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The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial

Journal: International Journal of Osteopathic Medicine Date: 2024/03, 51Pages: 100711. doi: Subito , type of study: randomized controlled trial

Full text    (https://www.journalofosteopathicmedicine.com/article/S1746-0689(24)00004-X/abstract)

Keywords:

chronic pain [204]
coccydynia [5]
exercise [94]
intrarectal manipulation [1]
long-term effects [1]
OMT [2951]
osteopathic manipulative treatment [2973]
randomized controlled trial [710]
tailbone [4]

Abstract:

Background Limited evidence exists concerning the long-term follow-up of pain management in individuals with coccydynia. Objective This study aimed to examine the effectiveness of combining manipulation and exercise as a treatment approach for patients with coccydynia, while also assessing its long-term outcomes. Design Six months follow-up of a randomized controlled trial. Setting This study was conducted in a private hospital. Methods The control group (n = 23) received exercise alone, while the experimental group (n = 23) received both exercise and manipulation. All participants performed exercises three days a week for four weeks, and the manipulation sessions were conducted once a week for a total of four sessions. Pain levels were assessed using the Visual Analog Scale (VAS), coccydynia symptoms were evaluated using the Paris questionnaire, and pain-related disability was measured with the Oswestry Disability Index (ODI). Participants Forty-six participants were enrolled in the study. Results No statistically significant differences were observed in the demographic characteristics between the two groups (p > 0.05). However, participants in the manipulation group showed a statistically significant improvement in pain, symptoms, and ODI scores compared to the control group, both immediately after treatment and at the 6-month follow-up (p < 0.05). Conclusion This study demonstrates that the combination of exercise and intrarectal manipulation over a four-week period significantly reduced pain, coccydynia-related symptoms, and disability scores in chronic coccydynia patients. However, no therapeutic superiority was observed in the long-term follow-up of six months.


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