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Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial.

Publication ,  Journal Article
Bade, M; Cobo-Estevez, M; Neeley, D; Pandya, J; Gunderson, T; Cook, C
Published in: J Eval Clin Pract
August 2017

RATIONALE: The benefits of providing manual therapy and exercise targeting the hips in individuals with mechanical low-back pain (LBP) are not well established. OBJECTIVES: The objective in this study is to determine whether a formal prescriptive treatment protocol for the hips improves outcomes in patients with a primary complaint of mechanical LBP. METHODS: Eighty-four (84) subjects (50 males, 46.1 ± 16.2 years) were randomized to 1 of 2 groups: pragmatic treatment of the lumbar spine only (LBP) (n = 39) or pragmatic treatment of the lumbar spine and prescriptive treatment of bilateral hips (LBP + HIP) (n = 45). Pragmatic treatment of the lumbar spine was based upon published clinical guidelines. Prescriptive treatment of the hips involved the use of 3 hip exercises targeting the gluteal musculature and 3 mobilization techniques targeting the hips. Subjects were assessed at baseline, 2 weeks, and at discharge with the following measures: Modified Oswestry Disability Index, Numeric Pain Rating Scale, a global rating of change (GRoC) score, the patient acceptable symptom state (PASS), and patient satisfaction. RESULTS: At 2 weeks, significant differences between groups differences were found in GRoC and patient satisfaction (P < .05) favoring the LBP + HIP group. At discharge, there were significant differences on the Modified Oswestry Disability Index, numeric pain rating scale, GRoC, and patient satisfaction favoring the LBP + HIP group (P < .05). Effect sizes were small to medium. CONCLUSION: Our findings suggest that a prescriptive treatment of the hips may be of clinical value to individuals presenting with the primary complaint of mechanical LBP.

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Published In

J Eval Clin Pract

DOI

EISSN

1365-2753

Publication Date

August 2017

Volume

23

Issue

4

Start / End Page

734 / 740

Location

England

Related Subject Headings

  • Musculoskeletal Manipulations
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Low Back Pain
  • Humans
  • Hip
  • Health Policy & Services
  • Female
  • Exercise Therapy
 

Citation

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Bade, M., Cobo-Estevez, M., Neeley, D., Pandya, J., Gunderson, T., & Cook, C. (2017). Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. J Eval Clin Pract, 23(4), 734–740. https://doi.org/10.1111/jep.12705
Bade, Michael, Manuel Cobo-Estevez, Darren Neeley, Jeevan Pandya, Travis Gunderson, and Chad Cook. “Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial.J Eval Clin Pract 23, no. 4 (August 2017): 734–40. https://doi.org/10.1111/jep.12705.
Bade M, Cobo-Estevez M, Neeley D, Pandya J, Gunderson T, Cook C. Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. J Eval Clin Pract. 2017 Aug;23(4):734–40.
Bade, Michael, et al. “Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial.J Eval Clin Pract, vol. 23, no. 4, Aug. 2017, pp. 734–40. Pubmed, doi:10.1111/jep.12705.
Bade M, Cobo-Estevez M, Neeley D, Pandya J, Gunderson T, Cook C. Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial. J Eval Clin Pract. 2017 Aug;23(4):734–740.
Journal cover image

Published In

J Eval Clin Pract

DOI

EISSN

1365-2753

Publication Date

August 2017

Volume

23

Issue

4

Start / End Page

734 / 740

Location

England

Related Subject Headings

  • Musculoskeletal Manipulations
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Low Back Pain
  • Humans
  • Hip
  • Health Policy & Services
  • Female
  • Exercise Therapy