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Efficacy of Muscle Energy Technique versus Myofascial Release on function outcome measures in patients with chronic low back pain

Journal: Bulletin of Faculty of Physical Therapy Cairo University Date: 2012/01, 17(1):Pages: 51-57, type of study: randomized controlled trial

Free full text   (https://www.semanticscholar.org/paper/Efficacy-of-Muscle-Energy-Technique-versus-Release-Ellythy/98818e82c2336df0451c0ab667f9c36a18663118)

Keywords:

muscle energy technique [157]
MET [449]
myofascial release [43]
chronic low back pain [50]
randomized controlled trial [710]

Abstract:

Background: Low-back pain is one of the leading causes of disability. Manual therapy is a specialization within physical therapy and provides comprehensive conservative management for pain and other symptoms of neuro-musculo-articular dysfunction in the spine and extremities. Purpose: The primary objective of this study was to assess the effectiveness of manual therapy techniques on outcome measures in patients with chronic low back pain. Methods: forty patients (male and female), their age range 30-55 years, with chronic low back pain (more than tree months) were assigned randomly to two equal treatment groups. The first group (A) underwent a four weeks specific muscle energy treatmentprogram in form of post-isometric relaxation (PIR) plus specific physical therapy program. The second group (B) underwent a four weeks specific myofascial release program plus specific physical therapy program. Outcome measures include pain intensity, lumber movements and functional disability index were measured. Results: The present study revealed that although there was no statistical significance (P> 0.05) difference in pain intensity level, lumber range of motion and function disability level between both groups, patients in both groups showed statistical significance P< 0.05 differences in all outcome measures between pre group (A) pain level from (7.7±1.42) to (5±1.34), function disability from (56±12.06) to (30.35±9.16) and lumber movement from (30.75±11.69) to (41.25±7.39). Pre treatment group (B) pain level from (8.31±1.59) to (5.36±1.56), function disability from (55±10.07) to (33.57±11) and lumber movement from (27.89±12.7) to (41.05±8.36). Conclusion: The findings of this trial support the view that the functional integration of specific manipulative techniques are effective in reducing pain and functional disability in patients with chronic low back pain.


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