Cargando…

Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial

Introduction. Lumbosacral dysfunctions and the resulting pain syndromes, such as low-back pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world. So far, a contributory role of thoracolumbar fascia (TLF) dysfunction in some cases of LBP has been sugge...

Descripción completa

Detalles Bibliográficos
Autores principales: Ożóg, Piotr, Weber-Rajek, Magdalena, Radzimińska, Agnieszka, Goch, Aleksander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8466764/
https://www.ncbi.nlm.nih.gov/pubmed/34575151
http://dx.doi.org/10.3390/jcm10184039
_version_ 1784573223250165760
author Ożóg, Piotr
Weber-Rajek, Magdalena
Radzimińska, Agnieszka
Goch, Aleksander
author_facet Ożóg, Piotr
Weber-Rajek, Magdalena
Radzimińska, Agnieszka
Goch, Aleksander
author_sort Ożóg, Piotr
collection PubMed
description Introduction. Lumbosacral dysfunctions and the resulting pain syndromes, such as low-back pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world. So far, a contributory role of thoracolumbar fascia (TLF) dysfunction in some cases of LBP has been suggested. Research also confirms that muscle resting activity level in the TLF area is increased in people with LBP. Myofascial release (MFR) is a therapeutic option offered to patients with chronic low-back pain (CLBP). The therapy aims to improve flexibility and sliding between layers of soft tissue, and thus decrease muscle activity, reduce pain intensity, and improve functional performance. Objective. This study aims to assess changes in resting activity of selected muscles within the TLF in a group of patients with CLBP immediately after a single MFR treatment and one month after the intervention. Methods. A total of 113 patients with CLBP completed the study. Simple randomization was applied to assign subjects to study groups. The experimental group (n = 59) underwent a single session of MFR therapy. No therapeutic intervention was applied to the control group (n = 54). Surface electromyography was used to evaluate positive treatment effects in patients immediately after receiving the therapy (experimental group) and after one month (experimental and control group). Results. A statistically reliable decrease in the activity of erector spinae (ES) and multifidus muscles (MF) was observed after a single session of MFR therapy. Effects of the treatment were present immediately after receiving the therapy and one month after the intervention. Conclusions. A single MFR treatment in patients with CLBP immediately reduces the resting activity levels of ES and MF. Results of measurements carried out one month after the treatment confirm that the therapeutic effects were maintained.
format Online
Article
Text
id pubmed-8466764
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84667642021-09-27 Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial Ożóg, Piotr Weber-Rajek, Magdalena Radzimińska, Agnieszka Goch, Aleksander J Clin Med Article Introduction. Lumbosacral dysfunctions and the resulting pain syndromes, such as low-back pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world. So far, a contributory role of thoracolumbar fascia (TLF) dysfunction in some cases of LBP has been suggested. Research also confirms that muscle resting activity level in the TLF area is increased in people with LBP. Myofascial release (MFR) is a therapeutic option offered to patients with chronic low-back pain (CLBP). The therapy aims to improve flexibility and sliding between layers of soft tissue, and thus decrease muscle activity, reduce pain intensity, and improve functional performance. Objective. This study aims to assess changes in resting activity of selected muscles within the TLF in a group of patients with CLBP immediately after a single MFR treatment and one month after the intervention. Methods. A total of 113 patients with CLBP completed the study. Simple randomization was applied to assign subjects to study groups. The experimental group (n = 59) underwent a single session of MFR therapy. No therapeutic intervention was applied to the control group (n = 54). Surface electromyography was used to evaluate positive treatment effects in patients immediately after receiving the therapy (experimental group) and after one month (experimental and control group). Results. A statistically reliable decrease in the activity of erector spinae (ES) and multifidus muscles (MF) was observed after a single session of MFR therapy. Effects of the treatment were present immediately after receiving the therapy and one month after the intervention. Conclusions. A single MFR treatment in patients with CLBP immediately reduces the resting activity levels of ES and MF. Results of measurements carried out one month after the treatment confirm that the therapeutic effects were maintained. MDPI 2021-09-07 /pmc/articles/PMC8466764/ /pubmed/34575151 http://dx.doi.org/10.3390/jcm10184039 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ożóg, Piotr
Weber-Rajek, Magdalena
Radzimińska, Agnieszka
Goch, Aleksander
Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title_full Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title_fullStr Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title_full_unstemmed Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title_short Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
title_sort analysis of muscle activity following the application of myofascial release techniques for low-back pain—a randomized-controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8466764/
https://www.ncbi.nlm.nih.gov/pubmed/34575151
http://dx.doi.org/10.3390/jcm10184039
work_keys_str_mv AT ozogpiotr analysisofmuscleactivityfollowingtheapplicationofmyofascialreleasetechniquesforlowbackpainarandomizedcontrolledtrial
AT weberrajekmagdalena analysisofmuscleactivityfollowingtheapplicationofmyofascialreleasetechniquesforlowbackpainarandomizedcontrolledtrial
AT radziminskaagnieszka analysisofmuscleactivityfollowingtheapplicationofmyofascialreleasetechniquesforlowbackpainarandomizedcontrolledtrial
AT gochaleksander analysisofmuscleactivityfollowingtheapplicationofmyofascialreleasetechniquesforlowbackpainarandomizedcontrolledtrial