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[Chronic low back pain and vertebral manipulation].
S Ghroubi1, H Elleuch, S Baklouti
1Service de médecine physique et réadaptation fonctionnelle de l'hôpital Habib-Bourguiba, université du Sud, 3000 Sfax, Tunisie.
Summary
Vertebral manipulation significantly improved chronic low back pain and function in patients. This manual therapy, when preceded by a clinical exam, offers short-term relief for persistent back pain.
Area of Science:
- Orthopedics
- Physical Medicine
- Rehabilitation
Context:
- Chronic low back pain (CLBP) is a prevalent condition with significant disability.
- Effective short-term treatment options for CLBP are continually sought.
- Manual therapies, including vertebral manipulation, are explored for CLBP management.
Purpose:
- To evaluate the short-term effectiveness of vertebral manipulation (VM) in patients with chronic low back pain.
- To compare the outcomes of true VM versus sham VM in a randomized controlled trial.
Summary:
- Sixty-four patients with CLBP were randomized to receive either true VM or sham VM.
- Patients undergoing true VM demonstrated statistically significant improvements in pain (VAS) and function (Oswestry scale) compared to the sham group.
- These improvements in pain were sustained at one-month follow-up and were more pronounced in the true VM group.
Impact:
- Vertebral manipulation is an effective short-term treatment for chronic low back pain.
- The findings support the use of VM as an intervention for CLBP, emphasizing the need for a thorough clinical examination prior to treatment.
- This study contributes to the evidence base for manual therapies in managing chronic musculoskeletal conditions.
