Manual Therapy, Posturology & Rehabilitation Journal
http://mtprehabjournal.com/doi/10.17784/mtprehabjournal.2017.15.523
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Maitland in chronic lumbar pain of young adults improves pain and functionality

Ferreira, Marcela da Gama e Silva; Mèlo, Luiz Carlos de; Mendonça, Horianna Cristina Silva de; Cabral, Kryslly Danielle de Amorim; Rodrigues, François Talles Medeiros; Nascimento, Lívia Shirahige Gomes do; Guerino, Marcelo Renato; Ferreira, Ana Paula de Lima; Araújo, Maria das Graças Rodrigues dex

Downloads: 1
Views: 214

Abstract

Background: Back pain is an injury to health that accompanies humans since the beginning of time. The pain in the column are recurrent complaints of the physical therapy students of the Universidade Federal de Pernambuco. Objective: The objective was to verify the effectiveness of the Maitland Method, to reduce pain and to improve the functionality of physical therapy students. Methods: 12 volunteers were analyzed in this study, four were allocated in the Intervention Group (IG) and eight in the Control Group (CG). They were evaluated for anthropometry, flexibility (finger-ground index), functionality (Roland Morris Questionnaire-QRM), pain level (Visual Analogue Scale-EVA), and perception of patient improvement. Results: In the QRM scores, it was observed that the CG showed a significant improvement over the initial evaluation in both the T1 (p= 0.026) and the T2 (p= 0.018) reevaluation. The same was observed in VAS in relation to T1 (p= 0.018) and T2 (p= 0.017). IG remained constant throughout the treatment. Conclusion: We can infer that both the Maitland Method and the exercises are effective for the reduction of pain and improvement of function in individuals with chronic low back pain.

Keywords

Low Back Pain, Students, Maitland Method, Exercises

References

1. Chou R., Huffman LH. Nonpharmacologic Therapies for Acute and Chronic Low Back Pain : A Review of the Evidence for an American Pain Society. Annals of Internal Medicin. 2007;147:492–504.

2. Garcia JBS, Hernandez-Castro JJ, Nunez RG, Pazos MAR., Aguirre JO, Jreige A et al. Prevalence of Low Back Pain in Latin America . Pain Physician. 2014;379–391.

3. Dagenais S, Gay RE, Tricco AC, Freeman MD, Mayer JM. Contemporary concepts in spine care: Spinal manipulation therapy for acute low back pain. The Spine Journal. 2010;10(10):918-40.

4. Campo M, Weiser S, Koenig KL, NordinM. Work-related musculoskeletal disorders in physical therapists: a prospective cohort study with 1-year follow-up. PhysTherapy. 2008;88(5):608–619.

5. Lazzaretti L, Steiner B. Increased prevalence of low back pain among physiotherapy students compared to medical students. European Spine Journal. 2011;500–505.

6. Pikar CG, Bolton PS. Spinal Manipulative Therapy and Somatosensory Activation. Journal of Electromyografy Kinesiology. 2013;22(5): 785–794.

7. Choi J, Hwangbo G, Park JLS. The Effects of Manual Therapy Using Joint Mobilization and Flexion-distraction Techniques on Chronic Low Back Pain and Disc Heights. The Society of Physical Therapy Science.2014; 26: 1259–1262.

8. Shum GL, Tsung BY, Lee RY. The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine. Archives of Physical Medicine and Rehabilitation. 2013;94(4):673–679.

9. Estrade J. Mobilisation postéro-antérieure selon Maitland: Fiabilité d’un test et validité d’un traitement. Kinésithérapie, la Revue. 2011;11(133):31-34.

10. Hush JM, Refshauge K, Sullivan G, Souza LDE, Maher CG, Auley JHMC et al. Recovery: What Does This Mean to Patients With Low Back Pain? Arthritis & Rheumatism (Arthritis Care & Research). 2009;61(1):124–131.

11. Aguiar LES, Oliveira MRT, Caldas RR, Correia MC, Rocha S, Carneiro MIS et al. Efeito do tempo de mobilização pelo método maitland nas cervicalgias e lombalgias inespecíficas. Man. Ther., Posturology Rehabil. J. 2014;12:334-339.

12. Sions JM, HicksGE. Fear-avoidance beliefs are associated with disability in older American adults with low back pain. Physical Therapy. 2011;91(4):525-34.

13. Silveira EA, Araújo CL, Gigante DP, Barros AJD, Lima MS. Validação do peso e altura referidos para o diagnóstico do estado nutricional em uma população de adultos no Sul do Brasil. Cadernos de Saúde Pública. 2005;21(1):235–245.

14. Donaldson M, Learman K, O’Halloran B, Showalter C, Cook C. The Role of Patients’ Expectation of Appropriate Initial Manual Therapy Treatment in Outcomes for Patients With Low Back Pain. Journal of Manipulative and Physiological Therapeutics. 2012;36(5):276–283.

15. Estrade JL. Mobilisation postéro-antérieure selon Maitland: Fiabilité d’un test et validité d’un traitement. Kinésithérapie, La Revue. 2011;11:31–34.

16. Moffett JK, Frost H. Back to Fitness Programme. Physiotherapy. 2000;86(6):295–305.

17. Heuch I, Heuch I, Hagen K, Zwart JA. Body mass index as a risk factor for developing chronic low back pain: a follow-up in the Nord-Trøndelag Health Study. Spine. 2013;38(2):133–9.

18. Santos SC, Knijnik JD. Adhesion Reasons to Pratice Activity in the Midle Age. Revista Mackenzie de Educação Física E Esporte. 2006;5(1):23.

19. Maitland GD, Hengeveld E, Banks K, English K. Manipulação vertebral – Maitland. 7th ed. Rio de Janeiro: Elsevier. 2007;552.

20. Powers CM, Beneck GJ, Kulig K, Landel RF, Fredericson M, Powers CM et al. Effects of a Single Session of Posterior- to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response. Journal of the American Physical Therapy Association. 2008;88:485-449.

21. Navega MT. Efeitos da terapia manual de Maitland em pacientes com lombalgia crônica. Rev. Ter. Man. 2011;9(44):450–456.

22. Khalsa PS, Eberhart A, Cotler A, Nahin R. The 2005 conference on the biology of manual therapies. Journal of Manipulative and Physiological Therapeutics. 2006;29(5): 341–6.

23. Snodgrass SJ, Rivett DA, Robertson VJ. Manual forces applied during posterior-to-anterior spinal mobilization: a review of the evidence. 2006;29(4):316–29.

24. Van der Roer N, Ostelo R, Bekkering G, Van Tulder M., de Vet HCW. Minimal Clinically Important Change for Pain Intensity , Functional Status , and General Health Status in Patients With Nonspecific Low. Spine. 2006;31(5):578-82.

25. Hoy D, Brooks P, Blyth F, BuchbinderR. The Epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24(6):769–781.

26. Blackwelder WC. “Proving the null hypothesis” in clinical trials. Controlled clinical trials. 1982;3(4):345-53.

5aa028cb0e8825c45077d857 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections