Effects of diaphragmatic and iliopsoas myofascial release in patients with chronic low back pain: A randomized controlled study

dc.authorid0000-0003-2773-4613
dc.contributor.authorSığlan, Ümit
dc.contributor.authorÇolak, Serpil
dc.date.accessioned2022-12-02T07:43:00Z
dc.date.available2022-12-02T07:43:00Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractBackground: Myofascial release (MFR) technique is frequently used in musculoskeletal problems. There are many studies of the MFR technique on the diaphragm or iliopsoas muscle. However, no studies in the literature performed both diaphragmatic and iliopsoas MFR techniques in patients with chronic low back pain. Objective: To investigate the effects of diaphragmatic and iliopsoas MFR techniques on pain, lumbar spine range of motion (ROM), chest wall mobility, and flexibility in patients with chronic low back pain. Design: Randomized controlled clinical study. Participants: Forty-two participants with chronic low back pain, aged between 20 and 50 years. Intervention: The sample was randomly allocated into one of two groups; the myofascial group (n = 21) and control group (n = 21) received the MFR technique or the placebo MFR technique as a complementary therapy to traditional physiotherapy treatment. Outcome measures: Primary outcomes were pain, chest wall mobility, lumbar spine range of motion (ROM), and flexibility. Secondary outcomes were depression, kinesiophobia, and functional disability. Results: The MFR techniques significantly reduced the pain, with a between-group difference of ?2.05 (95% CI, ?2.93 to ?1.15) for rest, ?2.62 (95% CI, ?3.34 to ?1.89) for trunk flexion, and ?2.00 (95% CI, ?2.84 to ?1.16) for trunk extension in favor of the EG. MFR techniques significantly increased the lumbar spine ROM after interventions, with a between-group difference of 16.67° (95% CI, 8.87 to 24.47) for flexion, 7.63° (95% CI, 5.44 to 9.80) for extension and, 9.53° (95% CI, 6.57 to 12.48) for right lateral flexion. There was also a significant difference between the groups in flexibility in favor of the MG of 1.95 cm (95% CI, 1.41 to 2.49) for MST, ?13.52 cm (95% CI, ?20.18 to ?6.86) for trunk flexion and, ?4.37 cm (?6.50 to ?2.28) for right lateral flexion The MFR techniques also significantly increased the chest wall mobility after interventions, with a between-group difference of 2.52 cm (95% CI, 1.82 to 3.23) for the xiphoid region and 3.48 cm (95% CI, 2.60 to 4.36) for the subcostal region. Conclusion: Diaphragmatic and iliopsoas MFR techniques may be effective in pain, lumbar spine ROM, flexibility, and chest wall mobility in patients with chronic low back pain. Clinical trials identifier: NCT04415021.
dc.identifier.citationSığlan, Ü. ve Çolak, S. (2023). Effects of diaphragmatic and iliopsoas myofascial release in patients with chronic low back pain: A randomized controlled study. Journal of Bodywork and Movement Therapies, 33, 120-127. https://doi.org/10.1016/j.jbmt.2022.09.029
dc.identifier.doi10.1016/j.jbmt.2022.09.029
dc.identifier.endpage127
dc.identifier.issn1360-8592
dc.identifier.issn1532-9283
dc.identifier.pmid36775506
dc.identifier.scopus2-s2.0-85142437719
dc.identifier.scopusqualityQ2
dc.identifier.startpage120
dc.identifier.urihttps://doi.org/10.1016/j.jbmt.2022.09.029
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10062
dc.identifier.volume33
dc.identifier.wos000974480800001en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSığlan, Ümit
dc.institutionauthorÇolak, Serpil
dc.language.isoen
dc.publisherChurchill Livingstone
dc.relation.ispartofJournal of Bodywork and Movement Therapiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectDiaphragm
dc.subjectLow Back Pain
dc.subjectMyofascial Release Therapy
dc.subjectPhysical Therapy Modalities
dc.titleEffects of diaphragmatic and iliopsoas myofascial release in patients with chronic low back pain: A randomized controlled study
dc.typeArticle

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