Decrease of leg length discrepancy and kyphotic angle in patients with acute low back pain through osteopathic treatment and myofascial release

an RCT

Resumen

There is ongoing interest in fascia research search, particularly as a possible cause of low back pain (LBP). Spine shape parameters, such as leg length and kyphotic or lordotic angle, are influenced by low back pain. There is also evidence that the thoracolumbar fascia (TLF) plays a role in such pathologies. Changes in spinal shape parameters and TLF biomechanical behaviour have been reported for myofascial release (MFR) techniques and osteopathic treatment (OMT). The aim of this study was to investigate the immediate effects of a MFR on the TLF and of OMT on spinal shape parameters. Previous work testing the feasibility of this study showed promising changes in the myofascial chain system. This study was a single-blind randomized placebo-controlled trial. Seventy one subjects (43.8 ± 10.5 years) suffering from aLBP were blinded assessed, and randomly and blinded assigned to three groups. Fascial tissues, such as the TLF, are capable of active contraction, particularly in response to TGF-ß1. Its cytokine cascade is remarkably activated during chronic stress. MFR and OMT could have a regulatory effect on these pathologies.