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Evaluation des effets de therapie manuelle des tissus mous chez des femmes, presentant des douleurs lombaires suite a une anesthesie peridurale obstetricale: etude controlee randomisee (Evaluating the effects of soft tissue manual therapy among women presenting low back pain following epidural anesthesia in obstetrics: a randomized, controlled study) [French]
Daou RAZ, Lattouf NA
Kinesitherapie La Revue 2012 May;12(125):52-59
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Low back pain is common in women who have undergone epidural anesthesia during childbirth. It is instant, limited functionality of the lumbar spine and reduced amplitudes. The treatment is medical, physical agents or manual. METHODS: Twenty primiparas with low back pain, who had an average age of 31.5 +/- 3.35 years, who had given vaginal birth delivery and had received epidural anesthesia, participated in our experiments over a period of 4 weeks. A group of 10 women has received treatment under the terms of manual treatment (1 s/s) while the second group received physical agents treatment (2 m/s). RESULTS: Both groups had comparable improvement of their variables (except for the slump test). An advantage in favor of manual treatment was noted with obtaining the same effect in 4 weeks by treatment of four sessions instead of eight. CONCLUSION: We found a difference due to the use of both treatments. The observed results encourage us to continue to better understand the associated phenomena with neurophysiology. LEVEL OF EVIDENCE: III.

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