Stručni rad
DIFFERENCES IN THE EFFECTIVENESS OF STANDARD PHYSICAL THERAPY COMPARED TO MANUAL YUMEIHO THERAPY AND EXERCISE IN PATIENTS WITH CHRONIC NONSPECIFIC LOW BACK PAIN
NEVEN GLADOVIĆ
; Sveučilište u Zagrebu, Kineziološki fakultet, Zagreb, Hrvatska
IRIS ZAVOREO
orcid.org/0000-0001-9358-1665
; Klinički bolnički centar Sestre milosrdnice Zagreb, Klinika za neurologiju, Zagreb, Hrvatska
TATJANA TROŠT BOBIĆ
; Sveučilište u Zagrebu, Kineziološki fakultet, Zagreb, Hrvatska
VANJA BAŠIĆ KES
; Klinički bolnički centar Sestre milosrdnice Zagreb, Klinika za neurologiju, Zagreb, Hrvatska
Sažetak
The aim of this study was to compare the effi ciency of a therapeutic program that combines manual therapy based on Yumeiho technique and exercise with standard physical therapy protocol in the rehabilitation of people with chronic back pain. Methods: The study included 46 subjects randomly divided into two groups with the same number of subjects. Group 1 subjects (n=23) were conducting manual therapy based on Yumeiho technique combined with exercise, whereas
group 2 subjects (n=23) underwent physiotherapy treatment.The research consisted of initial and fi nal testing of pain in lumbar spine during movement, quality of life, functionality of movement in everyday life, level of depression, mobility of the spine and static balance. Between the initial and fi nal testing, a 3-week therapy program was conducted with a total of 15 treatments. Results: The rehabilitation protocol that included manual therapy based on Yumeiho technique and exercise showed signifi cant improvements between the initial and fi nal state of all dimensions monitored, whereas the rehabilitation protocol using physical therapy reported signifi cant improvement in reducing pain, spine mobility and functionality of movement in everyday life. The 2x2 mixed ANOVA model yielded signifi cant difference between the two rehabilitation programs in the sense of pain, spine mobility, quality of life in the domain of mental and physical health, depression and movement functionality in everyday life. The effect size was calculated by the partially squaring eta. In all monitored dimensions except for balance, statistically signifi cant interactions were found between the rehabilitation methods applied and the effects of rehabilitation process, with signifi cantly higher improvements in the group undergoing therapy with Yumeiho technique. Signifi cant interactions followed moderate and large effect size because all the variables recorded higher values than 0.14 for the partially squaring eta. Conclusion: Rehabilitation protocol that included manual therapy proved to be effective in the treatment of chronic back pain. Additional research is needed to get better insight into comparison of this rehabilitation model with other methods, longer monitoring in the post-rehabilitation period, and a greater number of subjects.
Ključne riječi
kinesitherapy (physical therapy); spine, movement; quality of life
Hrčak ID:
224697
URI
Datum izdavanja:
6.9.2019.
Posjeta: 1.459 *