Effects of osteopathic manipulative treatment associated with transcranial direct current stimulation in individuals with chronic low back pain: A double-blind, randomised placebo-controlled trial.

Autor:	Armbrust D; Santa Casa School of Medical Sciences of São Paulo, São Paulo, Brazil.; Department of Physiotherapy, Faculty Anhanguera of Sorocaba, Sorocaba, São Paulo, Brazil., Arêas GPT; Physiology Department, Federal University of Amazonas, Manaus, Amazonas, Brazil., Fonseca CL; Santa Casa School of Medical Sciences of São Paulo, São Paulo, Brazil., Arêas FZDS; Federal University of Espírito Santo, Espírito Santo, Brazil., Duarte NAC; University Center of Anápolis, Anápolis, Goiás, Brazil., Santana SAA; Physiology Department, Federal University of Amazonas, Manaus, Amazonas, Brazil., Dumont AJL; Department of Physiotherapy, University of Sorocaba, Sorocaba, São Paulo, Brazil., Neto HP; Department of Physiotherapy, University of Sorocaba, Sorocaba, São Paulo, Brazil.; Brazilian College of Osteopathy, Sorocaba, São Paulo, Brazil., Oliveira CS; Santa Casa School of Medical Sciences of São Paulo, São Paulo, Brazil.; University Center of Anápolis, Anápolis, Goiás, Brazil.
Jazyk:	angličtina
Zdroj:	Clinical rehabilitation [Clin Rehabil] 2024 Dec; Vol. 38 (12), pp. 1609-1621. Date of Electronic Publication: 2024 Oct 03.
DOI:	10.1177/02692155241274718
Abstrakt:	Objective: To evaluate the effectiveness of osteopathic manipulative treatment (OMT) associated with transcranial direct current stimulation (tDCS) in reducing pain, disability, and improving quality of life in participants with non-specific chronic low back pain. Design: A randomised double-blind clinical trial. Setting: Clinical outpatient unit. Subjects: 72 participants with non-specific chronic low back pain were randomised into three groups: active tDCS + OMT ( n = 24), sham tDCS + sham OMT ( n = 24), and sham tDCS + OMT ( n = 24). Interventions: Evaluations were performed before, after the intervention, and one month post-intervention. tDCS consisted of ten 20-minute sessions over two weeks (five sessions per week). OMT was administered once per week, with two sessions conducted before the first and sixth tDCS sessions. Main Measures: Pain, disability, and quality of life were assessed at baseline, after two weeks, and at one month of follow-up. Results: The visual analogue scale showed a significant decrease in all groups ( p < 0.001). However, tDCS + OMT and sham tDCS + OMT demonstrated a clinically significant reduction compared to the sham combination (effect size n ² = 0.315). Roland-Morris scores decreased across all groups without specific group effects. EuroQoL 5-Dimension 3-Level improvement was observed only in the tDCS + OMT and sham tDCS + OMT groups (significant difference between T2 and T0, p = 0.002). Conclusion: The combination of OMT and tDCS did not provide clinically significant improvement over OMT alone in participants with non-specific chronic low back pain. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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