Effect of muscle energy technique with and without strain-counterstrain technique in acute low back pain-A randomized clinical trial

Vivek Dineshbhai Patel, Charu Eapen, Zulfeequer Ceepee, Ramachandra Kamath

Research output: Contribution to journalArticle

Abstract

Background: Muscle energy technique (MET) and strain-counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant (p<0.05) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference (p>0.05) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.

Original languageEnglish
Pages (from-to)41-51
Number of pages11
JournalHong Kong Physiotherapy Journal
Volume38
Issue number1
DOIs
Publication statusPublished - 01-06-2018

Fingerprint

Low Back Pain
Randomized Controlled Trials
Muscles
Articular Range of Motion
Pain
Therapeutics
Visual Analog Scale
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

@article{006d16e830bd4af09426bb4c909826ef,
title = "Effect of muscle energy technique with and without strain-counterstrain technique in acute low back pain-A randomized clinical trial",
abstract = "Background: Muscle energy technique (MET) and strain-counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant (p<0.05) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference (p>0.05) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.",
author = "Patel, {Vivek Dineshbhai} and Charu Eapen and Zulfeequer Ceepee and Ramachandra Kamath",
year = "2018",
month = "6",
day = "1",
doi = "10.1142/S1013702518500051",
language = "English",
volume = "38",
pages = "41--51",
journal = "Hong Kong Physiotherapy Journal",
issn = "1013-7025",
publisher = "Hong Kong Physiotherapy Association",
number = "1",

}

Effect of muscle energy technique with and without strain-counterstrain technique in acute low back pain-A randomized clinical trial. / Patel, Vivek Dineshbhai; Eapen, Charu; Ceepee, Zulfeequer; Kamath, Ramachandra.

In: Hong Kong Physiotherapy Journal, Vol. 38, No. 1, 01.06.2018, p. 41-51.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effect of muscle energy technique with and without strain-counterstrain technique in acute low back pain-A randomized clinical trial

AU - Patel, Vivek Dineshbhai

AU - Eapen, Charu

AU - Ceepee, Zulfeequer

AU - Kamath, Ramachandra

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Background: Muscle energy technique (MET) and strain-counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant (p<0.05) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference (p>0.05) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.

AB - Background: Muscle energy technique (MET) and strain-counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant (p<0.05) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference (p>0.05) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.

UR - http://www.scopus.com/inward/record.url?scp=85054203592&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054203592&partnerID=8YFLogxK

U2 - 10.1142/S1013702518500051

DO - 10.1142/S1013702518500051

M3 - Article

VL - 38

SP - 41

EP - 51

JO - Hong Kong Physiotherapy Journal

JF - Hong Kong Physiotherapy Journal

SN - 1013-7025

IS - 1

ER -