A comparison of Balance Ligamentous Tension (BLT) of the l2th rib and Muscle Energy Technique (MET) of quadratus lumborum (QL) affecting active range of motion in flexion of the lumbar spine (AROMFLsp) and pressure-pain threshold (PPT) in asymptomatic ind
Item
- Title
- A comparison of Balance Ligamentous Tension (BLT) of the l2th rib and Muscle Energy Technique (MET) of quadratus lumborum (QL) affecting active range of motion in flexion of the lumbar spine (AROMFLsp) and pressure-pain threshold (PPT) in asymptomatic ind
- Author(s)
- Jordan, E
- Abstract
- Background Many patients suffering from non-specific low back pain (NSLBP) seek osteopathic treatment. Treatment aims to improve overall function and reduce pain; however there is limited evidence into the effect of many osteopathic techniques on pain pathways and spinal function. In addition, quantitative research into the effect of these techniques is lacking, particularly for BLT for which no published scientific evidence exists. Objective: To investigate the effect of BLT of the l2th rib and MET of QL on QL PPT and AROMFLsp. Design: Randomized controlled experimental study using independent. Methods: 60 subjects were recruited. Exclusion criteria: any medication or conditions affecting pain pathways, the nervous or musculoskeletal systems, >4/10 determined by a (Numeric rating scale) NRS The subjects were randomly divided into three groups of equal size: one receiving MET of QL bilaterally, another receiving BLT of the 12lh rib bilaterally and a control group. Before and after the intervention AROMFLsp was measured using the Modified-Modified Schober Test (MMST) and PPT's were measured on QL bilaterally using a hand held pressure algometer. Data was analysed using Analyse-it; it was tested for normality of distribution with the Shapiro-Wilks test and for equality of variance with the Levene's test. AROMFLsp data was analysed with ANOVA and QL PPT data was analysed with the Kruskal-Wallis test to determine differences between groups. Results: Both ANOVA (p=0.88) and the Kruskal-Wallis test (p=0.50) showed no significant difference between AROMFLsp or QL PPT in BLT and MET groups compared to controls. Discussion: Neither technique increased AROMFLsp or QL PPT in asymptomatic individuals. Significant change has only been reported following MET in individuals with spinal restrictions, MTrP's or LBP. Research into BLT needs to be instigated. This study suggests that MET and BLT may not produce substantial physiological effects on asymptomatic individuals. Conclusion: Neither technique produced a significant effect on pressure pain sensitivity or spinal ROM in asymptomatic individuals. Further research is recommended on a symptomatic population.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:54:59
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15899
- Inst-Identifier
- 1229
- Keywords
- Balance Ligamentous Tension; Lumbar spine range of motion; Muscle Energy Technique; Pressure-pain threshold.
- Recommended
- 0
- Item sets
- Thesis
Jordan, E, “A comparison of Balance Ligamentous Tension (BLT) of the l2th rib and Muscle Energy Technique (MET) of quadratus lumborum (QL) affecting active range of motion in flexion of the lumbar spine (AROMFLsp) and pressure-pain threshold (PPT) in asymptomatic ind”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/582