Clinical effectiveness of treating lower back pain through traditional manual therapy
DOI:
https://doi.org/10.24079/CAJMS.2026.01.003Keywords:
Manual therapy, Lower back pain, Spine, RadiographyAbstract
Objective: This study was aimed to assess the clinical outcomes of traditional manual therapy. Methods: Patients between 16–70 years of age with lower back pain received a 10-day course of rhythmical vibration based traditional manual therapy. Scoliosis angle, vertebral rotation, and intervertebral space were measured pre- and post-treatment using goniometry and radiographic analysis. Results: Significant improvements were observed in all assessments after therapy (p < 0.001). The average scoliosis angle increased by 1 – 2 degrees, vertebral rotation decreased by 2 – 4 mm while intervertebral space expanded by 1.2 – 1.6 mm, indicating improved spinal symmetry. Conclusions: Traditional manual therapy demonstrated measurable radiographic improvements in spinal alignment and intervertebral spacing, suggesting its clinical potential in managing in lower back pain through non-invasive correction of musculoskeletal dysfunctions.
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1. Buchbinder R, Blyth FM, March LM, et al. Placing the global burden of low back pain in context. Best Pract Res Clin Rheumatol. 2013;27(5):575-589. https://doi.org/10.1016/j.berh.2013.10.007
2. World Health Organization Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser. 2003;919:i-218.
3. Vavken P, Dorotka R. Burden of musculoskeletal disease and its determination by urbanicity, socioeconomic status, age, and sex: results from 14,507 subjects. Arthritis Care Res (Hoboken). 2011;63(11):1558-1564. https://doi.org/10.1002/acr.20558
4. Grieves B, Menke JM, Pursel KJ. Cost minimization analysis of low back pain claims data for chiropractic vs medicine in a managed care organization. J Manipulative Physiol Ther. 2009;32(9):734-739. https://doi.org/10.1016/j.jmpt.2009.10.001
5. Wu A, March L, Zheng X, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020;8(6):299. https://doi.org/10.21037/atm.2020.02.175
6. Harper B, Jagger K, Aron A, et al. A commentary review of the cost effectiveness of manual therapies for neck and low back pain. J Bodyw Mov Ther. 2017;21(3):684-691. https://doi.org/10.1016/j.jbmt.2016.09.014
7. Lurie J, Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2016;352:h6234. https://doi.org/10.1136/bmj.h6234
8. Farrokhi S, Mazzone B, Schneider M, et al. Biopsychosocial risk factors associated with chronic low back pain after lower limb amputation. Med Hypotheses. 2017;108:1-9. https://doi.org/10.1016/j.mehy.2017.07.030
9. Angst F, Angst J, Ajdacic-Gross V, et al. Epidemiology of back pain in young and middle-aged adults: a longitudinal population cohort survey from age 27–50 years. Psychosomatics. 2017;58(6):604-613. https://doi.org/10.1016/j.psym.2017.05.004
10. Miller MM, Allison A, Trost Z, et al. Differential effect of patient weight on pain-related judgements about male and female chronic low back pain patients. J Pain. 2018;19(1):57-66. https://doi.org/10.1016/j.jpain.2017.09.001
11. Custers P, Van de Kelft E, Eeckhaut B, et al. Clinical examination, diagnosis, and conservative treatment of chronic low back pain: a narrative review. Life (Basel). 2024;14(9):1090. https://doi.org/10.3390/life14091090
12. Nolet PS, Yu H, Côté P, et al. Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review. Chiropr Man Therap. 2021;29(1):33. https://doi.org/10.1186/s12998-021-00384-3
13. Chen PC, Wei L, Huang CY, et al. The effect of massage force on relieving nonspecific low back pain: a randomized controlled trial. Int J Environ Res Public Health. 2022;19(20):13191. https://doi.org/10.3390/ijerph192013191
14. Kim G, Kim D, Moon H, et al. Acupuncture and acupoints for low back pain: systematic review and meta-analysis. Am J Chin Med. 2023;51(02):223-247. https://doi.org/10.1142/s0192415x23500131
15. Tikhile P, Patil DS. Unveiling the efficacy of physiotherapy strategies in alleviating low back pain: a comprehensive review of interventions and outcomes. Cureus. 2024;16(3):e56013. https://doi.org/10.7759/cureus.56013
16. Voute M, Morel V, Pickering G. Topical lidocaine for chronic pain treatment. Drug Des Devel Ther. 2021;15:4091-4103. https://doi.org/10.2147/dddt.s328228
17. Haji Y, Taddesse F, Serka S, et al. Effect of balneotherapy on chronic low back pain at hot springs in southern Ethiopia: perceived improvements from pain. J Pain Res. 2021;14:2491-2500. https://doi.org/10.2147/jpr.s322603
18. Ivanichev GA, Live AA. Manual’naia terapiia ili (i) osteopatiia [Manual therapy or (and) osteopathy]. Nevrologicheskii Vestnik. 2016;48(1):98-108. https://doi.org/10.17816/nb13994
19. Liuke M, Solovieva S, Lamminen A, et al. Disc degeneration of the lumbar spine in relation to overweight. Int J Obes (Lond). 2005;29(8):903-908. https://doi.org/10.1038/sj.ijo.0802974
20. Walsh TP, Arnold JB, Evans AM, et al. The association between body fat and musculoskeletal pain: a systematic review and meta-analysis. BMC Musculoskeletal Disord. 2018;19(1):233. https://doi.org/10.1186/s12891-018-2137-0
21. Ferguson S. Biomechanics of the Spine. In: Boos N, Aebi M, eds. Spinal Disorders: Fundamentals of Diagnosis and Treatment. Berlin, Germany: Springer; 2008:41-66. https://www.uotbih.ba/images/pdf-knjige/spinal-disorders-boose-n.pdf
22. Lam GC, Hill DL, Le LH, et al. Vertebral rotation measurement: a summary and comparison of common radiographic and CT methods. Scoliosis. 2008;3(1):16. https://doi.org/10.1186/1748-7161-3-16
23. Aktaş YY, Karabulut N. A cross sectional study on complementary and alternative medicine use among a sample of Turkish hospital outpatients with chronic lower back pain. Eur J Integr Med. 2017;16:33-38. https://doi.org/10.1016/j.eujim.2017.10.004
24. Ji H, Shin S, Kim Y, et al. Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service National Patient Sample Data. Medicina (Kaunas). 2023;59(9):1582. https://doi.org/10.3390/medicina59091582
25. Kong PW, Chua YH, Kawabata M, et al. Effect of post-exercise massage on passive muscle stiffness measured using myotonometry a double-blind study. J Sports Sci Med. 2018;17(4):599.
26. Xie J, Fu M, Liu T, et al. Clinical studies on the electric automatic massage therapy for recovery of acute sports fatigue. Technol Health Care. 2023;31(S1):185-197. https://doi.org/10.3233/thc-236016
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