Immediate effects of muscle energy technique on kinematics, pain, and disability in patients with chronic low back pain of zygapophyseal joint origi

Completed

• Conditions: Chronic low back pain from zygapophyseal joint origin; Musculoskeletal Diseases; Low back pain

• Registration Number: ISRCTN18528219
• Lead Sponsor: Mahidol University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2017-11-13
• Last Update Posted: 27 November 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Patients of both genders who met the following criteria were included in the study:
1. 18-60 years old
2. Recurrent or chronic LBP at least 3 months
3. Pain severity from mild to moderate (21 to 69 mm on VAS)

Nine criteria for diagnosing of zygapophyseal joint origin according to Wilde et al were used for including the subjects. The diagnosing criterias as follows:
1. Localized unilateral back pain
2. Pain, if referred to the leg, was above the knee
3. Replication or aggravation of pain by unilateral pressure over the lumbar zygapophyseal joint or transverse process
4. No radicular features such as sign of nerve root irritation (dermatomal pain and paresthesia) and nerve root compression (dermatomal sensory loss, myotomal weakness, and loss of reflex)
5. Pain eased in flexion
6. Passive accessory movement showed reduced ROM or increased stiffness on the side of lumbar zygapophyseal joint pain.
7. Unilateral muscle spasm over the affected lumbar zygapophyseal joint
8. Pain in extension
9. Pain in 3D movement (extension, lateral flexion, and rotation) to the ipsilateral side

Exclusion Criteria

1. Fever
2. Pain referring below-knee
3. Women with pregnancy
4. Women within menstruation period
5. Any other spinal problems: osteomalacia, inflammatory, osteoporosis, spondylolysis, spondylolisthesis, foraminal or central stenosis, scoliosis or deformity of the spine
6. Previous back surgery
7. Disc herniation or prolapse with neurologic signs
8. Received other treatments such as injection or medication for pain reduction within 24 hours
9. Red flag for the low back region:
9.1. Back-related tumor: history of cancer, unexplained weight loss, failure of conservative therapy
9.2. Back-related infection (spinal osteomyelitis): recent infection (e.g., urinary tract or skin infection), concurrent immunosuppressive disorder
9.3. Cauda equina syndrome: urine retention or incontinence, fecal incontinence, saddle anesthesia, global or progressive weakness in the lower extremities, sensory deficits in the feet (L4, L5, and S1 areas), ankle dorsiflexion and plantar flexion weakness
9.4. Spinal fracture: history of trauma, prolonged use of steroids

Study & Design

• Study Type: Interventional
• Study Design: Not specified