Effects and experience with the Mézières method in people with low back pain: A mixed methods study

Mora, Margareth Lorena Alfonso; Ramírez-Moreno, J.M.; Guerra-Balic, Míriam; Martín, Ricardo Sánchez; Castellanos, Adriana Lucía; Rengifo, María Leonor

doi:10.3233/bmr-200344

Cited by 3 publications

(6 citation statements)

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“…Posture was assessed in standing and flexibility was assessed in a trunk flexion test. Variables for posture were thoracic kyphosis (TK) and lumbar lordosis (LL); TK and LL are a 3D reconstruction from posterior plane of spine; TK is an angle of the thoracic curve between T1 and T12 and LL is an angle of the lumbar-sacral curve between T12 and S2 [ 7 ]. Regarding flexibility, anterior pelvic tilt (APT) and posterior translation of the legs (PTL) were assessed.…”

Section: Methodsmentioning

confidence: 99%

“…PTL is the angle estimating the posterior translation of the tibia in relation to a vertical line from the lateral malleolus. The procedure is fully described in the research protocol [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

“…Interviews were recorded and transcribed for analysis. Details are provided in the study protocol [ 7 ]. Data collection were made based on obtaining a diverse sampling and reaching data analysis saturation.…”

Section: Methodsmentioning

confidence: 99%

“…Each session lasted for 30–45 min. The procedure is fully described in the research protocol [ 7 ]. CG intervention was performed by an independent physiotherapist trained in the protocol.…”

Section: Methodsmentioning

confidence: 99%

“…MM is considered a practice of embodiment (PE) that promotes BA, including kinesthetic and proprioceptive sensations. It is proposed that from this awareness, it is possible to improve pain [ 7 ]. According to PE, BA focuses on the somaesthetic, understood as somatosensory activity, that includes proprioceptive, exteroceptive and interoceptive activity [ 8 , 9 ] as capacities of self-perception.…”

Section: Introductionmentioning

confidence: 99%

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Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Alfonso-Mora,

Guerra-Balic,

Sánchez-Martín

et al. 2023

Annals of Medicine

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Introduction The objectives of this study were to determine the effects of the Mézières Method (MM) on pain and disability related to low back pain (LBP), compared to a program of heat, massage and exercise, and to understand the meaning of the bodily experience with the MM. Patients and methods Mixed methods convergent parallel design, combining an equivalent randomized clinical trial with a qualitative phenomenological approach. Sixty-one participants aged 18–65 years with chronic non-specific LBP lasting more than 3 months. Patients were randomized into two groups: the MM group ( n = 29) and the comparison group (CG) who received heat, massage plus flexibility and strengthening exercises ( n = 31). MM and CG participants underwent 10 one-hour physical therapy sessions over a 5-week period and were evaluated three times: pre-intervention, post-intervention and follow-up at 6 weeks after the end of treatment. Results Both groups reported positive effects on LBP . MM group showed superior effects in pain relief in the short term (Cohen’s D 0.80; p = 0.004). Participants interpreted the interaction with the MM as a teaching–learning process that allowed body awareness. Conclusion Both treatment were similarly beneficial but MM had superior effects on pain in the short term. MM is perceived by the participants as a teaching–learning process focused on body awareness that facilitate effective management of LBP.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Alfonso-Mora,

Guerra-Balic,

Sánchez-Martín

et al. 2023

Annals of Medicine

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Treatment of developmental hip dysplasia with manual therapy following Pavlik harness failure: a case report with long-term follow-up

Giorgi,

Apostolo,

Bertelè

2024

Journal of Manual & Manipulative Therapy

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Background Developmental dysplasia of the hip (DDH) is a common musculoskeletal disorder in newborns, ranging from mild dysplasia to complete dislocation. Early detection and intervention are crucial for managing DDH. However, in some cases, standard orthopedic treatments such as the Pavlik harness fail, and alternative approaches are needed. Our study explores the possibility that manual therapy, specifically the Mézières-Bertelè Method (MBM), could be beneficial in cases of DDH that are resistant to conventional treatments. Case Description We present a case of a 20-month-old female who had been suffering from persistent DDH (Graf’s type IIIC on the left), pain and limping, despite previous conventional treatments, including the Pavlik harness. The patient received daily MBM sessions for six months, followed by maintenance sessions every two months. Outcomes After undergoing the MBM treatment, the patient showed clinical improvements, such as normal neuromotor development and restored hip joint parameters. We observed normal walking and running abilities, and X-ray parameters returned to normal levels. The patient sustained positive outcomes during long-term follow-up until the age of 7. Conclusion The MBM manual therapy was used to treat a challenging case of DDH resistant to conventional treatment. This case report suggests a possible correlation between manual therapy and improved outcomes in resistant DDH and highlights the potential relevance of addressing the inherent musculoskeletal components of the condition.

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La méthode Mézières, un atout pour vieillir en équilibre

Fabre

2023

Hegel

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Avec l’âge les tissus se modifient, la posture se transforme et perd de sa fonctionnalité. La sénescence entraîne des changements profonds et avec elle, une perte de mobilité, de stabilité et un risque de pathologies neuro-musculosquelettiques. Ces déficiences vont entraîner une perte d’autonomie et augmenter les risques de chute. La méthode Mézières, inventée dans les années 50, propose le traitement et l’entretien de la posture en travaillant sur l’étirement des chaînes musculaires. Son objectif est d’équilibrer les tensions et les mobilités articulaires pour retrouver une symétrie et une « belle forme » selon les termes de Françoise Mézières. Elle cherche à harmoniser les appuis, les courbures et les alignements des différents segments du corps. De plus en plus de publications démontrent l’efficacité de la méthode dans de nombreux domaines mais il n’existe pas d’étude sur l’équilibre de la personne âgée. Malgré la renommée de cette méthode, les protocoles se heurtent à l’aspect holistique et complexe du traitement global. Cependant, elle offre un intérêt certain sur la correction simultanée de la posture et des appuis qui pourrait faire l’objet de futures études et intéresser universitaires et chercheurs. L’étirement des chaînes permet de protéger des troubles musculosquelettiques tout en corrigeant la morphologie et la stabilité. Pour bien avancer en âge, c’est une méthode idéale de kinésithérapie préventive et curative qui libère le corps de ses excès de tension pour se prémunir des pathologies. L’assouplissement global et la liberté de mouvement redonnent une aisance et une élasticité qui permettront aux exercices d’équilibre et de proprioception d’être mieux intégrés au niveau du schéma corporel.

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Effects and experience with the Mézières method in people with low back pain: A mixed methods study

Cited by 3 publications

References 20 publications

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Treatment of developmental hip dysplasia with manual therapy following Pavlik harness failure: a case report with long-term follow-up

La méthode Mézières, un atout pour vieillir en équilibre

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