Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain

Dimitorva Vesela; Sazdova Lyubomira

doi:doi:10.11648/j.rs.20220702.11

| Peer-Reviewed

Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain

Dimitorva Vesela, Sazdova Lyubomira

Published in Rehabilitation Science (Volume 7, Issue 2)

Received: 24 October 2021 Accepted: 15 March 2022 Published: 7 May 2022

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Preliminary clinical study for patients with Nonspecific low back pain. The aim of the study is to present techniques for myofascial treatment and to determine their effectiveness in patients with nonspecific low back pain (NSLBP). Methodology: Myofascial treatment techniques are presented combined with specific fascial exercises and their effectiveness is estimated in 25 patients with nonspecific low back pain. Outcome measures include assessment of pain intensity by Visual Analogue Scale (VAS), Slump test, discriminatory sensibility and mobility test. All patients were assessed prior to the start of the therapy and at the follow-up at the 1st month. Results: Myofascial therapy combined with specific exercises produced statistically significant improvement in both pain and function in our patients suffering from nonspecific low back pain. Conclusions: The outcomes confirm the effectiveness of the techniques and they could be successfully implemented as a part of existing physiotherapeutic programs for patients with nonspecific low back pain. Due to the short follow up, we suggest considering the data as preliminary findings and further research is needed.

Published in	Rehabilitation Science (Volume 7, Issue 2)
DOI	10.11648/j.rs.20220702.11
Page(s)	16-19
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Low Back Pain, Myofascial Treatment, Tests of Spinal Mobility

References

[1]	Arguisuelas MD, Lisón JF, Doménech-Fernández J, Martínez-Hurtado I, Salvador Coloma P, Sánchez-Zuriaga D. Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: Randomized controlled trial. Clin Biomech (Bristol, Avon). 2019 Mar; 63: 27-33. doi: 10.1016/j.clinbiomech.2019.02.009. Epub 2019 Feb 14. PMID: 30784788.
[2]	Bordoni B, Mahabadi N, Varacallo M. Anatomy, Fascia. [Updated 2021 Jul 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493232/
[3]	Casato G, Stecco C, Busin R. Role of fasciae in nonspecific low back pain. Eur J Transl Myol. 2019 Aug 6; 29 (3): 8330. doi: 10.4081/ejtm.2019.8330. PMID: 31579477; PMCID: PMC6767839.
[4]	Chen Z, Wu J, Wang X, Wu J, Ren Z. The effects of myofascial release technique for patients with low back pain: A systematic review and meta-analysis. Complement Ther Med. 2021 Jun; 59: 102737. doi: 10.1016/j.ctim.2021.102737. Epub 2021 May 10. PMID: 33984499.
[5]	Clark S, Horton R. Low back pain: a major global challenge. Lancet. 2018; 391 (10137): 2302. doi: 10.1016/S0140-6736(18)30725-6.
[6]	Dittrich, RJ. (1964) Lumbodorsal fascia and related structures as factors in disability. The Journal-Lancet, 6: 923-7. https://www.ncbi.nlm.nih.gov/pubmed/14229592/
[7]	Gonzalez, C. A. A., Driscoll, M., Schleip, R., Wearing, S., Jacobson, E., Findley, T., & Klingler, W. (2018). Frontiers in fascia research. Journal of bodywork and movement therapies, 22 (4), 873-880.
[8]	Helene M. Langevin, Karen J. Sherman, Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms., Medical Hypotheses (2006), doi: 10.1016/j.mehy.2006.06.033.
[9]	Henschke N, Lorenz E, Pokora R, Michaleff ZA, Quartey JNA, Oliveira VC. Understanding cultural influences in back pain and back pain research. Best Pract Res Clin Rheumatol. 2016; 30 (6): 1037–1049. doi: 10.1016/j.berh.2017.08.004. [PubMed] [CrossRef] [Google Scholar].
[10]	Malanga GA, Cruz Colon EJ. Myofascial low back pain: a review. Phys Med Rehabil Clin N Am. 2010 Nov; 21 (4): 711-24. doi: 10.1016/j.pmr.2010.07.003. PMID: 20977957.
[11]	Manheim C. J., The myofascial release manual, Slack Incorporated (2001).
[12]	Morrison, W. (2019). What You Should Know About Low Back Pain. https://www.healthline.com/health/low-back-pain-acute/
[13]	Phillips FM, Slosar PJ, Youssef JA, Andersson G. Lumbar Spine Fusion for Chronic Low Back Pain due to Degenerative Disc Disease: A Systematic Review. Spine, 2013, (Phila Pa 1976).
[14]	Stecco, A., et al (2013). Fascial components of the myofascial pain syndrome. Current Pain and Headache Reports, 17 (8): 352 https://www.ncbi.nlm.nih.gov/pubmed/23801005/
[15]	Stecco C., The Fascial Manipulation Technique and Its Biomechanical Model: A Guide to the Human Fascial System, Int J Ther Massage Bodywork. 2010; 3 (1): 38–40.
[16]	Schleip, R., et al (2007). Letter to the editor concerning ‘A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction’ (M. Panjabi) European Spine Journal, 16 (10): 1733–1735.
[17]	Schleip, R. (2017). Fascia as a sensory organ. Fascia in the Osteopathic Field.
[18]	Wang X., Ma Q., Zhou J., et al. Expert consensus on exercise therapy for low back pain China Sport Sci, 039 (003) (2019), pp. 19-29.
[19]	Willard, F H et al. “The thoracolumbar fascia: anatomy, function and clinical considerations.” Journal of anatomy vol. 221, 6 (2012): 507-36. doi: 10.1111/j.1469-7580.2012.01511.
[20]	Wilke, J., et al (2017). The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative. Review. https://www.researchgate.net/publication/316432342/

