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The Mezieres method as a novel treatment for elite Spanish second-division soccer league players with low back pain: a randomized controlled trial |
Lena O, Todri J, Todri A, Fernandez Azorin L, Fuentes JM, Papajorgji P, Hernandez Sanchez S, Castejon Castejon M, Leon Garzon MC, Martinez Gil JL |
Journal of Sport Rehabilitation 2022 May;31(4):398-413 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVES: To evaluate the efficacy of 24 weeks of treatment with Mezieres method in a Spanish elite second-division soccer team with low back pain (LBP), analyzing their state of back health, flexibility, pain, and steps speed. Design: Double-blind randomized controlled trial. METHODS: A total of 20 players with LBP from the second soccer division league were allocated equally to the experimental and control groups (n = 10) as per selection criteria and participated in 2 different rehabilitation programs. The postural Mezieres method was implemented in the experimental group, whereas the standard European treatment protocol for LBP was implemented in the control group. Both treatments had a twice weekly session of 40 minutes duration for 24 weeks consecutively with a follow-up in the fourth, 12th, and 24th weeks. RESULTS: Multivariate analysis of covariance with the baseline assessment as a covariance showed a significant difference between groups at the 12th and 24th weeks of the treatment for pain and back functionality. A relevant difference between the experimental and control groups was shown only at the 24th week of the treatment (p < 0.05) for back flexibility. A significant difference between groups was reported for the quality of life scale and steps speed at the 24th week of the treatment (p > 0.05). CONCLUSION: The Mezieres method showed a positive effect in the elite soccer athletes with nonspecific chronic LBP and can be used as an alternative treatment.
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