Immediate Changes After Manual Therapy in Patients With Non-specific Back Pain

N/ACompletedNCT02520648

University of Valencia125 enrolled

Overview

The purpose of this trial is to investigate the immediate effects of neuro-lymphatic treatment, thoracic vertebral and costal articulatory in terms of back pain levels, cervical and dorsal flexibility, sense of body comfort and satisfaction with the treatment received.

Subjects: The study was conducted at the Faculty of Physiotherapy of the University of Valencia (Spain). Persistent non-specific back pain subjects between 20 and 30 years old were recruited and voluntarily participated in the study. Excluded subjects with musculoskeletal injuries such as spine or balance disorders, those which were recovering from an injury of the locomotor or neurological system, or those who had sequelae from any trauma suffered in the past six months that could affect the results of the study. Study design: The conducted study was an experimental, longitudinal and prospective, controlled, randomized and single-blind design (subjects and therapists didn't know the objectives of the treatment nor how many treatments were offered, evaluators were unaware of the treatments applied). There were 3 groups: a) neuro-lymphatic treatment; b) vertebral articulatory treatment; c) proximal costal articulatory treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

125

Conditions

Back Pain

Interventions

Neuro-lymphatic treatmentOTHER

The physical therapist applied direct firm rotary pressure, via thumb or tip finger, for 1 minute, from the transverse processes of T1 to the transverse processes of T12. To finish the intervention, hands were placed on the skull and sacrum during 2 minutes without movement.

Articulatory spinal manual therapyOTHER

Then the therapist performs pressures in the transverse apophysis from D1 to D12 (level of the paravertebral muscles, at a distance of 2 fingers of the spinous apophysis), applying sustained pressure during expiratory time until the articulatory barrier is reached.

Articulatory costal Manual therapyOTHER

The therapist performs costal-vertebral articulatory movement, from 1st to 12th rib (level of the outside paravertebral muscles, at a distance of 4 fingers from the spinous apophysis on the back of the costal body) applying a sustained pressure during expiratory time and promoting its biomechanics, up to the articulatory barrier.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 30 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Non-specific Back Pain subjects between 20 and 30 years old were recruited and voluntarily participated in the study. Exclusion Criteria: * Excluded subjects with musculoskeletal injuries such as spine or balance disorders * Those which were recovering from an injury of the locomotor or neurological system, or * Those who had sequelae from any trauma suffered in the past six months that could affect the results of the study.

Locations (1)

Gemma V. Espí López

Valencia, Spain

Outcomes

Primary Outcomes

Cervical flexion

Cervical movement was evaluated with cervical goniometer. The Cervical Range of Motion (CROM) system combines inclinometers and magnets arranged on a head support and also supported on the nose bone.