Cite This Article

Plain Text BibTeX RIS

APA Style

Dimitorva Vesela, Sazdova Lyubomira. (2022). Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabilitation Science, 7(2), 16-19. https://doi.org/10.11648/j.rs.20220702.11

Copy | Download

ACS Style

Dimitorva Vesela; Sazdova Lyubomira. Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabil. Sci. 2022, 7(2), 16-19. doi: 10.11648/j.rs.20220702.11

Copy | Download

AMA Style

Dimitorva Vesela, Sazdova Lyubomira. Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabil Sci. 2022;7(2):16-19. doi: 10.11648/j.rs.20220702.11

Copy | Download

@article{10.11648/j.rs.20220702.11,
  author = {Dimitorva Vesela and Sazdova Lyubomira},
  title = {Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain},
  journal = {Rehabilitation Science},
  volume = {7},
  number = {2},
  pages = {16-19},
  doi = {10.11648/j.rs.20220702.11},
  url = {https://doi.org/10.11648/j.rs.20220702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20220702.11},
  abstract = {Preliminary clinical study for patients with Nonspecific low back pain. The aim of the study is to present techniques for myofascial treatment and to determine their effectiveness in patients with nonspecific low back pain (NSLBP). Methodology: Myofascial treatment techniques are presented combined with specific fascial exercises and their effectiveness is estimated in 25 patients with nonspecific low back pain. Outcome measures include assessment of pain intensity by Visual Analogue Scale (VAS), Slump test, discriminatory sensibility and mobility test. All patients were assessed prior to the start of the therapy and at the follow-up at the 1st month. Results: Myofascial therapy combined with specific exercises produced statistically significant improvement in both pain and function in our patients suffering from nonspecific low back pain. Conclusions: The outcomes confirm the effectiveness of the techniques and they could be successfully implemented as a part of existing physiotherapeutic programs for patients with nonspecific low back pain. Due to the short follow up, we suggest considering the data as preliminary findings and further research is needed.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain
AU  - Dimitorva Vesela
AU  - Sazdova Lyubomira
Y1  - 2022/05/07
PY  - 2022
N1  - https://doi.org/10.11648/j.rs.20220702.11
DO  - 10.11648/j.rs.20220702.11
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 16
EP  - 19
PB  - Science Publishing Group
SN  - 2637-594X
UR  - https://doi.org/10.11648/j.rs.20220702.11
AB  - Preliminary clinical study for patients with Nonspecific low back pain. The aim of the study is to present techniques for myofascial treatment and to determine their effectiveness in patients with nonspecific low back pain (NSLBP). Methodology: Myofascial treatment techniques are presented combined with specific fascial exercises and their effectiveness is estimated in 25 patients with nonspecific low back pain. Outcome measures include assessment of pain intensity by Visual Analogue Scale (VAS), Slump test, discriminatory sensibility and mobility test. All patients were assessed prior to the start of the therapy and at the follow-up at the 1st month. Results: Myofascial therapy combined with specific exercises produced statistically significant improvement in both pain and function in our patients suffering from nonspecific low back pain. Conclusions: The outcomes confirm the effectiveness of the techniques and they could be successfully implemented as a part of existing physiotherapeutic programs for patients with nonspecific low back pain. Due to the short follow up, we suggest considering the data as preliminary findings and further research is needed.
VL  - 7
IS  - 2
ER  -

