Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Al Matif, Saeid; Alfageer, Galeb; ALNasser, Nasser; Alabbas, Ghanem; Al Sawidan, Hamad; ALhareth, Hadi

doi:10.1186/s43161-023-00135-w

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…The TrPs in the QL, TrPs are characterized by tenderness, referred pain, local twitch responses, and limited range of motion. The energy crisis theory by Travell and Simons provides a pathophysiological explanation for TrPs, suggesting that muscle overload at rest can lead to their development and sensitization of nociceptors in taut muscle bands (5).…”

Section: Introductionmentioning

confidence: 99%

Assessing the Efficacy of Pressure Algometry in Lower Back Pain: A Comparative Study of Muscle Energy Technique and Dry Needling on Active Trigger Points of Quadratus Lumborum

Ahmed,

Hussain,

Khan

et al. 2023

JHRR

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Background: The prevalence of chronic lower back pain has serious repercussions for the working population. Myofascial trigger points in the quadratus lumborum muscle are a substantial but sometimes ignored contributor to this pain. These trigger points form as a result of changing or increased muscle demands, acute or long-term strains on the lower back muscles, and so forth. Hyperirritable foci inside tense regions of hypertonic muscle tissue are what distinguish them. The well accepted manual therapy techniques such as dry needling and muscle energy method are used to deactivate trigger points and restore muscular balance to address this issue. Objective: To determine the effects of muscle energy technique and dry needling of active trigger points of quadratus lumborum in lower back pain Methods: There was a randomised controlled study. Based on inclusion and exclusion criteria, 24 subjects were chosen, divided into groups A and B. Digital algometer was used to measure the sensitivity of the trigger points. Group B underwent dry needling while Group A received the Muscle Energy Technique. Each patient received two sessions every week for three weeks. After the first, third, and sixth therapy sessions, the two groups were evaluated. Data was examined using SPSS version 21. Results: Findings revealed that differences between two groups were statistically significant (p <0.05) and also statistically significant difference were observed within group analysis (p< 0.05) with respect to pain pressure threshold. Conclusion: The study concluded that both Dry Needling and Muscle Energy Technique on trigger points were equally effective in increase pain pressure threshold in lower back pain.

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Section: Introductionmentioning

confidence: 99%

Assessing the Efficacy of Pressure Algometry in Lower Back Pain: A Comparative Study of Muscle Energy Technique and Dry Needling on Active Trigger Points of Quadratus Lumborum

Ahmed,

Hussain,

Khan

et al. 2023

JHRR

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show abstract

“…Its prevalence is observed across all age groups, with a higher incidence reported in females. Sports that necessitate rapid acceleration and direction changes are also associated with a heightened risk of hamstring injuries (2). The impact of hamstring tightness extends beyond the musculoskeletal system, contributing to conditions such as lumbopelvic issues.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Static Stretching and Muscle Energy Technique (MET) for Young Adults with Hamstring Tightness

Ahmad,

Irfan,

Samad

et al. 2023

JHRR

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Background: Hamstring tightness is a common issue among young adults, often leading to decreased flexibility and a higher risk of injury, particularly in individuals who are physically active. The efficacy of Muscle Energy Techniques (METs) and static stretching in treating this condition has been debated, with mixed outcomes reported in the literature. Objective: This study aimed to compare the effects of METs and static stretching on hamstring flexibility in young adults, providing evidence-based insights for clinical practice in physical therapy. Methods: A Randomized Clinical Trial was conducted with 60 healthy adults (age 18-32 years) experiencing prolonged hamstring tightness, split into two groups: an experimental group receiving METs and a control group undergoing static stretching. Data were collected using the Active Knee Extension Test (AKET) and the Straight Leg Raise (SLR) Test to evaluate hamstring flexibility pre- and post-intervention. The study took place in multiple clinical settings, and participants were randomly assigned to either intervention. Statistical analysis was performed using SPSS version 25, with a significance level set at p<0.05. Results: Both groups showed significant improvements in hamstring flexibility. The experimental group demonstrated an increase in AKET from a mean of 43.36 (pre-treatment) to 84.83 (post-treatment), and in SLR from a mean of 64.23 to 85.93 (p<0.001). The control group also showed improvement, with AKET rising from a mean of 47.50 to 75.76, and SLR from 62.76 to 75.43 (p<0.001). Conclusion: The study concluded that both METs and static stretching are effective for improving hamstring flexibility. METs may have a slight edge in efficacy, but static stretching also significantly enhances flexibility, supporting its continued use in clinical practice. These findings can guide physical therapists in selecting appropriate treatment strategies for hamstring tightness in young adults.

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Effects of transcutaneous vagus nerve stimulation on chronic low back pain: a systematic review

Eid,

George,

Hady

2024

BMC Musculoskelet Disord

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Background Chronic low back pain (CLBP) is a frequent disease. It is a critical health concern that can influence functional capacity by restricting living activities. Objectives The current study is to investigate the effects of transcutaneous vagus nerve stimulation (TVNs) in the management of CLBP. Methods We searched the databases on Google Scholar, PubMed, Web of Science, Cochrane, and Pedro for randomized clinical trial (RCT) studies published in any language that looked at the effectiveness of TVNs in people with chronic LBP. The inclusion criteria were PICO. Participants in the research were people (≥ 18 years) diagnosed with persistent low back pain for more than 3 months. Study quality was assessed using Cochrane ROB 2. Results Our database search found 1084 RCT. A number of studies that were not necessary for the issue were removed, and the overall outcome was six trials. Risk of bias (ROB) evaluations at the study level (derived from outcomes) are reported. In the six studies, two (33.3%) had an overall uncertain ROB (i.e., some concerns), whereas one (16.7%) had a high overall ROB. Three trials (50%) had a low overall RoB. Conclusion There is still no evidence to support the use of transcutaneous vagus nerve stimulation as a viable therapeutic rehabilitation strategy. Therefore, we recommend high-quality trials and long-term follow-up to evaluate disability, quality of life, and pain outcomes in these patients.

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Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: a systematic review

Cited by 3 publications

References 31 publications

Assessing the Efficacy of Pressure Algometry in Lower Back Pain: A Comparative Study of Muscle Energy Technique and Dry Needling on Active Trigger Points of Quadratus Lumborum

Assessing the Efficacy of Pressure Algometry in Lower Back Pain: A Comparative Study of Muscle Energy Technique and Dry Needling on Active Trigger Points of Quadratus Lumborum

The Effects of Static Stretching and Muscle Energy Technique (MET) for Young Adults with Hamstring Tightness

Effects of transcutaneous vagus nerve stimulation on chronic low back pain: a systematic review

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