Persian Manual Therapy Method for Chronic Low-Back Pain With Lumbar Radiculopathy; a Randomized Controlled Trial Publisher Pubmed



Sanei M¹ ; Roozafzai F² ; Abousaidi SR³ ; Hamze M⁴ ; Negarestani AM⁵ ; Mokaberinejad R¹ Show Affiliations
Source: Journal of Bodywork and Movement Therapies Published:2020

Abstract

Background: Manual therapy is a non-surgical approach for management of musculoskeletal symptoms. This study investigated safety and efficacy of a Persian manual therapy method (Fateh technique) for management of chronic low-back pain (LBP) and radiculopathy. Methods: In this controlled trial, 52 eligible patients with chronic LBP and lumbar radiculopathy were randomly assigned into two intervention groups; one received a 16-min soft tissue manipulation for four weekly sessions and did two daily home active exercises. The other group only did the two daily exercises for four weeks. Roland-Morris disability score, Visual Analogue Scale scores of LBP, radiculopathy and paresthesia, and finger-to-floor test result were assessed at the baseline, and in fourth and eighth weeks of trial. Results: Data of 48 participants was analyzed. Distributions of age, sex, and duration of symptoms in two groups were the same. Fateh technique respectively decreased pain, radiculopathy, paresthesia, and disability, by 4.28 [95% confidence interval: 3.36–5.19], 3.85 [2.67–5.03], 1.32 [0.37–2.27], and 4.58 [3.23–5.93] units, and increased body flexibility by 35.42 [6.91–63.92] millimeters. Compared with home exercise, Fateh technique was associated with greater changes in all outcomes. No adverse event has occurred. Conclusions: Fateh technique is safe and effective for management of LBP and radiculopathy in patients without severe progressive symptoms. © 2020 Elsevier Ltd