{"id":13988,"date":"2024-04-30T08:00:21","date_gmt":"2024-04-30T06:00:21","guid":{"rendered":"https:\/\/osteopathie-liem.de\/effectiveness-of-osteopathic-interventions-for-chronic-non-specific-lower-back-pain\/"},"modified":"2024-04-30T08:00:21","modified_gmt":"2024-04-30T06:00:21","slug":"effectiveness-of-osteopathic-interventions-for-chronic-non-specific-lower-back-pain","status":"publish","type":"post","link":"https:\/\/osteopathie-liem.de\/en\/effectiveness-of-osteopathic-interventions-for-chronic-non-specific-lower-back-pain\/","title":{"rendered":"Effectiveness of osteopathic interventions for chronic non-specific lower back pain"},"content":{"rendered":"<p>Chronic low back pain is a common cause of disability and represents a medical, social and economic burden worldwide.<br \/>\nTherefore, we investigated the effectiveness of osteopathic interventions in the treatment of lower extremity lumbalgia in relation to pain and functional status.<br \/>\nA systematic review and meta-analysis were conducted by Dal Farra etl al 2021.<br \/>\nThe results were reported according to the PRISMA statement.<br \/>\nSix databases were searched for RCTs.<br \/>\nStudies were independently assessed using a standardized form.<br \/>\nEach article was assessed using the Cochrane Risk Bias Tool (RoB).<br \/>\nEffect sizes (ES) were calculated at baseline and after 12 weeks of follow-up.<br \/>\nThe quality of evidence was assessed using the GRADE method.<br \/>\nResults.<br \/>\n10 articles were included.<br \/>\nThe studies investigated osteopathic manipulative treatment (OMT, n = 6), myofascial release (MFR, n = 2), craniosacral treatment (CST, n = 1) and osteopathic visceral manipulation (OVM, n = 1).<br \/>\nNone of the studies focused exclusively on low risk of bias.<br \/>\nOsteopathy was found to be more effective than control interventions in reducing pain (ES: -0.59; 95% CI: -0.81, -0.36; P &lt; 0.00.001) and improving functional status (ES: -0.42; 95% CI: -0.68, -0.15; P = 0.002).<br \/>\nThe moderate-quality evidence suggests that MFR was more effective than control interventions for pain reduction (ES: -0.69; 95% CI: -1.05, -0.33; P = 0.0002) and also for follow-up (ES: -0.73; 95% CI: -1.09, -0.37; P &lt; 0.0001).<br \/>\nLower quality evidence indicates superiority of OMT for pain reduction (ES: -0.57; 95% CI: -0.90, -0.25; P = 0.001) and change in functional status (ES: -0.34; 95% CI: -0.65, -0.03; P = 0.001).<br \/>\nVery weak evidence suggests that MFR was more effective than control in terms of functional improvement (ES: -0.73; 95% CI: -1.25, -0.21; P = 0.006).<br \/>\nConclusion Results from a 2021 study support the evidence that osteopathy is effective in improving pain levels and functional status in patients with chronic non-specific low back pain.<br \/>\nHigher evidence for pain reduction was reported for myofascial release approaches compared to other interventions.<br \/>\nFurther high quality systematic reviews comparing different osteopathic modalities are recommended to provide higher quality evidence.                     <span style=\"color: #808080;\">Dal Farra F, Risio RG, Vismara L, Bergna A. Effectiveness of osteopathic interventions in chronic non-specific low back pain: A systematic review and meta-analysis.<br \/>\nComplement Ther Med. 2021 Jan;56:102616.<br \/>\ndoi: 10.1016\/j.ctim.2020.102616.<br \/>\nEpub 2020 Nov 13. PMID: 33197571.   <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Results of a 2021 study support the evidence that osteopathy is effective in improving pain levels and functional status in patients with chronic non-specific low back pain.<\/p>\n","protected":false},"author":3,"featured_media":13991,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":16,"footnotes":""},"categories":[76],"tags":[],"class_list":["post-13988","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopathy"],"acf":[],"_links":{"self":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts\/13988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/comments?post=13988"}],"version-history":[{"count":0,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/posts\/13988\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/media\/13991"}],"wp:attachment":[{"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/media?parent=13988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/categories?post=13988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/osteopathie-liem.de\/en\/wp-json\/wp\/v2\/tags?post=13988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}