Manual treatment for kidney mobility and symptoms in women with nonspecific low back pain and urinary infections
| Autor: | Emanuele Fabbro, Giulio Ferrero, Alessandra Pilzer, Francesco Fiz, Andrea Turrina, Daniele Oliva, Clizia Cazzarolli, Francesca Lo Basso |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Complementary and Manual Therapy medicine.medical_specialty Adolescent Urinary system Context (language use) Kidney Group B Adipose capsule of kidney 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Retrospective Studies 030222 orthopedics business.industry Chronic pain Retrospective cohort study Fascia Manipulation Osteopathic medicine.disease Low back pain medicine.anatomical_structure Complementary and alternative medicine Urinary Tract Infections Female medicine.symptom business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Journal of Osteopathic Medicine. 121:489-497 |
| ISSN: | 2702-3648 |
| DOI: | 10.1515/jom-2020-0288 |
| Popis: | Context Recent studies have suggested a connection between low back pain (LBP) and urinary tract infections (UTI). These disturbances could be triggered via visceral-somatic pathways, and there is evidence that kidney mobility is reduced in patients suffering from nonspecific LBP. Manual treatment of the perinephric fascia could improve both kidney mobility and LBP related symptoms. Objectives To assess whether manual treatment relieves UTI and reduces pain in patients with nonspecific LBP through improvement in kidney mobility. Methods Records from all patients treated at a single physical therapy center in 2019 were retrospectively reviewed. Patients were included if they were 18 years of age or older, had nonspecific LBP, and experienced at least one UTI episode in the 3 months before presentation. Patients were excluded if they had undergone manipulative treatment in the 6 months before presentation, if they had one of several medical conditions, if they had a history of chronic pain medication use, and more. Patient records were divided into two groups for analysis: those who were treated with manipulative techniques of the fascia with thrust movement (Group A) vs those who were treated without thrust movement (Group B). Kidney Mobility Scores (KMS) were analyzed using high resolution ultrasound. Symptoms as reported at patients’ 1 month follow up visits were also used to assess outcomes; these included UTI relapse, lumbar spine mobility assessed with a modified Schober test, and lumbar spine pain. Results Of 126 available records, 20 patients were included in this retrospective study (10 in Group A and 10 in Group B), all of whom who completed treatment and attended their 1 month follow up visit. Treatments took place in a single session for all patients and all underwent ultrasound of the right kidney before and after treatment. The mean (± standard deviation) KMS (1.9 ± 1.1), mobility when bending (22.7 ± 1.2), and LBP scores (1.2 ± 2.6) of the patients in Group A improved significantly in comparison with the patients in Group B (mean KMS, 1.1 ± 0.8; mobility when bending, 21.9 ± 1.1; and LBP, 3.9 ± 2.7) KMS, p Conclusions Manual treatments for nonspecific LBP associated with UTI resulted in improved mobility and symptoms for patients in this retrospective study, including a significant increase in kidney mobility. |
| Databáze: | OpenAIRE |
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