Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study
Abstract Background To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility. Methods Twenty patients aged between 20 and 50 years with MRI-confirmed LDH who also had...
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Chiropractic & Manual Therapies |
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| Online Access: | http://link.springer.com/article/10.1186/s12998-018-0185-z |
| _version_ | 1819149684811235328 |
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| author | Esmaeil Shokri Fahimeh Kamali Ehsan Sinaei Farahnaz Ghafarinejad |
| author_facet | Esmaeil Shokri Fahimeh Kamali Ehsan Sinaei Farahnaz Ghafarinejad |
| author_sort | Esmaeil Shokri |
| collection | DOAJ |
| description | Abstract Background To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility. Methods Twenty patients aged between 20 and 50 years with MRI-confirmed LDH who also had SIJ hypomobility participated in the trial in 2010. Patients who had sequestrated disc herniation were excluded. All patients received five sessions of spinal manipulative therapy (SMT) for the SIJ and lumbar spine during a 2-week period. Back and leg pain intensity and functional disability level were measured with a numerical rating scale (NRS) and the Oswestry Disability Index (ODI) at baseline, immediately after the 5th session, and 1 month after baseline. Results A significantly greater mean improvement in back and leg pain was observed in the 5th sessions and 1 month after SMT. Mean changes in ODI in the 5th session and 1 month after treatment also showed significant improvement. The MCIC for NRS and ODI scores in the present study were considered 20 and 6 points, respectively. Therefore, the mentioned improvements were not clinically significant in the 5th session or at 1-month follow-up. Conclusion Five sessions of lumbar and SIJ manipulation can potentially improve pain and functional disability in patients with MRI-confirmed LDH and concomitant SIJ hypomobility. Trial registration Irct.ir (Identifier: IRCT2017011924149N33), registered 19 February 2017 (retrospectively registered). |
| first_indexed | 2024-12-22T14:05:32Z |
| format | Article |
| id | doaj.art-a49c83918c144ae6b280ac4a1ed68694 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-12-22T14:05:32Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-a49c83918c144ae6b280ac4a1ed686942022-12-21T18:23:19ZengBMCChiropractic & Manual Therapies2045-709X2018-05-012611710.1186/s12998-018-0185-zSpinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental studyEsmaeil Shokri0Fahimeh Kamali1Ehsan Sinaei2Farahnaz Ghafarinejad3Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical SciencesPhysical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical SciencesRehabilitation Sciences Research Center, Shiraz University of Medical SciencesPhysical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical SciencesAbstract Background To investigate the effect of lumbar and sacroiliac joint (SIJ) manipulation on pain and functional disability in patients with lumbar disc herniation (LDH) concomitant with SIJ hypomobility. Methods Twenty patients aged between 20 and 50 years with MRI-confirmed LDH who also had SIJ hypomobility participated in the trial in 2010. Patients who had sequestrated disc herniation were excluded. All patients received five sessions of spinal manipulative therapy (SMT) for the SIJ and lumbar spine during a 2-week period. Back and leg pain intensity and functional disability level were measured with a numerical rating scale (NRS) and the Oswestry Disability Index (ODI) at baseline, immediately after the 5th session, and 1 month after baseline. Results A significantly greater mean improvement in back and leg pain was observed in the 5th sessions and 1 month after SMT. Mean changes in ODI in the 5th session and 1 month after treatment also showed significant improvement. The MCIC for NRS and ODI scores in the present study were considered 20 and 6 points, respectively. Therefore, the mentioned improvements were not clinically significant in the 5th session or at 1-month follow-up. Conclusion Five sessions of lumbar and SIJ manipulation can potentially improve pain and functional disability in patients with MRI-confirmed LDH and concomitant SIJ hypomobility. Trial registration Irct.ir (Identifier: IRCT2017011924149N33), registered 19 February 2017 (retrospectively registered).http://link.springer.com/article/10.1186/s12998-018-0185-zSpinal manipulationLumbar disc herniationSacroiliac jointBack pain |
| spellingShingle | Esmaeil Shokri Fahimeh Kamali Ehsan Sinaei Farahnaz Ghafarinejad Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study Chiropractic & Manual Therapies Spinal manipulation Lumbar disc herniation Sacroiliac joint Back pain |
| title | Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study |
| title_full | Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study |
| title_fullStr | Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study |
| title_full_unstemmed | Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study |
| title_short | Spinal manipulation in the treatment of patients with MRI-confirmed lumbar disc herniation and sacroiliac joint hypomobility: a quasi-experimental study |
| title_sort | spinal manipulation in the treatment of patients with mri confirmed lumbar disc herniation and sacroiliac joint hypomobility a quasi experimental study |
| topic | Spinal manipulation Lumbar disc herniation Sacroiliac joint Back pain |
| url | http://link.springer.com/article/10.1186/s12998-018-0185-z |
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