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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Manipulation and selective exercises decrease pelvic anteversion and low-back pain: a pilot study.

Alexandre Carvalho Barbosa1, Fábio Luiz Mendonça Martins, Michelle Cristina Sales Almeida Barbosa

  • 1Department of Physiotherapy, Federal University of Valleys of Jequitinhonha and Mucuri, Diamantina, Brazil. alexwbarbosa@yahoo.com.br

Journal of Back and Musculoskeletal Rehabilitation
|February 16, 2013
PubMed
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This study shows an eight-week manipulation and exercise protocol effectively reduced low back pain and improved pelvic stability in patients. Sensorimotor function and muscle activity also significantly improved.

Area of Science:

  • Physiotherapy
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Low back pain is often associated with pelvic instability and altered sensorimotor control.
  • Pelvic anteversion can contribute to pain and dysfunction.
  • Improving proprioceptive input is crucial for spinal health.

Purpose of the Study:

  • To investigate the impact of a combined joint manipulation and exercise protocol on pelvic stability.
  • To assess the effects on sensorimotor function and proprioceptive input.
  • To evaluate changes in pain and pelvic alignment.

Main Methods:

  • An eight-week protocol involving sacroiliac joint manipulation and specific exercises (quadriceps eccentric, hamstring concentric).
  • Seven patients with pelvic anteversion and low back pain participated.

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  • Assessed pain, pelvic anteversion via photogrammetry, and muscle electromyography before and after treatment.

    • Main Results:

    • Significant reduction in perceived pain symptoms (p=0.0007).
    • Significant improvement in pelvic anteversion measurements (p=0.0130).
    • Increased electromyographic activity in rectus femoris, lateral, and medial hamstrings during exercises.

    Conclusions:

    • The eight-week manipulation/exercise protocol demonstrated effectiveness in addressing patients' needs.
    • The protocol positively influenced pain, pelvic stability, and sensorimotor function.
    • Further research with larger sample sizes is recommended to confirm findings and identify key factors for pelvic stability.