Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study
Background: Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly...
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2020-12-01
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| Series: | Hong Kong Physiotherapy Journal |
| Subjects: | |
| Online Access: | http://www.worldscientific.com/doi/pdf/10.1142/S1013702520500109 |
| _version_ | 1818455920165781504 |
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| author | Wahyuddin Wahyuddin Mantana Vongsirinavarat Keerin Mekhora Sunee Bovonsunthonchai Rachaneewan Adisaipoapun |
| author_facet | Wahyuddin Wahyuddin Mantana Vongsirinavarat Keerin Mekhora Sunee Bovonsunthonchai Rachaneewan Adisaipoapun |
| author_sort | Wahyuddin Wahyuddin |
| collection | DOAJ |
| description | Background: Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly used in physical therapy clinic. However, little evidences of the effects of MET have been reported.
Objective: This study aimed to compare the immediate effects of MET and LSE in patients with chronic LBP with suspected facet joint origin.
Methods: Twenty-one patients with low back pain were recruited and randomly assigned to receive treatment either MET or LSE. The outcomes were kinematic changes, pain intensity, and disability level. Lumbar active range of motion (ROM) of flexion, extension, left and right lateral flexion, and left and right rotation were evaluated using the three-dimension motion analysis system at baseline and immediately after treatment. Pain intensity was evaluated using visual analogue scale (VAS) at baseline, immediately after, and two days after treatment. Thai version of the modified Oswestry disability questionnaire (ODQ) was utilized at baseline and two days after treatment. The mixed model analysis of variance was used to analyze all outcomes.
Results: The results showed that all outcomes were not different between groups after treatments. Although there were statistically significant improvements after the treatments when collapsing the groups, the minimal clinically important change was found only for pain but not for lumbar movements and disabilities scores.
Conclusion: The effect of MET and LSE alone in single session might not be intensive enough to improve movements and decrease disability in patients with chronic LBP with suspected facet joint origin. |
| first_indexed | 2024-12-14T22:18:26Z |
| format | Article |
| id | doaj.art-1f3b206e4d584093a89dd8824b890e8f |
| institution | Directory Open Access Journal |
| issn | 1013-7025 1876-441X |
| language | English |
| last_indexed | 2024-12-14T22:18:26Z |
| publishDate | 2020-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Hong Kong Physiotherapy Journal |
| spelling | doaj.art-1f3b206e4d584093a89dd8824b890e8f2022-12-21T22:45:33ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70251876-441X2020-12-0140210911910.1142/S101370252050010910.1142/S1013702520500109Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot studyWahyuddin Wahyuddin0Mantana Vongsirinavarat1Keerin Mekhora2Sunee Bovonsunthonchai3Rachaneewan Adisaipoapun4Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, ThailandFaculty of Physical Therapy, Mahidol University, Nakhon Pathom, ThailandFaculty of Physical Therapy, Mahidol University, Nakhon Pathom, ThailandFaculty of Physical Therapy, Mahidol University, Nakhon Pathom, ThailandFaculty of Physical Therapy, Mahidol University, Nakhon Pathom, ThailandBackground: Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly used in physical therapy clinic. However, little evidences of the effects of MET have been reported. Objective: This study aimed to compare the immediate effects of MET and LSE in patients with chronic LBP with suspected facet joint origin. Methods: Twenty-one patients with low back pain were recruited and randomly assigned to receive treatment either MET or LSE. The outcomes were kinematic changes, pain intensity, and disability level. Lumbar active range of motion (ROM) of flexion, extension, left and right lateral flexion, and left and right rotation were evaluated using the three-dimension motion analysis system at baseline and immediately after treatment. Pain intensity was evaluated using visual analogue scale (VAS) at baseline, immediately after, and two days after treatment. Thai version of the modified Oswestry disability questionnaire (ODQ) was utilized at baseline and two days after treatment. The mixed model analysis of variance was used to analyze all outcomes. Results: The results showed that all outcomes were not different between groups after treatments. Although there were statistically significant improvements after the treatments when collapsing the groups, the minimal clinically important change was found only for pain but not for lumbar movements and disabilities scores. Conclusion: The effect of MET and LSE alone in single session might not be intensive enough to improve movements and decrease disability in patients with chronic LBP with suspected facet joint origin.http://www.worldscientific.com/doi/pdf/10.1142/S1013702520500109chronic low back painfacet jointlumbar stabilizationmuscle energy technique |
| spellingShingle | Wahyuddin Wahyuddin Mantana Vongsirinavarat Keerin Mekhora Sunee Bovonsunthonchai Rachaneewan Adisaipoapun Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study Hong Kong Physiotherapy Journal chronic low back pain facet joint lumbar stabilization muscle energy technique |
| title | Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study |
| title_full | Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study |
| title_fullStr | Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study |
| title_full_unstemmed | Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study |
| title_short | Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study |
| title_sort | immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin a pilot study |
| topic | chronic low back pain facet joint lumbar stabilization muscle energy technique |
| url | http://www.worldscientific.com/doi/pdf/10.1142/S1013702520500109 |
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