Effectiveness of mechanical diagnosis and therapy in patients with non-specific chronic low back pain: a literature review with meta-analysis

Sanchís-Sánchez, Enrique; Lluch-Girbés, Enrique; Guillart-Castells, Pepe; Georgieva, Sylvia; García-Molina, Pablo; Blasco, José-María

doi:10.1016/j.bjpt.2020.07.007

Cited by 13 publications

(9 citation statements)

References 42 publications

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“…Sánchez conducted a systematic review which described that McKenzie exercises played an important role in the reduction of the pain but improvement in the ranges of the lumbar spine is not observed. As McKenzie exercise are basically extension exercises which not increased the flexion of the spine which is the preferred movement for the daily activities 15 . The current study results also shown that McKenzie exercises not improved the ranges of the spine.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Salik¹,

Rani²,

Hayat³

et al. 2022

PJMHS

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Background: Low back pain is a common musculoskeletal problem of the modern society as 70-80% people of any age and gender get affected by this in their lifetime which affect their normal activities of daily living. Aim: To compare the efficacy between Mulligan SNAGs and McKenzie exercises in improving pain level, range of motions and functional status in chronic mechanic al low back pain patients. Method: A randomized control trial study was conducted on 45 patients suffering from chronic mechanical low back pain at Physiotherapy Department of Mayo Hospital Lahore from16th December to 21th January 2021.The patients were randomly allocated in three group’s i.e; Conventional and two trial groups by computerized generated list. In Conventional group; 15 patients were treated with conventional therapy. In trial groups; one was treated with Mulligan SNAGs and Conventional therapyand the other trial group were treated with McKenzie exercises and Conventional therapy 3 sessions per week. Pain measured by Numeric Pain Rating Scale (NPRS), Lumbar spine's ranges measured by Goniometer and functional status measured by Oswestry Disability Index (ODI) at the completion of the 4 weeks treatment session. Results: NPRS scoring and Ranges showed significant improvement in all groups but NPRS significantly improved in McKenzie exercises group and significant improvement in ROM showed in Mulligan SNAGs group in all movements but there was no significant difference found between three groups comparison in improving the functional status with p-value =0.243. Practical implication: The study provides the opportunity to the patients to consider physiotherapy as an effective treatment for the mechanical low back pain. It also provides the statistical knowledge about these physiotherapy techniques and their effectiveness in treating the low back pain. Conclusion: Both the Mulligan SNAGs and McKenzie exercises are effective in treatment of Chronic lumbar pain as pain is most reduced through McKenzie exercise (3.33±1.29, p<0.000) while ranges of spine is improved through Mulligan SNAGs mobilization in all directions. Keywords: Chronic Mechanical Low back pain, Mulligan SNAGs mobilization, McKenzie exercises

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Section: Discussionmentioning

confidence: 99%

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Salik¹,

Rani²,

Hayat³

et al. 2022

PJMHS

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“…[ 29 ] It has been reported in some cases that extension exercise along with bracing is effective in minimizing pain and functional disability. [ 30 ] The deep extensor muscles provide compression and ultimately protection to the motion segment. [ 31 ] Thus, strengthening of lumbar muscles is important in providing stability to the lumbar spine in patients with spondylolysis and could be achieved through functional training programs.…”

Section: Discussionmentioning

confidence: 99%

“…Lumbar hyperextension with rotation is the common risk factor [28] for developing and aggravating spondylolysis [29] . It has been reported in some cases that extension exercise along with bracing is effective in minimizing pain and functional disability [30] . The deep extensor muscles provide compression and ultimately protection to the motion segment [31] .…”

Section: Discussionmentioning

confidence: 99%

Prevailing treatment methods for lumbar spondylolysis

et al. 2021

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Background: Aim of this study was to systematically review the prevailing treatment methods for lumbar spondylolysis. Methods: Manuscripts published between 1951 and 2020 were searched by using PubMed, Medline, Scopus, Springer, Web of Science databases. The study protocol was registered with PROSPERO (CRD42020218651). The inclusion criteria for all articles of prevailing treatment methods for spondylolysis were: English language; at least 1 relevant treatment method for spondylolysis; Randomized controlled trial (RCT), systematic review, comparative study, cross-sectional, cohort, and/or case control study pre-diagnosed cases of spondylolysis whereas article was excluded if any spinal deformity any neurological condition. Standards have been independently applied by using 2 reviewers and another author resolved disagreements. Results: Data extraction screened 12 full-length articles. Description, treatment, outcome, and findings were individually extracted and cross-referenced. Discussion: Current review has suggested that the noninvasive treatment method specifically low intensity pulsed ultrasound, electro acupuncture and pulsed electromagnetic filed is effective for bone union while operative treatment specifically pedicle screw fixation +/- interbody fusion depending the extent of disk degeneration and craniocaudal foraminal stenosis is effective for minimizing pain and functional disability in patients with spondylolysis. This review concluded that the noninvasive treatment method specifically low intensity pulsed ultrasound is effective for bone union. Review Registration: PROSPERO (CRD42020218651).

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“…De acordo com Sousa et al (2019), a fisioterapia cognitivo-comportamental é uma abordagem que visa modificar os pensamentos, emoções e comportamentos relacionados à dor crônica lombar. Por meio de técnicas como a reestruturação cognitiva e o treinamento em habilidades de enfrentamento, busca-se promover uma mudança positiva na percepção da dor e melhorar a qualidade de vida dos pacientes.…”

Section: Editora Pascalunclassified

“…A terapia ocupacional também desempenha um papel relevante no tratamento da dor crônica lombar. Por meio de estratégias de adaptação e modificação de atividades diárias, a terapia ocupacional busca minimizar o impacto da dor na funcionalidade e promover a participação do paciente em suas atividades cotidianas (SOUSA et al, 2019).…”

Section: Editora Pascalunclassified

Fisioterapia: uma abordagem contemporânea - Volume 5

Silva,

Araruna,

Maia

et al. 2024

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A fisioterapia enquanto ciência do movimento humano, estuda os diversos sistemas responsáveis pelo adequado funcionamento das respostas motoras frente aos estímulos recebidos. Nessa obra, encontram-se reunidos trabalhos de conclusão de curso – TCC, abordando de forma integral os temas mais relevantes da área da fisioterapia, servindo de referência bibliográfica para atualização profissional e acadêmica. Os estudos aqui apresentados abrangem temas clássicos, contudo com uma perspectiva da reabilitação atual. Além disso, também estão disponíveis pesquisas que abordam assuntos mais complexos, de forma clara e concisa.

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Effectiveness of mechanical diagnosis and therapy in patients with non-specific chronic low back pain: a literature review with meta-analysis

Cited by 13 publications

References 42 publications

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Comparison between Mulligan Sustained natural apophyseal glides (snags) VS McKenzie exercises in Chronic Mechanical Low back pain

Prevailing treatment methods for lumbar spondylolysis

Fisioterapia: uma abordagem contemporânea - Volume 5

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