry parameters obtained from the GPS are likely to assist in the early identification of the potential occurrence of NCLBP.

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Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review

Abstract: Based on the data obtained, classical physiotherapy proposals show ineffectiveness in the treatment of chronic non-specific low back pain. More multidimensional studies are needed in order to achieve a better treatment of this condition, including the biopsychosocial paradigm.

Cited by 41 publications

References 40 publications

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

The association between pelvic asymmetry and non-specific chronic low back pain as assessed by the global postural system

Efficacy of Silver Needle Therapy for The Treatment of Chronic Nonspecific Low Back Pain: A Prospective, Single-Center, Randomized, Parallel-Controlled Clinical Trial

Pelvic asymmetry as a risk factor for nonspecific chronic low back pain

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