Osteopathic Manipulative Treatment Versus Therapeutic Exercises in Subjects With Chronic Non-specific Low Back Pain

Rio de Janeiro State University

Status: Completed

Conditions: Low Back Pain

Treatments: Other: Osteopathic Manipulative Treatment; Other: Exercise Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02752620

46194215.9.0000.5284

Details and patient eligibility

About

This study evaluates the effectiveness of treatment osteopathic manipulation in the treatment of subjects with chronic nonspecific low back pain.

Enrollment: 38 patients

Sex: All

Ages: 30 to 59 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects with constant or intermittent low back pain with intensity greater than 30 mm visual analog scale (VAS) for at least three months duration, with a diagnosis of chronic low back pain

Exclusion criteria

• Subjects who have spine fractures,
• Dislocations
• Ligament ruptures
• Muscle ruptures
• Skin lacerations
• Sacroiliitis
• Vertebral osteomyelitis
• Infection
• Disc herniations with radicular symptoms
• Rheumatic disorders
• Cauda equina syndrome
• Tumors
• Referred pain visceral
• Red flags
• Lower limb discrepancy greater than 2 cm
• Several conditions requiring participants to be absent for more than two weeks of activities in the experiment
• Positioning itself as not volunteer the same.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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38 participants in 2 patient groups

Osteopathic Manipulative Treatment

Experimental group

Description:

We selected two types of osteopathic techniques for this study: Technical articulation: rhythmic technique with low speed in which the goal is the full gain range of motion. Myofascial techniques (Neuromuscular): techniques involving lateral stretching, linear, deep pressures and pulls of the origins and insertions aiming at a myofascial relaxation. Sacroiliac articulatory technique; Dorsal articulatory technique; Lumbar paraspinal muscles stretching technique; Lumbar myofascial technique (inhibitory).

Treatment:

Other: Osteopathic Manipulative Treatment

Exercise Therapy

Active Comparator group

Description:

2 types of therapeutic exercises techniques were used: Stabilization exercises Stretches Stabilization exercises: Bridge on the ball 10 - 15 sec Side plank 10 - 15 sec Front board 10 - 15 sec active mobilization lumbopelvic 3 x 6 rep Squats with the ball on the wall 3 x 8 rep Static-passive stretch (2 x 30 sec): Paraspinal; Abdominals; Quadratus lumborum; Hip extenders; Hip flexors; Hip abductors; Hip adductors.

Treatment:

Other: Exercise Therapy