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| Can a single trial of a thoracolumbar myofascial release technique reduce pain and disability in chronic low back pain? A randomized balanced crossover study |
| Paulo LR, Lacerda ACR, Martins FLM, Fernandes JSC, Vieira LS, Guimaraes CQ, Ballesteros SSG, Dos Anjos MTS, Tavares PA, da Fonseca SF, Oliveira MX, Bernardo-Filho M, de Sa-Caputo DDC, Mendonca VA, Taiar R |
| Journal of Clinical Medicine 2021 May;10(9):2006 |
| clinical trial |
| 7/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; 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* |
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Although manual therapy for pain relief has been used as an adjunct in treatments for chronic low back pain (CLBP), there is still the belief that a single session of myofascial release would be effective. This study was a crossover clinical trial aimed to investigate whether a single session of a specific myofascial release technique reduces pain and disability in subjects with CLBP. 41 participants over 18 years old were randomly enrolled into 3 situations in a balanced and crossover manner: experimental, placebo, and control. The subjects underwent a single session of myofascial release on thoracolumbar fascia and the results were compared with the control and placebo groups. The outcomes, pain and functionality, were evaluated using the numerical pain rating scale (NPRS), pressure pain threshold (PPT), and Oswestry Disability Index (ODI). There were no effects between-tests, within-tests, nor for interaction of all the outcomes, ie, NPRS (eta2 = 0.32, F = 0.48, p = 0.61), PPT (eta2 = 0.73, F = 2.80, p = 0.06), ODI (eta2 = 0.02, F = 0.02, p = 0.97). (4) CONCLUSION: a single trial of a thoracolumbar myofascial release technique was not enough to reduce pain intensity and disability in subjects with CLBP.
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