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The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint
One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective.
A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| manipulation group (MG) | Experimental | Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks |
|
| electrotherapy group (EG) | Active Comparator | Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions of electrotherapy). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| manipulation group (MG) | Other | Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| visual analogue scale (VAS) | Pain assessment from 0 to 10. 0: no pain 10: maximum pain | 1 week |
| Oswestry disability index (ODI) | disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled): | 1 week |
| Roland Morris questionnaire | disability assessment The extreme values oscillate between 0 (absence of disability due to low back pain) and 24 (maximum possible disability) | 1 week |
| digital algometer (Wagner, FPIX model) | Pain threshold assessment by pressing the sensitive points of the muscle | 1 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jose Antonio JA Rodriguez-Pastor, PhD | Universidad de Extremadura. Facultad de Medicina (Badajoz). Spain | Principal Investigator |
| Mª Dolores MD Apolo-Arenas, PhD | Universidad de Extremadura. Facultad de Medicina (Badajoz). Spain | Study Director |
| Berta BC Caro-Puértolas, PhD | Universidad de Extremadura. Facultad de Medicina (Badajoz). Spain | Study Director |
| Alejandro AC Caña-Pino, PT,MSc | Universidad de Extremadura. Facultad de Medicina (Badajoz). Spain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad de Extremadura | Badajoz | 06071 | Spain |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| electrotheraphy group (EG) | Other | Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions) |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |