Osteopathic treatment of lower back pain through mobilisation of the mesenterium. Research as to the added value of visceral manipulation in patients with non specific low back pain a randomized controlled clinical investigation.

Item

Title: Osteopathic treatment of lower back pain through mobilisation of the mesenterium. Research as to the added value of visceral manipulation in patients with non specific low back pain a randomized controlled clinical investigation.
Title: Osteopathic treatment of lower back pain through mobilisation of the mesenterium. Research as to the added value of visceral manipulation in patients with non specific low back pain a randomized controlled clinical investigation.
Author(s): Serve van der Linden
Abstract: NAME: Servé van der Linden. TUTOR: Alain Vermeersch. METHODOLOGICAL TUTOR: Quaghebeur Jörgen. YEAR: 2018. TITLE: Osteopathic treatment of lower back pain through mobilisation of the mesenterium RESEARCH TITLE: Research as to the added value of visceral manipulation in patients with nonspecific low back pain: a randomized controlled clinical investigation. BACKGROUND: An estimated 2,4 million Dutch adults are thought to have chronic lower back pain, with costs up to 3,5 billion euros a year. There is not enough knowledge on the cause and therefore on the different possible treatment options. OBJECTIVE: To investigate the potential effects of adding mesenterium treatment to mobilisation of the lower back evaluating pain (VAS), stiffness (VAS) and disability (QBPDS).
METHOD: Fifty five subjects, diagnosed with chronic low back pain, were randomised into an intervention group (N=27, 16 male and 11 females, 37,4 ± 8,8 years of age) and a control group (N=28, 13 males and 15 females, 35,0 ± 10,6 years of age). In the intervention group, osteopathic mesenterium techniques were used in addition to mobilisation techniques of the lower back to treat the subjects. The control group received the same mobilisation techniques of the lower back, but did not receive the osteopathic mesenterium techniques. Subjects received treatment four times in a period of two weeks. Measurements were conducted at the start, after the two week treatment period and six weeks after the treatment. RESULTS: A significant difference has been shown between the two groups concerning low back pain as measured by VAS (multivariate analysis of variance P=.012), stiffness of the lower back measured by VAS (multivariate analysis of variance P=.014) and function of the lower back measured by QBPDS (multivariate analysis of variance P=.038) comparing osteopathic intervention group with control group. DISCUSSION: This study showed that the addition of osteopathic mesenterium mobilisation to the mobilisation of the lumbar spine can have an added positive effect on improving pain, stiffness and disability of the lower back in patients suffering from non-specific chronic low back pain. This study indicates the importance of an osteopathic approach for chronic low back pain. However this study lacks power. The experience of the therapist might have influenced the results. In future research, longer follow-up period and more thorough screening and investigation is recommended. CONCLUSION: In patients with chronic low back pain osteopathic mesenterium techniques along with lumbar spine mobilisation appear to be more beneficial for magnitude of recovery of self-reported disability, pain and stiffness compared to treatment without osteopathic mesenterium techniques. KEYWORDS: chronic low back pain, mesenterium, osteopathy, mobilisation.
Abstract: NAME: Servé van der Linden. TUTOR: Alain Vermeersch. METHODOLOGICAL TUTOR: Quaghebeur Jörgen. YEAR: 2018. TITLE: Osteopathic treatment of lower back pain through mobilisation of the mesenterium RESEARCH TITLE: Research as to the added value of visceral manipulation in patients with nonspecific low back pain: a randomized controlled clinical investigation. BACKGROUND: An estimated 2,4 million Dutch adults are thought to have chronic lower back pain, with costs up to 3,5 billion euros a year. There is not enough knowledge on the cause and therefore on the different possible treatment options. OBJECTIVE: To investigate the potential effects of adding mesenterium treatment to mobilisation of the lower back evaluating pain (VAS), stiffness (VAS) and disability (QBPDS).
METHOD: Fifty five subjects, diagnosed with chronic low back pain, were randomised into an intervention group (N=27, 16 male and 11 females, 37,4 ± 8,8 years of age) and a control group (N=28, 13 males and 15 females, 35,0 ± 10,6 years of age). In the intervention group, osteopathic mesenterium techniques were used in addition to mobilisation techniques of the lower back to treat the subjects. The control group received the same mobilisation techniques of the lower back, but did not receive the osteopathic mesenterium techniques. Subjects received treatment four times in a period of two weeks. Measurements were conducted at the start, after the two week treatment period and six weeks after the treatment. RESULTS: A significant difference has been shown between the two groups concerning low back pain as measured by VAS (multivariate analysis of variance P=.012), stiffness of the lower back measured by VAS (multivariate analysis of variance P=.014) and function of the lower back measured by QBPDS (multivariate analysis of variance P=.038) comparing osteopathic intervention group with control group. DISCUSSION: This study showed that the addition of osteopathic mesenterium mobilisation to the mobilisation of the lumbar spine can have an added positive effect on improving pain, stiffness and disability of the lower back in patients suffering from non-specific chronic low back pain. This study indicates the importance of an osteopathic approach for chronic low back pain. However this study lacks power. The experience of the therapist might have influenced the results. In future research, longer follow-up period and more thorough screening and investigation is recommended. CONCLUSION: In patients with chronic low back pain osteopathic mesenterium techniques along with lumbar spine mobilisation appear to be more beneficial for magnitude of recovery of self-reported disability, pain and stiffness compared to treatment without osteopathic mesenterium techniques. KEYWORDS: chronic low back pain, mesenterium, osteopathy, mobilisation.
presented at: FICO
Date Accepted: 2018
Date Submitted: 11.7.2018 09:35:36
Type: osteo_thesis
Language: English
Number of pages: 61
Submitted by:: 4385
Pub-Identifier: 16182
Inst-Identifier: 1169
Keywords: chronic low back pain, mesenterium, osteopathy, mobilisation
Recommended: 1

Item sets: Thesis

Serve van der Linden, “Osteopathic treatment of lower back pain through mobilisation of the mesenterium. Research as to the added value of visceral manipulation in patients with non specific low back pain a randomized controlled clinical investigation.”, Osteopathic Research Web, accessed May 5, 2024, https://www.osteopathic-research.com/s/orw/item/2082