PMID- 30691738
OWN - NLM
STAT- MEDLINE
DCOM- 20190610
LR  - 20220409
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 23
IP  - 1
DP  - 2019 Jan
TI  - Fascial manipulation vs. standard physical therapy practice for low back pain 
      diagnoses: A pragmatic study.
PG  - 115-121
LID - S1360-8592(18)30449-2 [pii]
LID - 10.1016/j.jbmt.2018.10.007 [doi]
AB  - BACKGROUND: Connective tissue mobility alters motor unit recruitment, but the 
      restoration of fascial mobility allows for optimal motor function. The Fascial 
      Manipulation((R)) (FM((R))) method is a multiplanar approach that assesses and treats 
      the mobility of deep fascia in specific anatomical locations where motor units 
      converge. OBJECTIVES: To assess the effects of FM((R)) vs. standard physical 
      therapy treatment (SPT) in patients with low back pain (LBP). DESIGN: Six-months 
      controlled clinical trial. METHOD: 102 participants with LBP received SPT or 
      FM((R)). Numeric Pain Rating Scale (NPRS), 15- point Global Rating of Change 
      (GROC), and Oswestry Disability Index (ODI) were used to monitor progress. 
      RESULTS: The FM((R)) group had a significantly lower ODI (p < 0.009) and NPS scores 
      (p < 0.0001) and significantly higher GROC scores (p < 0.003) once their means 
      were adjusted for initial scores. When comparing the SPT to FM((R)), the final ODI 
      decreased by at least 1 category in 48.9% of the SPT cases, while in 36.2% of the 
      cases was no change. ODI minimal clinical importance difference (MCID) change of 
      10% decrease in scores occurred in 70.2% of the SPT group compared to 96% of the 
      FM((R)) group (p = 0.003). ODI MCID change of 50% decrease in scores occurred in 
      40% of the SPT group compared to 64.6% of the FM((R)) group (p = 0.02) 44.7% of the 
      participants in the SPT group had final GROC values above +5 at discharge, 
      compared to 92% of the participants from the FM((R)) group (p = 0.0001). The FM((R)) 
      subjects had almost three times the change in NPRS compared to SPT counterparts 
      (-4.3 +/- 2.2 to -1.5  +/- 2.4, p=0.0001). CONCLUSIONS: FM((R)) appears to improve 
      NPRS, GROC, and ODI more than SPT. FM((R)) may provide an effective treatment 
      technique for LBP.
CI  - Copyright (c) 2018 Elsevier Ltd. All rights reserved.
FAU - Harper, Brent
AU  - Harper B
AD  - Radford University, Doctor of Physical Therapy Program, College of Health and 
      Human Services, USA. Electronic address: bharper2@radford.edu.
FAU - Steinbeck, Larry
AU  - Steinbeck L
AD  - Radford University, Doctor of Physical Therapy Program, College of Health and 
      Human Services, USA.
FAU - Aron, Adrian
AU  - Aron A
AD  - Radford University, Doctor of Physical Therapy Program, College of Health and 
      Human Services, USA.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20181103
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - Adult
MH  - Aged
MH  - Disability Evaluation
MH  - Fascia/*physiopathology
MH  - Female
MH  - Humans
MH  - Low Back Pain/*therapy
MH  - Male
MH  - Middle Aged
MH  - Muscle Strength
MH  - Pain Measurement
MH  - *Physical Therapy Modalities
MH  - Quality of Life
MH  - Range of Motion, Articular
MH  - Severity of Illness Index
MH  - Therapy, Soft Tissue/*methods
OTO - NOTNLM
OT  - Fascia
OT  - Fascial manipulation
OT  - Low back pain
OT  - Motor unit
EDAT- 2019/01/30 06:00
MHDA- 2019/06/14 06:00
CRDT- 2019/01/30 06:00
PHST- 2018/01/27 00:00 [received]
PHST- 2018/05/28 00:00 [revised]
PHST- 2018/08/25 00:00 [accepted]
PHST- 2019/01/30 06:00 [entrez]
PHST- 2019/01/30 06:00 [pubmed]
PHST- 2019/06/14 06:00 [medline]
AID - S1360-8592(18)30449-2 [pii]
AID - 10.1016/j.jbmt.2018.10.007 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2019 Jan;23(1):115-121. doi: 10.1016/j.jbmt.2018.10.007. Epub 
      2018 Nov 3.