Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial

Koura, Ghada Mohamed; Hamada, Hamada; Mohamed, Yassmin Essam; Balbaa, Alaa Aldeen Abd Al Hakeem; El-Nassag, Bassam A.; Baghdadi, Ahmed R. Z.

doi:10.5114/hm.2021.98463

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…MET is a type of manual therapy for the limited mobility of the spine and extremities (21). It is a self-procedure in which the patient not the examiner controls the corrective force secondary to active muscle contraction.…”

Section: Introductionmentioning

confidence: 99%

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

Hussein¹,

Hassan

EL-Nahass

2022

ijhs

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Background: The sacroiliac joint (SIJ) has been long considered an important source of low back pain because its prevalence varies from 10% to 30% with axial low back pain. Several manual techniques were used in SIJ dysfunction (SIJD) treatment as manipulation, muscle energy technique (MET), strain-counterstrain (SCS), and mobilization. However, there is little evidence about the efficacy of MET and SCS have been reported. Design: Randomized controlled trial. Setting: Evaluation and treatment were taken at Warraq Central hospital and El-Sahel hospital in the Giza governorate, Egypt. Purpose: Examine the effect of (SCS) versus (MET) on pain pressure threshold (PPT), functional disability, and the innominate angle tilt with SIJ dysfunction. Methods: Fifty-six patients with SIJD were recruited and randomly assigned to receive treatment with either SCS or MET. The outcomes were PPT by Pressure algometer and functional disability by Oswestry Disability Index (ODI) and the innominate angle tilt by Palpation Meter (PALM). All outcomes were assessed at pre and post intervention and frequency of treatment was 3 sessions/week for 4 weeks.

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Section: Introductionmentioning

confidence: 99%

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

Hussein¹,

Hassan

EL-Nahass

2022

ijhs

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Strain Counterstrain Pain Treatment: A Solution for Military Members to Succeed

2021

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Military members are required to perform in austere environments in which standard medical care routinely provided in the civilian setting is not available. Medical problems requiring hospital-based treatment which is not available in the field, shipboard, or deployed setting can be a cause for military members to be permanently discharged from active duty for medical reasons. We present a case of chronic low back pain treated with epidural steroid injections not routinely available aboard ship. The member was found unfit for shipboard duties, potentially ending her career in the military. The patient’s low back pain resolved with Strain Counterstrain (SCS) techniques. Additionally, SCS treatments also resolved undisclosed chronic pelvic pain, leading to improved overall quality of life. Strain Counterstrain is a non-interventional treatment which does not require special equipment, is available in austere environments and aboard ship, and allowed the member to remain on active duty. Strain Counterstrain is a manual muscle-retraining procedure easily learned, which can be performed in the field, on ship, in the deployed setting, in primary care, as well as in specialty pain medicine clinics.

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Real-world effectiveness and costs of vertical oscillatory pressure manipulation for low back pain

Fatoye,

Mbada,

Akano

et al. 2023

Physiother Quart.

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IntroductionReal-world evidence studies using routinely collected data, such as patient clinical records, are innovative ways of generating insight into the effectiveness of healthcare interventions. This study examined the effectiveness of vertical oscillatory pressure (VOP) on selected clinical outcomes for patients with low back pain (LBP) using routinely collected data.MethodsRetrospective analysis was carried out on the medical records of patients diagnosed with LBP in a tertiary hospital in south-west Nigeria over a 10-year period. Clinical outcomes (pain intensity and functional disability) in patients who received VOP (n = 201) for their LBP were compared with controls that had traditional physiotherapy (TP) (n = 138) in a routine clinical setting. Total costs of intervention were estimated in terms of direct and indirect costs.ResultsThere were significant differences within group (from baseline to 4th and 8th week of intervention) for the VOP group in pain intensity (p = 0.001) and functional disability (p = 0.001). However, TP group showed no significant differences in pain intensity and functional disability across baseline and week 8 of the study. There was a significant difference in pain intensity (2.95 ± 1.38 vs. 4.16 ± 2.48; p = 0.013) between VOP and TP at week eight. A higher direct and indirect costs associated with VOP compared with TP (both p = 0.042).ConclusionsThe findings of this study suggest that VOP is an effective intervention for LBP in the ‘real-world’. VOP is more effective compared to TP on its effect on pain intensity over time.

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Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial

Cited by 3 publications

References 28 publications

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction

Strain Counterstrain Pain Treatment: A Solution for Military Members to Succeed

Real-world effectiveness and costs of vertical oscillatory pressure manipulation for low back pain

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