Efficacy of lumbar mobilization on postpartum low back pain in Egyptian females: A randomized control trial

作者：Kamel Dalia M^*; Raoof Neveen A Abdel; Tantawy Sayed A

来源：Journal of Back and Musculoskeletal Rehabilitation, 2016, 29(1): 55-63.

DOI：10.3233/BMR-150598

• Mechanical low back pain
• mobilization
• postpartum
• electromyography

BACKGROUND: Low back pain (LBP) is a common complaint in the postnatal period. Physiotherapy has many techniques to apply for such cases.
OBJECTIVE: To investigate the effect of central postero-anterior (PA) lumbar mobilization on muscle activity in postpartum LBP.
METHODS: Forty-five females with chronic LBP at least three months postnatal. Participants divided randomly and equally into three groups. Group A (Study group) received PA lumbar mobilization plus traditional treatment which consisted of Ultrasonic and Infra-red. Group B (Placebo group) received placebo mobilization plus traditional treatment. Group C (Control group) received traditional treatment only. All patients received 3 sessions/week for 4 weeks. Pain intensity, functional disabilities and Surface EMG for recording para spinal muscle activity were measured before and after intervention. Statistical analysis was done by ANOVA and paired t-test.
RESULTS: Central PA mobilization showed a significant reduction (P < 0.05) in the average surface EMG activity of the erector spinae musculature compared with the other groups as well as improvement in functional ability and reduction in pain intensity.
CONCLUSION: A central PA mobilization significantly reduced pain intensity and surface EMG activity of erector spinae musculature as well as improvement in functional ability in mechanical low back pain in postnatal females.

• 出版日期2016