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| Efficacy of lumbar mobilization on postpartum low back pain in Egyptian females: a randomized control trial |
| Kamel DM, Abdel Raoof NA, Tantawy SA |
| Journal of Back and Musculoskeletal Rehabilitation 2016;29(1):55-63 |
| clinical trial |
| 3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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* |
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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.
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