Variation of painful symptomatic response in the lumbar spine by visceral manipulation

Authors

  • Rafael do Nascimento Bentes UNAMA

DOI:

https://doi.org/10.33233/fb.v22i1.4091

Keywords:

pain, manual therapy, manipulation therapy

Abstract

Introduction: Visceral manipulation is currently a treatment widely used by osteopaths worldwide, however, its basis of mechanisms is still poorly understood, and there is a lack of published research on such interventions. The concept for treatment is based on the action on fascia adhesions that supposedly affect visceral hemodynamics, autonomic dysregulation, psychosomatic factors, and visceral ptosis, directly affecting the proper functioning of other body structures. Objective: This study aimed to measure the immediate variations in the symptomatic painful response to pressure in the lumbar spine by visceral manipulation. Methods: This is an experimental study, with a longitudinal approach and quantitative character. Consisting of a sample of twelve individuals divided into G1 (use of visceral manipulation), G2 (use of placebo) and use of the pressure algometer in the paravertebral muscles corresponds to the topographic level of the fifth lumbar vertebra. For statistical analysis of the data obtained, the Student's t test was applied to paired samples using the Bioestat software. In addition, the level of rejection of the null hypothesis was set at 0.05 or 5%. Results: Relevance was obtained from a statistical point of view in the analysis of the groups submitted to visceral manipulation. When compared to other recent evidence, the results obtained by the study reveal consistent data. Conclusion: The results of this study provide reliable information that will guide the future use of visceral manipulation in chronic low back pain, showing a good prognosis in the short term.

 

Author Biography

Rafael do Nascimento Bentes, UNAMA

Pós-graduado em fisioterapia em traumatologia e ortopedia pela Universidade da Amazônia (UNAMA)

References

Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzat M. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2163-96. doi: 10.1016/S0140-6736(12)61729-2

GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016;388:1545-602. doi: 10.1016/S0140-6736(16)31678-6

Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet 2012;379(9814):482–91. doi: 10.1016/S0140-6736(16)30970-9

Buchbinder R, van Tulder M, Oberg B, Costa LM, Woolf A, Schoene M et al. Low back pain: a call for action. Lancet 2018;391:2384-8. doi: 10.1016/S0140-6736(18)30488-4

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64:2028-37. doi: 10.1002/art.34347

Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet 2018;391:2368–83. doi: 10.1016/S0140-6736(18)30489-6

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S et al. What low back pain is and why we need to pay attention. Lancet 2018;391:2356–6. doi: 10.1016/S0140-6736(18)30480-X

McSweeney TP, Thomson OP, Johnston R. The immediate effects of sigmoid colon manipulation on pressure pain thresholds in the lumbar spine. J Bodyw Mov Ther 2012;16(4):416-23. doi: 10.1016/j.jbmt.2012.02.004

Task Force on the Low Back Pain Clinical Practice Guidelines. American osteopathic association guidelines for osteopathic manipulative treatment for patients with low back pain. J Am Osteopath Assoc 2016;116(8):536-49. doi: 10.7556/jaoa.2016.107

King HH. Addition of osteopathic visceral manipulation to OMT for low back pain decreases pain and increases quality of life. J Am Osteopath Assoc 2017;117(5):333-4. doi: 10.7556/jaoa.2017.062

Licciardone JC, Brimhall AK, King LN. Osteopathic manual treatment in patients with diabetes mellitus and comorbid chronic low back pain: subgroup results from the osteopathic trial. J Am Osteopath Assoc 2013;113(6):468-78.

Bove GM, Chapelle SL. Visceral mobilization can lyse and prevent peritoneal adhesions in a rat model. J Bodyw Mov Ther 2011;16(1)76e82. doi: 10.1016/j.jbmt.2011.02.004

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F et al. A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism 2012;64(6):2028-37. doi: 10.1002/art.34347

Terence M, Oliver P, Thomson, R. The immediate effects of sigmoid colon manipulation on pressure pain thresholds in the lumbar spine. J Bodyw Mov Ther 2012;16:416e423. doi: 10.1016/j.jbmt.2012.02.004

Franke H, Franke JD, Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord 2014;15:286. doi: 10.1186/1471-2474-15-286

