Effect of osteopathic visceral manipulation for individuals with functional constipation and chronic nonspecific low back pain: Randomized controlled trial.

Autor: Boas Fernandes WV; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil; Federal University of Mato Grosso, Rondonópolis, Brazil., Politti F; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil., Blanco CR; Doctoral Program in Health Sciences, Seville University, Sevilla, Spain., Garcia Lucareli PR; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil., Gomes CAFP; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil. Electronic address: cid.andre@gmail.com., Corrêa FI; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil., Corrêa JCF; Postgraduate Program in Rehabilition Sciences, Nove de Julho University, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2023 Apr; Vol. 34, pp. 96-103. Date of Electronic Publication: 2023 Apr 06.
DOI: 10.1016/j.jbmt.2023.04.006
Abstrakt: Objective: To investigate the effect of osteopathic visceral manipulation (OVM) on disability and pain intensity in individuals with functional constipation and chronic nonspecific low back pain.
Methods: This study is a randomized controlled trial with a blinded assessor. Seventy-six volunteers with functional constipation and chronic nonspecific low back pain were randomized to two groups: OVM and sham OVM. The primary clinical outcome was pain intensity measured using a numeric rating scale (NRS) and disability measured using the Oswestry Disability Index (ODI). The secondary outcomes were electromyographic signals measured during the flexion-extension cycle, the finger-to-floor distance during complete flexion of the trunk and the Fear-Avoidance Beliefs Questionnaire (FABQ). All outcomes were determined after six weeks of treatment as well as three months after randomization.
Results: The OVM group reported a reduction in pain intensity after six weeks of treatment and at the three-month evaluation (p < .0002) and the sham group reported a reduction in pain intensity after three-month evaluation (p < .007). For the ODI was also found in the OVM group six weeks after the end of treatment (treatment effect = -6.59, 95% CI: -12.01 to -1.17, p = .01) and at the three-month evaluation (treatment effect = -6.02, 95% CI: -11.55 to -0.49, p = .03). Significant differences were also found for paravertebral muscle activity during the dynamic phases (flexion and extension) six-week evaluations.
Conclusions: The OVM group demonstrated a reduction in pain intensity and improvement in disability after six-weeks and three-month follow-up while the sham group reduction in pain three-month follow-up.
Competing Interests: Declaration of competing interest The authors declare they have no conflicts of interest.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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