scholarly journals IMPACT OF MUSCLE ENERGY TECHNIQUE ALONG WITH SUPERVISED EXERCISE PROGRAM OVER MUSCLE ENERGY TECHNIQUE ON QUADRATUS LUMBORUM AND ILIOPSOAS ON PAIN AND FUNCTIONAL DISABILITY IN CHRONIC NON SPECIFIC LOW BACK PAIN

2018 ◽  
Vol 6 (3) ◽  
pp. 2748-2753
Author(s):  
Priyanka Rishi ◽  
◽  
Bharti Arora ◽  
Author(s):  
E. Fahmy ◽  
H. Shaker ◽  
W. Ragab ◽  
H. Helmy ◽  
M. Gaber

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Usman Abba Ahmed ◽  
Sonill Sooknunan Maharaj ◽  
Jessica Van Oosterwijck

Abstract Objectives Low back pain is the most prevalent musculoskeletal condition, and causes activity limitations which result in reduced work productivity and high medical expenditure. The management of this condition has been challenging to both clinicians and researchers. While the use of Muscle Energy Technique (MET) as a potentially effective treatment strategy seems promising, studies examining MET combined with exercise therapy are scarce and studies with strong methodology are lacking. Therefore, this study aims to determine the effects of a combination of Dynamic Stabilization Exercises (DSE) and MET on selected biopsychosocial outcomes compared to DSE alone or conventional physiotherapy in the management of chronic non-specific low back pain (NSLBP). Methods A total of 125 (80 male and 45 female) patients with chronic NSLBP were involved in this study, they were recruited from Rasheed Shekoni Teaching hospital and Federal Medical centre Birnin-Kudu, Jigawa State, Nigeria. A random number generator method was used to allocate patients to either DSE + MET (n=41), DSE alone (n=39) or conventional physiotherapy (n=45). Interventions were administered twice a week over 12 weeks. Outcome measures included pain intensity, lumbar (flexion and extension) range of motion, functional-disability, self-perceived health status, limitations in activities and participation restrictions. These were assessed at baseline, mid-intervention at six weeks, post-intervention at 12 weeks and long term follow-up at 24 weeks. Data was analyzed using repeated-measures ANOVA to determine significance difference within groups and between groups. Results All intervention groups showed within-groups changes of the study outcomes over time (p<0.001). However, between-group comparisons showed greater improvements in pain intensity (F=7.91, p<0.001), lumbar ROM (flexion F=1.51, p<0.001; extension F=3.25, p<0.001), activity limitations/participation restrictions (F=3.7, p<0.001) and health status (F=10.9, p<0.001) for the intervention in which MET and DSE were combined. The MET plus DSE interventions were superior to DSE and convention physiotherapy for all outcome measures, except for functional disability (F=0.53, p=0.590). Conclusions The data from this study showed MET combined with DSE had greater therapeutic benefits compared to DSE or conventional physiotherapy on selected biopsychosocial outcomes in patients with chronic NSLBP. The findings from the study show that the combination of MET with DSE is safe and has beneficial effects in the management of patients with chronic NSLBP. Clinical trial registration The study protocol has been registered with www.ClinicalTrial.gov with the registration number NCT3449810.


2021 ◽  
Vol 15 (8) ◽  
pp. 2451-2453
Author(s):  
Sadaf Tubassam ◽  
Saima Riaz ◽  
Rehan Ramzan Khan ◽  
Sobia Ghafoor ◽  
Sajid Rashid ◽  
...  

Objective: To determine the effectivness of muscle energy technique versus strain counter strain techniques on trigger points of quadratus lumborum among patients with low back pain. Methodology: A quasi-experimental trial was conducted on 40 patients who had low back pain due to trigger points in Sialkot medical complex hospital, Sialkot. The participants were divided into group A (MET) and group B (SCS). Group A was treated with muscle energy techniques and moist heat therapy, while Group B was treated with strain counter strain technique and moist heat therapy for two weeks. Numeric pain rating scale and Modified Oswestry Disability Questionnaire were used. Data was analyzed on SPSS 21. Results: The mean score of the Oswestry Disability Index (ODI) was 53.10±7.35 and 56.60 ± 7.89 at the start of treatment in group A (MET) and group B (SCS), respectively. The final ODI score for group A (MET) and group B (SCS) was 22.25± 5.87 and 37.70± 7.87, respectively. The mean value of pain intensity on the Numerical Pain Rating Scale (NPRS) was 7.30±1.25 vs. 7.85±1.26 at the start of treatment in Group A (MET) and Group B (SCS), respectively. The post-treatment NPRS score was 3.20 ±1.16 vs. 4.55±1.20 for Group A (MET) and Group B (SCS), respectively. Conclusion: According to the findings of this study, both METS and SCS significantly improved pain and functional disability in patients with low back pain caused by trigger points in the quadratus lumborum. However, in terms of mean difference, METS are more effective than SCS. Keywords: Strain counter strain, METS, Trigger points, Quadratus lumborum, Low back pain


Author(s):  
Helge Franke ◽  
Gary Fryer ◽  
Raymond WJG Ostelo ◽  
Steven J Kamper

2019 ◽  
Author(s):  
Usman Abba Ahmed ◽  
SONILL Sooknunan Maharaj ◽  
Nadasan Thaya ◽  
Bashir Kaka ◽  
Ashiyat Kahinde Akodu

Abstract Objective: The relevance and use of Muscle Energy Technique (MET) as a mode of treatment for Non-specific low back pain (NSLBP) over the last two decades has increased among physiotherapists and other health professionals. This supports the clinical relevance and efficacy of this technique. However, there are no studies to determine the level of MET knowledge among Nigerian physiotherapists. This study was designed to determine the MET knowledge among Nigerian physiotherapists.Method: A total of one hundred and twenty physiotherapists were recruited from the database of the Nigerian Society of Physiotherapy and participated in the study. They completed a semi-structured questionnaire containing 46-items. This was divided into four sections which sourced information on sociodemographic characteristics, work-profile, treatment activities and the knowledge of MET for the management of NSLBP. Data were analyzed using descriptive statistics for mean, frequency and percentages. Inferential statistics of Chi-square, Pearson Correlation, independent t-test and ANOVA were used to determine the significant difference with significance set at p<0.05.Result: The study revealed that 16.7% of the participants had knowledge of the application of MET in the management for NSLBP. Age, educational level, practice setting, area of specialization such as musculoskeletal therapy, ergonomics and additional training of low back pain (LBP) were factors that influenced respondents’ MET knowledge (p<0.05). However, gender, university of training, number of years of experience and the practice of managing of LBP in the physiotherapy department did not influence knowledge of MET for the management of NSLBP (p >0.05).Conclusion: This study showed that a small number of participants had knowledge of MET application in the management of NSLBP and certain factors influenced this knowledge. Keywords: Non-specific low back pain, Muscle Energy Technique, Physiotherapists knowledge, Nigeria


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