The Effect of Muscle Energy Techniques on Disability and Pain Scores in Individuals With Low Back Pain

Day, Joseph M.; Nitz, Arthur J.

doi:10.1123/jsr.21.2.194

Cited by 21 publications

(13 citation statements)

References 6 publications

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“…Our current findings go in line with the systematic review of Day and Nitz [12] who suggested that MET is a useful alternative technique for therapists to treat patients with any contraindications or precautions to HVLA thrust manipulation. Cleland et al [16] concluded that treatment outcomes depend on utilizing thrust manipulation, because there were no dramatic improvements in patients treated without thrust techniques in their study.…”

Section: Discussionsupporting

confidence: 76%

“…Decreasing disability and improving function were better in MET group [11]. It was suggested that MET is a useful alternative technique for therapists to treat patients with any contraindications or precautions to HVLA thrust manipulation [12]. However, there is a gap in the literature in comparing the effect of HVLA thrust manipulation versus MET in treatment of somatic dysfunction in mechanical LBP patients regarding pain and tenderness.…”

mentioning

confidence: 74%

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Thrust Manipulation Versus Muscle Energy Technique on Somatic Dysfunction in Mechanical Low Back Pain Patients

Elgendy¹,

Karkousha²,

Hassan³

et al. 2017

IJPR

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Background: Low back pain is defined as discomfort or pain located at the area from the 12th rib down to the gluteal area. Purpose:To compare short term effect of high velocity low amplitude thrust manipulation versus muscle energy technique on somatic dysfunction in mechanical low back pain patients in terms of pain and tenderness. Subjects and Methods: 40 patients with mechanical low back pain, their ages range from 20-30 years. They were randomly assigned into two equal groups. Group A (24±3.69 years) received a single high velocity low amplitude thrust manipulation technique for lumbar spine, while group B (24.3±3.57 years) received 3 contractions of muscle energy technique. Visual analogue scale and pressure algometer were used to assess pain and tenderness respectively pre and post treatment. Results:The study revealed that there was significant decrease in pain and tenderness post treatment in both groups. While there was no significant difference in tenderness between both groups post treatment, there was significant difference in pain between both groups post treatment where group A revealed significant decrease in pain. Conclusion:Both high velocity low amplitude thrust manipulation and muscle energy technique have significant short term effect on somatic dysfunctions in mechanical low back pain patients. However, high velocity low amplitude thrust manipulation is more effective in decreasing pain perception. KEY WORDS:Mechanical low back pain, Somatic dysfunction, High velocity low amplitude thrust manipulation, Muscle energy technique.

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Section: Discussionsupporting

confidence: 76%

mentioning

confidence: 74%

Thrust Manipulation Versus Muscle Energy Technique on Somatic Dysfunction in Mechanical Low Back Pain Patients

Elgendy¹,

Karkousha²,

Hassan³

et al. 2017

IJPR

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“…Similarly, a body of evidence confirms the therapeutic value of MET [ 37 – 44 ]. Moreover, positive outcomes of both these techniques were documented in patients with spinal pain, including LBP [ 45 , 46 ]. However, to the best of our knowledge, none of the previous studies verified whether the combination of these methods improves the therapeutic outcome.…”

Section: Discussionmentioning

confidence: 99%

Impact of McKenzie Method Therapy Enriched by Muscular Energy Techniques on Subjective and Objective Parameters Related to Spine Function in Patients with Chronic Low Back Pain

et al. 2015

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BackgroundThe high incidence and inconsistencies in diagnostic and therapeutic process of low back pain (LBP) stimulate the continuing search for more efficient treatment modalities. Integration of the information obtained with various therapeutic methods and a holistic approach to the patient seem to be associated with positive outcomes.The aim of this study was to analyze the efficacy of combined treatment with McKenzie method and Muscle Energy Technique (MET), and to compare it with the outcomes of treatment with McKenzie method or standard physiotherapy in specific chronic lumbar pain.Material/MethodsThe study included 60 men and women with LBP (mean age 44 years). The patients were randomly assigned to 1 of 3 therapeutic groups, which were further treated with: 1) McKenzie method and MET, 2) McKenzie method alone, or 3) standard physiotherapy for 10 days. The extent of spinal movements (electrogoniometry), level of experienced pain (Visual Analogue Scale and Revised Oswestry Pain Questionnaire), and structure of the spinal discs (MRI) were examined prior to the intervention, immediately thereafter, and 3 months after the intervention.ResultsMcKenzie method enriched with MET had the best therapeutic outcomes. The mobility of cervical, thoracic, and lumbar spine normalized at levels corresponding to 87.1%, 66.7%, and 95% of respective average normative values. Implementation of McKenzie method, both alone and combined with MET, was associated with a significant decrease in Oswestry Disability Index, significant alleviation of pain (VAS), and significantly reduced size of spinal disc herniation.ConclusionsThe combined method can be effectively used in the treatment of chronic LBP.

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“…Muscle energy technique (MET) is an active technique where the patient contracts specific muscles, when instructed, in a specific direction against a distinctly executed counterforce from the clinician. 3,4,44,45 MET is used to mobilize restricted joints, strengthen weak muscles, reduce pain, stretch tight muscles and fascia, increase range of motion (ROM) and improve circulation. 4,45 MET can be classified as isometric or isotonic contractions.…”

Section: Muscle Energy Techniquementioning

confidence: 99%

Manual Therapy Effects on Low Back Pain

Dale¹

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Low back pain (LBP) is a common complaint in the adult population. A study in 2002 found that the percentage of people reporting LBP over a 3-month period corresponded to over 54 million American adults. 1,2 Popular treatment methods for LBP include manual therapy, stretching and core stabilization. 3 Manual therapy is a form of conservative treatment with the aim to reduce pain and increase function through handson techniques by a clinician. 4 Manual therapy treatments include soft tissue massage, traction, stretching, joint mobilization, instrument assisted soft tissue mobilization (IASTM) and muscle energy techniques (MET). 5 One cause of LBP that can be treated with manual therapy occurs from a unilateral innominate rotation. A unilateral innominate rotation can occur when musculature of the abdomen, hip flexors, hip extensors, and back extensors are unbalanced. 6,7 If a patient presents with a unilateral anterior innominate rotation, the ipsilateral hip flexors are often tight and shortened, while the ipsilateral hip extensors are weak and lengthened. In a unilateral posterior innominate rotation, the ipsilateral hip flexors are weak and lengthened, while the ipsilateral hip extensors are tight and shortened. 8 For example, in a unilateral anterior innominate rotation, the ipsilateral rectus femoris and erector spinae are inflexible. 6

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The Effect of Muscle Energy Techniques on Disability and Pain Scores in Individuals With Low Back Pain

Cited by 21 publications

References 6 publications

Thrust Manipulation Versus Muscle Energy Technique on Somatic Dysfunction in Mechanical Low Back Pain Patients

Thrust Manipulation Versus Muscle Energy Technique on Somatic Dysfunction in Mechanical Low Back Pain Patients

Impact of McKenzie Method Therapy Enriched by Muscular Energy Techniques on Subjective and Objective Parameters Related to Spine Function in Patients with Chronic Low Back Pain

Manual Therapy Effects on Low Back Pain

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