A STUDY TO ANALYSE THE EFFECTS OF FASCIAL MANIPULATION ON THE LATERAL THIGH REGION IN MECHANICAL LOW BACK PAIN
DOI:
https://doi.org/10.15621/ijphy/2020/v7i3/702Keywords:
Low back pain, Fascial Manipulation, Range of Motion, Core stability, Functional activityAbstract
Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders, affecting up to 90% of people at some point in their lifetime. Up to 50% will have more than one episode of back pain. Previous studies have highlighted the benefits of fascial manipulation for chronic low back pain over manual therapy alone. But early detection of densification of specific points in the lateral thigh region in low back pain subjects in an acute phase itself will be of benefit in resolving the back pain as the deep friction on these points aims at restoring the physiological gliding properties of the fascia and lead to immediate pain relief in the low back, increased range of motion and improved functions.
Methods: Sixty individuals were enrolled for the study and were randomly allotted to two groups using a simple random method, were samples were randomly allocated by the primary investigator before baseline assessment. Control group subjects in Group A received conventional exercises, including core stability exercises. Experimental group subjects in Group B received Fascial manipulation to the lateral aspect of the thigh region in the lower limb. Both the groups received interferential therapy for 20 minutes as a part of conventional treatment for low back pain for 15 days. The subjects were assessed for their pain level, using NPRS score, and range of motion (ROM) was assessed to find any restriction in the lumbar region due to fascial densification. The functional activities of daily life were assessed using the ODI scale. The above scores were recorded before and after the interventions for both the groups.
Results: The pre-test and post-test results were analyzed using a Paired and Unpaired t-test. The outcome measures of the Numeric Pain Rating Scale, Modified Schober's test, the Oswestry Disability Index were used for the study. A comparison of post-test values between Group A and Group B using unpaired t-test revealed a significant difference of p<0.001 in terms of pain relief, improved Range of motion, and functional ability of subjects in Group B than subjects in Group A.
Conclusion: Fascial manipulation technique on lateral thigh region proved to be effective than conventional exercises as it showed a clinical and significant effect in decreasing pain and disability and improving the range of motion and functional activities of daily living in subjects with mechanical low back pain.
References
AryaR.K. Low back pain – signs ,symptoms, and management .JIACM 2014;15(1):30-41.
Kumar, P.J. and Clark, M. Textbook of Clinical Medicine. 8th ed; 2002.
MohdNazeer ,Surender M Rao, Simmi Soni, Ravinder M, Ramakranhi T,Syamala Bhupathi.
Low back pain in South Indians: Causative Factors and preventive measures Sch. J. App. Med. Sci., 2015; 3(1D):234-243.
Darlene Hartling, Randolph M.Kessler .Management of Common Musculoskeletal Disorders Physical therapy principle and method.3rd ed; 1996.
Ober FR: The role of the iliotibial band and fascia lata as a factor in the causation of low- back disabilities and sciatica. J Bone Joint Surg 1936; 18:105-110.
Benjamin M.The fascia of the limbs and back – a review J Anat. 2009 ; 214(1):1-18.
Henry Gray. Anatomy of the Human Body.20th ed; 2000.
Abu-Hijleh MF, Roshier AL, Al-Shboul Q, Dharap AS, Harris PF. The membranous layer of superficial fascia: evidence for its widespread distribution in the body. Surg Radiol Anat. 2006;28(6):606-619.
MicroBranchini, Francessca, Lopopolo, Ernesto Andreoli, Ivano Loreli, Aurelie M Marchand, Antonio Steeco. Fascial Manipulation for Chronic low back pain, a single blinded randomized controlled trial.F1000 RESEARCH 2016.4:1208
Roman M, Chaudhry H, Bukiet B, Stecco A, Findley TW. Mathematical analysis of the flow of hyaluronic acid around fascia during manual therapy motions. J Am OsteopathAssoc.2013; 113(8):600-610.
Stecco A, Gesi M, Stecco C, Stern R. Fascial Components of the Myofascial Pain Syndrome. Curr Pain Headache Rep. 2013 Aug; 17(8):352-9.
Stecco C, Tiengo C, Stecco A, Porzionato A, Macchi V, Stern R, De Caro R. Fascia redefined: anatomical features and technical relevance in fascial flap surgery. Surg Radiol Anat. 2013 ; 35(5):369-76.
OA Olawale, CM Agudzeamegah. The efficacy of interferential therapy and exercise therapy in the treatment of low back pain. Nigerian Journal of Experimental and Clinical Biosciences. 2014; 2(1):10-14.
Allison GT.J Physiother. Abdominal muscle feed forward activation in patients with chronic low back pain is largely unaffected by 8 weeks of core stability training. 2012;58(3):200
Varghese JG, Priya G. Role of fascia in human function. Research J. Pharm. and Tech. 2017; 10(8): 2759-2764.
McCaffery, M., Beebe, A. Pain: Clinical manual for nursing practice, Mosby St. Louis, MO. 1989.
Fairbank JCT, Couper J, Davies JB, O’Brian JP. The Oswestry low back pain disability questionnaire. Physiotherapy 1980; 66:271-3.
Mu-Jung Kao, MD, Ting-I Han, MD, Ta-Shen Kuan, MD, MS, Yueh-Ling Hsieh, PhD, PT, Bai-Horng Su, MD, Chang-Zern Hong, MD . Myofascial Trigger Points in Early Life.2007 Feb; Arch Phys Med Rehabil (88):251-53.
Stecco A, Gesi M, Stecco C, Stern R. Fascial components of the myofascial pain syndrome. Curr Pain Headache Rep. 2013 Aug;17(8):352.
Day JA, Stecco C, Stecco A. Application of Fascial Manipulation technique in chronic shoulder pain--anatomical basis and clinical implications. J Body w Mov Ther. 2009 Apr;13(2):128-35.
Shivalika, Apoorv Narain, Jagmohan Singh, Sabyasachi Bhowmik. To compare the effect of core stability exercises and Muscle Energy techniques on low back pain Patients. IOSR Journal of Sports and Physical Education.2013; 1(2):9-15.
Published
Abstract Display: 1283 
PDF Downloads: 936 How to Cite
Issue
Section
Copyright © Author(s) retain the copyright of this article.
This work is licensed under a