Immediate effect of muscle energy technique on chronic non-specific low back pain with diaphragm dysfunction - Single group pre-post design

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2025-04-16 DOI:10.1016/j.jbmt.2025.04.010

Rasmi Ranjan Nayak , Ajay Kumar , Rajasekar Sannasi , Ramprasad Muthukrishnan , Shine Thomas

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引用次数: 0

Abstract

Background

This study aims to determine the effectiveness of the Muscle Energy Techniques (MET) to the Quadratus lumborum (QL) and the facilitated psoas traction in pain and disability in non-specific chronic low back pain (NSCLBP) patients who have a failed diaphragm test.

Method

Fifty NSCLBP patients aged between 18 and 58 years, presenting with tight psoas major, QL and failed diaphragm test were included. The MET to QL and facilitated psoas traction was administered on alternate days for a total of three sessions. The Numerical Pain Rating Scale (NPRS) and the Rolland Morris Disability Questionnaire (RMDQ), were assessed before intervention and after the third session of treatment.

Results

There was a statistically and clinically significant difference in reduction of NPRS 2.8 (95 % CI (2.5–3.1); P < 00.1) and RMDQ (5.4 (95 % CI 4.9–5.9); P < 0.001) after 3 sessions of treatment. The Effect size for NPRS was 2.4 and RMDQ was 1.8.

Conclusion

The application of MET to QL and facilitated psoas traction has shown immediate reduction in pain and disability in NSCLBP patients with diaphragm dysfunction.

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肌能技术治疗慢性非特异性腰痛伴膈肌功能障碍的即时效果-单组前后设计

本研究旨在确定肌能技术（MET）对膈肌测试失败的非特异性慢性腰痛（NSCLBP）患者疼痛和残疾时腰方肌（QL）和腰大肌牵引的有效性。方法选取50例年龄在18 ~ 58岁之间，以腰肌大肌紧绷、QL、膈肌试验不及格为主要表现的NSCLBP患者。每隔一天进行MET到QL和辅助腰大肌牵引，共进行三次。在干预前和第三次治疗后分别使用数值疼痛评定量表（NPRS）和Rolland Morris残疾问卷（RMDQ）进行评估。结果两组患者NPRS降低2.8，差异有统计学意义(95% CI (2.5 ~ 3.1)；P & lt;0.0.1)和RMDQ (5.4 (95% CI 4.9-5.9)；P & lt;0.001)。NPRS的效应量为2.4，RMDQ为1.8。结论在非小细胞bp膈肌功能障碍患者中应用肌内固定术和腰大肌牵引可立即减轻疼痛和残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES REHABILITATION-

CiteScore

2.80

自引率

0.00%

发文量

133

审稿时长

321 days

期刊介绍： The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina