Efficacy of Spinal Manipulation as a Part of Physical Therapy Program in Patients with Lumbar Disc Herniation: A Randomized Controlled Trial
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Objective: To investigate the effect of a combined spinal manipulation plus physical therapy program on pain intensity, physical function and asymmetry of lumbar facet angles in patients with lumbar disc herniation. Methods: This was a single blinded randomized controlled study design. Thirty patients with lumbar disc herniation from both sexes and aged between 20 – 45 years participated in the study. They were randomly divided into two groups of equal number; experimental and control groups. Patients in the experimental group received a designed physical therapy program in addition to lumbar manipulation techniques applied to L4-L5 level. Those in the control group received the same physical therapy program only. Treatment was given three days/ week for continuous four weeks. Assessment was performed before and after treatment using Visual analogue scale (VAS), Modified Oswestry low back pain disability questionnaire (ODQ) and facet joint angle asymmetry. Results: Patients in the experimental group showed a significant improvement as compared with those in the control group. Pain intensity was 3.6±0.91 for the experimental group and 4.9±1.33 for the control group (P=0.002). Physical function measured by Oswestry disability questionnaire was 28.76±7.3 for the experimental group and 35.48±9.2 for the control group (p=0.007). There was a significant improvement in the asymmetry of facet angles between both sides in both groups (in favour of the experimental group). Conclusions: Spinal manipulation combined with proper physiotherapy program has an objective effect on pain, physical function and asymmetry of lumbar facet angles in patients with lumbar disc herniation
Authors and Affiliations
Neveen Abdel Latif Abdel Raoof
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