Copy | Download

Author Information

Dimitorva Vesela

National Specialized Hospital for "Physical Therapy and Rehabilitation", "Ovcha kupel", Sofia, Bulgaria
Sazdova Lyubomira

National Specialized Hospital for "Physical Therapy and Rehabilitation", "Ovcha kupel", Sofia, Bulgaria

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Dimitorva Vesela, Sazdova Lyubomira. (2022). Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabilitation Science, 7(2), 16-19. https://doi.org/10.11648/j.rs.20220702.11

Copy | Download

ACS Style

Dimitorva Vesela; Sazdova Lyubomira. Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabil. Sci. 2022, 7(2), 16-19. doi: 10.11648/j.rs.20220702.11

Copy | Download

AMA Style

Dimitorva Vesela, Sazdova Lyubomira. Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain. Rehabil Sci. 2022;7(2):16-19. doi: 10.11648/j.rs.20220702.11

Copy | Download

@article{10.11648/j.rs.20220702.11,
  author = {Dimitorva Vesela and Sazdova Lyubomira},
  title = {Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain},
  journal = {Rehabilitation Science},
  volume = {7},
  number = {2},
  pages = {16-19},
  doi = {10.11648/j.rs.20220702.11},
  url = {https://doi.org/10.11648/j.rs.20220702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20220702.11},
  abstract = {Preliminary clinical study for patients with Nonspecific low back pain. The aim of the study is to present techniques for myofascial treatment and to determine their effectiveness in patients with nonspecific low back pain (NSLBP). Methodology: Myofascial treatment techniques are presented combined with specific fascial exercises and their effectiveness is estimated in 25 patients with nonspecific low back pain. Outcome measures include assessment of pain intensity by Visual Analogue Scale (VAS), Slump test, discriminatory sensibility and mobility test. All patients were assessed prior to the start of the therapy and at the follow-up at the 1st month. Results: Myofascial therapy combined with specific exercises produced statistically significant improvement in both pain and function in our patients suffering from nonspecific low back pain. Conclusions: The outcomes confirm the effectiveness of the techniques and they could be successfully implemented as a part of existing physiotherapeutic programs for patients with nonspecific low back pain. Due to the short follow up, we suggest considering the data as preliminary findings and further research is needed.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Myofascial Techniques as a Part of the Treatment of Nonspecific Low Back Pain
AU  - Dimitorva Vesela
AU  - Sazdova Lyubomira
Y1  - 2022/05/07
PY  - 2022
N1  - https://doi.org/10.11648/j.rs.20220702.11
DO  - 10.11648/j.rs.20220702.11
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 16
EP  - 19
PB  - Science Publishing Group
SN  - 2637-594X
UR  - https://doi.org/10.11648/j.rs.20220702.11
AB  - Preliminary clinical study for patients with Nonspecific low back pain. The aim of the study is to present techniques for myofascial treatment and to determine their effectiveness in patients with nonspecific low back pain (NSLBP). Methodology: Myofascial treatment techniques are presented combined with specific fascial exercises and their effectiveness is estimated in 25 patients with nonspecific low back pain. Outcome measures include assessment of pain intensity by Visual Analogue Scale (VAS), Slump test, discriminatory sensibility and mobility test. All patients were assessed prior to the start of the therapy and at the follow-up at the 1st month. Results: Myofascial therapy combined with specific exercises produced statistically significant improvement in both pain and function in our patients suffering from nonspecific low back pain. Conclusions: The outcomes confirm the effectiveness of the techniques and they could be successfully implemented as a part of existing physiotherapeutic programs for patients with nonspecific low back pain. Due to the short follow up, we suggest considering the data as preliminary findings and further research is needed.
VL  - 7
IS  - 2
ER  -

Copy | Download