Effectiveness of Muscle Energy Technique and Manipulation in The Management of Non-Specific Backache; A Randomized Control Trial
Effectiveness of Muscle Energy Technique
DOI:
https://doi.org/10.54393/pjhs.v4i07.943Keywords:
Backache, NPRS, quality of life (EQ-5D-5L), MET, manipulationAbstract
Backache is the most common musculoskeletal impairment in general population worldwide.
Objective: To evaluate the effectiveness of MET and manipulation in the management of non-specific backache. Methods: After getting the REC approval from The Neurocounsel Clinic, Islamabad this study was initiated. Duration of study was 6 months from September 20, 2022 to March 19, 2023. Simple convenient sampling technique was done for data collection and total 30 patients of both genders between age of 18-50 years old who had backache due to mechanical cause or had no comorbidity of any kind. Those patients who had a) Lumber disc disease, b) Spondylolisthesis, c) previous back surgery, d) cardiac disease, e) pain <3 on NPRS, f) Parkinson disease were excluded. Two equals (n=15 each) were formed named as group A (MET) and group B (Manipulation). 3 sessions/ week for 3 weeks were given to each group along with heating pad (10minutes). SPSS version-22 was used for data analysis. NP test was used for between groups analysis and level of significance was kept p<0.05. Results: The mean age of patients in group A was 28.25 ± 5.53 whereas of group B it was 34.73 ± 10.66. Between groups analysis revealed that there was no significant difference (p>0.05) between both groups. Conclusions: It was concluded from the result of current study that both MET and manipulation are equally effective in the pain reduction and QoL enhancement in NSLBP sufferers.
References
Maher C and Ferreira G. Time to reconsider what Global Burden of Disease studies really tell us about low back pain. Annals of the Rheumatic Diseases. 2022 Mar; 81(3): 306-8. doi: 10.1136/annrheumdis-2021-221173. DOI: https://doi.org/10.1136/annrheumdis-2021-221173
Maselli F, Storari L, Barbari V, Colombi A, Turolla A, Gianola S, et al. Prevalence and incidence of low back pain among runners: a systematic review. BMC Musculoskeletal Disorders. 2020 Dec; 21(1): 1-25. doi: 10.1186/s12891-020-03357-4. DOI: https://doi.org/10.1186/s12891-020-03357-4
Kelsey JL and WHITE III AA. Epidemiology and impact of low-back pain. Spine. 1980 Mar; 5(2): 133-42. doi: 10.1097/00007632-198003000-00007. DOI: https://doi.org/10.1097/00007632-198003000-00007
Carpenter KM, Stoner SA, Mundt JM, Stoelb B. An online self-help CBT intervention for chronic lower back pain. The Clinical Journal of Pain. 2012 Jan; 28(1): 14. doi: 10.1097/AJP.0b013e31822363db. DOI: https://doi.org/10.1097/AJP.0b013e31822363db
Oakman J, Clune S, Stuckey R. Work-related musculoskeletal disorders in Australia. Safe Work Australia: Canberra, Australia. 2019.
