Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial

Krekoukias, Georgios; Gelalis, Ioannis D.; Xenakis, Theodoros; Gioftsos, George; Dimitriadis, Zacharias; Sakellari, Vasiliki

doi:10.1080/10669817.2016.1184435

Cited by 30 publications

(62 citation statements)

References 55 publications

(68 reference statements)

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“…Back pain is one of the most common diseases in modern society since 60–80% of the population has experienced it at least once in their lifetime 1 ) . Among back pain diseases, lumbar disc herniation is the most common disease 2 ) , decreasing the normal lumbar curve and creating muscular stiffness.…”

Section: Introductionmentioning

confidence: 99%

Effect of lumbar stabilization exercise on disc herniation index, sacral angle, and functional improvement in patients with lumbar disc herniation

et al. 2017

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[Purpose] This study aimed to examine the effects of pelvic movements on the back function of patients with lumbar disc herniation when lumbar stabilization exercise was applied to the patients, suggest an intervention method that can be used in future clinical therapies. [Subjects and Methods] Thirty patients with lumbar disc herniation underwent the intervention 30 minutes per day, three times per week for 4 weeks. Of them, 15 patients were assigned to the balance center stabilization resistance exercise group (experimental group I) and the other 15 were assigned to the three-dimensional stabilization exercise group (experimental group II). Before the intervention, disc herniation index was measured using magnetic resonance imaging, sacral angle was measured using X-ray, and back function was measured using the KODI. Four weeks later, these three factors were re-measured and analyzed. [Results] There was a significant pre- versus post-intervention difference in disc herniation index, sacral angle, and KODI in experimental group I and a significant difference in disc herniation index and KODI in experimental group II, and each group of disc herniation index and sacral angle had a significant difference. In experimental group I, each disc herniation index and sacral angle had a negative correlation. [Conclusion] The lumbar stabilization exercise, which controls balance using pelvic movements, improves mobility and stability of the sacroiliac joint; therefore, it increases pelvic and back movements. These kinds of movements not only improved proprioception sense, they also had positive effects on lumbar disc function recovery.

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Section: Introductionmentioning

confidence: 99%

Effect of lumbar stabilization exercise on disc herniation index, sacral angle, and functional improvement in patients with lumbar disc herniation

et al. 2017

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“…JM is a technique used to treat musculoskeletal pain in the axial and appendicular skeletons. It is indicated to reduce pain, muscle spasms, reversible joint hypomobility, positioning/subluxation failure, progressive limitation, and functional immobility 13 . However, this technique has limitations and/or contraindications that consist of irreversible hypomobility, joint effusion and inflammation.…”

Section: Introductionmentioning

confidence: 99%

“…However, this technique has limitations and/or contraindications that consist of irreversible hypomobility, joint effusion and inflammation. The neurophysiological and mechanical effects caused by the use of joint mobilizations provide analgesia in patients with CMP 13,14 . Studies suggest 13,15,16 that JM activates the dorsal area of periaqueductal gray matter (PAG) of the brain, and this influences on pain perception.…”

Section: Introductionmentioning

confidence: 99%

“…The neurophysiological and mechanical effects caused by the use of joint mobilizations provide analgesia in patients with CMP 13,14 . Studies suggest 13,15,16 that JM activates the dorsal area of periaqueductal gray matter (PAG) of the brain, and this influences on pain perception. Studies show an immediate reduction of pain and an increase in sympathetic nervous system activity, suggesting an indirect relationship with the dorsal area of PAG and association between increased stimulation of sympathetic nervous system and reduction of mechanical pain threshold 13,[17][18][19] .…”

Section: Introductionmentioning

confidence: 99%

“…Studies suggest 13,15,16 that JM activates the dorsal area of periaqueductal gray matter (PAG) of the brain, and this influences on pain perception. Studies show an immediate reduction of pain and an increase in sympathetic nervous system activity, suggesting an indirect relationship with the dorsal area of PAG and association between increased stimulation of sympathetic nervous system and reduction of mechanical pain threshold 13,[17][18][19] . An experimental study has shown an analgesic response accompanied by sympathetic nervous system activation after the electrical stimulation of the midbrain, originating in PAG 20 .…”

Section: Introductionmentioning

confidence: 99%

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Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Sousa

Dantas

Azevedo-Santos³

et al. 2020

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Joint mobilization is a non-pharmacological technique used to treat chronic musculoskeletal pain. However, it is controversial due to a lack of studies comparing its effects on this painful condition. The objective of this study was to assess the risk of bias in clinical trials investigating the effect of joint mobilization on chronic musculoskeletal pain. CONTENTS: A systematic search on Pubmed, Cochrane Library, ScienceDirect, Scielo, PEDro, CINAHL, SPORTDiscus, LILACS, BVS, PsycINFO, Web of Science, and Scopus was performed on September 2019 from the combination of three keywords: Musculoskeletal Manipulations AND Chronic Pain AND Musculoskeletal Pain. Randomized controlled clinical trials that evaluated the use of joint mobilization associated or not to other therapies in chronic musculoskeletal pain treatment were included. Five thousand five hundred eighty-seven articles were screened, and 14 studies were analyzed, including 812 participants, with a mean age of 54 years, and female being the most affected. According to these articles, joint mobilization promoted the reduction of pain intensity in short and long terms, increase in range of motion, strength and function when used alone or in association with conventional physiotherapy. Regarding methodological quality, most of the studies were classified with low risk for selection, performance, detection and reporting bias. In the "other bias" item, which considered therapists experience Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review Mobilização articular associada ou não a outras terapias reduz dor musculoesquelética crônica: uma revisão sistemática

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Proprioceptive Rehabilitation After Spine Injury and Surgery

Erdoğanoğlu

Bilgin

2017

Proprioception in Orthopaedics, Sports Medicine and Rehabilitation

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Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial

Abstract: 1b.

Cited by 30 publications

References 55 publications

Effect of lumbar stabilization exercise on disc herniation index, sacral angle, and functional improvement in patients with lumbar disc herniation

Effect of lumbar stabilization exercise on disc herniation index, sacral angle, and functional improvement in patients with lumbar disc herniation

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Proprioceptive Rehabilitation After Spine Injury and Surgery

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