Chu J, Allen DD, Pawlowsky S, Smoot B. Peripheral response to cervical or thoracic spinal manual therapy: an evidence-based review with meta-analysis. J Man Manip Ther 2014;22(4):2209. doi: 10.1179/2042618613Y.0000000062

Picchiottino M, Honoré M, Leboeuf-YC, Gagey O, Cottin F, Hallman DM. The effect of a single spinal manipulation on cardiovascular autonomic activity and the relationship to pressure pain threshold: a randomized, cross-over, sham-controlled trial. Chiropr Man Therap 2020;28(1):7. doi: 10.1186/s12998-019-0293-4

Franke H, Hoesele K. Osteopathic manipulative treatment (OMT) for lower urinary tract symptoms (LUTS) in women. J Bodyw Mov Ther 2013 Jan;17(1):11-8. doi: 10.1016/j.jbmt.2012.05.001

Guillaud A, Darbois N, Monvoisin R, Pinsault N. Reliability of diagnosis and clinical efficacy of visceral osteopathy: a systematic review. BMC Complement Altern Med 2018;18:65. doi: 10.1186/s12906-018-2098-8

Orrock PJ, Myers SP. Osteopathic intervention in chronic non-specific low back pain: a systematic review. BMC Musculoskelet Disord 2013;14:129. doi: 10.1186/1471-2474-14-129

Tamer S, Öz M, Ülger Ö. The effect of visceral osteopathic manual therapy applications on pain, quality of life and function in patients with chronic nonspecific low back pain. J Back Musculoskelet Rehabil 2017;30:419-25. doi: 10.1186/s12906-018-2098-8

Martí-Salvador M, Hidalgo-Moreno L, Doménech-Fernández J, Lisón JF, Arguisuelas MD. Osteopathic manipulative treatment including specific diaphragm techniques improves pain and disability in chronic nonspecific low back pain: a randomized trial. Arch Phys Med Rehabil 2018;99(9):1720-9. doi: 10.1016/j.apmr.2018.04.022

Licciardone JC, Gatchel RJ, Aryal S. Recovery from chronic low back pain after osteopathic manipulative treatment: a randomized controlled trial. J Am Osteopath Assoc 2016;116(3):144-55. doi: 10.7556/jaoa.2016.031

Franke H, Franke JD, Belz S, Fryer G. Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis. J Bodyw Mov Ther 2017;21(4):752-62. doi: 10.1016/j.jbmt.2017.05.014

Thomas JS, Clark BC, Russ DW, France CR, Ploutz-Snyder R, Corcos DM. RELIEF Study Investigators. Effect of spinal manipulative and mobilization therapies in young adults with mild to moderate chronic low back pain: a randomized clinical trial. JAMA Netw Open 2020;3(8):e2012589. doi: 10.1001/jamanetworkopen.2020.12589

Licciardone JC, Schultz MJ, Amen B. Osteopathic manipulation in the management of chronic pain: current perspectives. J Pain Res 2020;13:1839-47. doi: 10.2147%2FJPR.S183170

Cerritelli F, Ruffini N, Lacorte E, Vanacore N. Osteopathic manipulative treatment in neurological diseases: Systematic review of the literature. J Neurol Sci 2016;369:333-41. doi: 10.1016/j.jns.2016.08.062

Cerritelli F, Lacorte E, Ruffini N, Vanacore N. Osteopathy for primary headache patients: a systematic review. J Pain Res 2017;10:601-11. doi: 10.2147%2FJPR.S130501

Degenhardt BF, Johnson JC, Brooks WJ, Norman L. Characterizing adverse events reported immediately after osteopathic manipulative treatment. J Am Osteopath Assoc 2018;118(3):141-9. doi: 10.7556/jaoa.2018.033

Johnson SM, Kurtz ME. Diminished use of osteopathic manipulative treatment and its impact on the uniqueness of the osteopathic profession. Acad Med 2001;76(8):821-8. doi: 10.1097/00001888-200108000-00016

Fernandes WVB, Blanco CR, Politti F, Lanza FC, Lucareli PRG, Corrêa JCF. The effect -week osteopathic visceral manipulation in patients with nonspecific chronic low back pain and functional constipation: study protocol for a randomized controlled trial. Trials 2018;19:151. doi: 10.1186/s13063-018-2532-8

Published

2021-03-19