March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, Buchbinder R, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best practice & research Clinical rheumatology. 2014 Jun; 28(3): 353-66. doi: 10.1016/j.berh.2014.08.002. DOI: https://doi.org/10.1016/j.berh.2014.08.002
Itz CJ, Geurts JW, Van Kleef M, Nelemans P. Clinical course of non‐specific low back pain: A systematic review of prospective cohort studies set in primary care. European Journal of Pain. 2013 Jan; 17(1): 5-15. doi: 10.1002/j.1532-2149.2012.00170.x. DOI: https://doi.org/10.1002/j.1532-2149.2012.00170.x
Koes BW, Van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010 Dec; 19: 2075-94. doi: 10.1007/s00586-010-1502-y. DOI: https://doi.org/10.1007/s00586-010-1502-y
Schreijenberg M, Koes BW, Lin CW. Guideline recommendations on the pharmacological management of non-specific low back pain in primary care–is there a need to change? Expert review of clinical pharmacology. 2019 Feb; 12(2): 145-57. doi: 10.1080/17512433.2019.1565992. DOI: https://doi.org/10.1080/17512433.2019.1565992
Chou R. Pharmacological management of low back pain. Drugs. 2010 Mar; 70: 387-402. doi: DOI: https://doi.org/10.2165/11318690-000000000-00000
O'Keeffe M. Non-pharmacological treatment of low back pain in primary care. Drug and Therapeutics Bulletin. 2019 Jul; 57(7): 104-8. doi: 10.1136/dtb.2018.000015. DOI: https://doi.org/10.1136/dtb.2018.000015
Kuss K, Becker A, Quint S, Leonhardt C. Activating therapy modalities in older individuals with chronic non-specific low back pain: a systematic review. Physiotherapy. 2015 Dec; 101(4): 310-8. doi: 10.1016/j.physio.2015.04.009. DOI: https://doi.org/10.1016/j.physio.2015.04.009
Santos GK, Gonçalves de Oliveira R, Campos de Oliveira L, de Oliveira FC, Andraus RA, Ngomo S, et al. Effectiveness of muscle energy technique in patients with nonspecific low back pain: a systematic review with meta-analysis. European Journal of Physical and Rehabilitation Medicine. 2022 Oct. doi: 10.23736/S1973-9087.22.07424-X. DOI: https://doi.org/10.23736/S1973-9087.22.07424-X
Didehdar D, Kamali F, Yoosefinejad AK, Lotfi M. The effect of spinal manipulation on brain neurometabolites in chronic nonspecific low back pain patients: a randomized clinical trial. Irish Journal of Medical Science (1971-). 2020 May; 189: 543-50. doi: 10.1007/s11845-019-02140-2. DOI: https://doi.org/10.1007/s11845-019-02140-2
Salman M, Naseem Z, Umar M, Badshah M. Comparison of Thoracic Manipulation and MET (Muscle Energy Technique) on Chronic Mechanical Neck ache: A Randomized Control Trail: Thoracic Manipulation and MET on Chronic Mechanical Neck ache. Pakistan BioMedical Journal. 2022 Jul: 127-31. doi: 10.54393/pbmj.v5i7.605. DOI: https://doi.org/10.54393/pbmj.v5i7.605
Dhinkaran M, Sareen A, Arora T. Comparative analysis of muscle energy technique and conventional physiotherapy in treatment of sacroiliac joint dysfunction. Indian Journal of Physiotherapy and Occupational Therapy. 2011 Oct; 5(4): 127-30.
Fahmy E, Shaker H, Ragab W, Helmy H, Gaber M. Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2019 Dec; 55(1): 1-6. doi: 10.1186/s41983-019-0124-5. DOI: https://doi.org/10.1186/s41983-019-0124-5
Ghasemi C, Amiri A, Sarrafzadeh J, Dadgoo M, Maroufi N. Comparison of the effects of craniosacral therapy, muscle energy technique, and sensorimotor training on non-specific chronic low back pain. Anaesthesia, Pain & Intensive Care. 2020 Jun; 24(5): 532-43. doi: 10.35975/apic. v24i5.1362. DOI: https://doi.org/10.35975/apic.v24i5.1362
Patel SY, Patil C, Patil S. Comparison of neural tissue mobilization and muscle energy technique on hamstring tightness in chronic low back pain. Medico-Legal Update. 2020 Apr; 20(2): 375–9.
Sturion LA, Nowotny AH, Barillec F, Barette G, Santos GK, Teixeira FA, et al. Comparison between high-velocity low-amplitude manipulation and muscle energy technique on pain and trunk neuromuscular postural control in male workers with chronic low back pain: A randomised crossover trial. The South African Journal of Physiotherapy. 2020 Oct; 76(1): 1420. doi: 10.4102/sajp.v76i1.1420. DOI: https://doi.org/10.4102/sajp.v76i1.1420
Licciardone JC, Schultz MJ, Amen B. Osteopathic manipulation in the management of chronic pain: current perspectives. Journal of Pain Research. 2020 Jul; 13: 1839-47. doi: 10.2147/JPR.S183170. DOI: https://doi.org/10.2147/JPR.S183170
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments