Spinal Manipulation for Subacute and Chronic Lumbar Radiculopathy: A Randomized Controlled Trial
| Autor: | Seyedezahra Hosseini Ghasabmahaleh, Zahra Rezasoltani, Sanaz Hamidipanah, Sharif Najafi, Afsaneh Dadarkhah, Reza Kazempour Mofrad |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Manipulation Spinal medicine.medical_specialty Lumbar radiculopathy Visual Analog Scale Visual analogue scale Iran 030204 cardiovascular system & hematology Spinal manipulation law.invention 03 medical and health sciences 0302 clinical medicine Lumbar Primary outcome Randomized controlled trial law Surveys and Questionnaires Humans Pain Management Medicine 030212 general & internal medicine Radiculopathy Pain Measurement Analysis of Variance business.industry Lumbosacral Region General Medicine Middle Aged University hospital Low back pain Treatment Outcome Physical therapy Female medicine.symptom business Low Back Pain |
| Zdroj: | The American Journal of Medicine. 134:135-141 |
| ISSN: | 0002-9343 |
| Popis: | We evaluated the efficacy of spinal manipulation for the management of nonacute lumbar radiculopathy.In a university hospital we performed a randomized controlled trial with 2 parallel arms. Patients (n = 44) with unilateral radicular low back pain lasting more than 4 weeks were randomly allocated to manipulation and control groups. The primary outcome was the intensity of the low back pain on a visual analog scale. The secondary outcome was the Oswestry Disability Questionnaire score. We also measured spinal ranges of motion. The assessments were carried out at the baseline, immediately after intervention, and at 3 months' follow-up. All patients underwent physiotherapy. The manipulation group received three sessions of manipulation therapy 1 week apart. For manipulation, we used Robert Maigne's technique.Both groups experienced a decrease in back and leg pain significantly (all P ≤ 0.003). However, only the manipulation group showed significantly favorable results in the Oswestry scores (P0.001), and the straight leg raise test (P = 0.001). All ranges of motion increased significantly with manipulation (all P0.001), but the control group showed favorable results only in right and left rotations and in extension (all P0.001). Between-group analyses showed significantly better outcomes for manipulation in all measurements (all P ≤ 0.009) with large effect sizes.Spinal manipulation improves the results of physiotherapy over a period of 3 months for patients with subacute or chronic lumbar radiculopathy. |
| Databáze: | OpenAIRE |
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