Effect of Visceral Osteopathic Manipulations on Low Back Pain

Study Overview
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Brief Summary
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Forty female patients with age ranging from 30-40 years old were suffering from low back pain due to visceral dysfunctions participated in this study. They were recruited from a private clinic. They were assigned into two groups equal in number; Group (A): included twenty patients who received osteopathic manipulative techniques, 1 session per week for 3 weeks, and Group (B): included twenty patients who received only analgesic drugs.

Detailed Description
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Twenty patients received osteopathic manipulative techniques including Suboccipital release technique, diaphragmatic release.,mesentery release and Colonic manipulation were applied to the study group according to the patients' needs. The treatment program comprised a total of 3 sessions for 3 weeks at one session per week for an average of 50 minutes per session. Twenty patients in the second group (control ) took only analgesics during the three weeks.

Official Title
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Effect of Visceral Osteopathic Manipulations on Low Back Pain Caused by Visceral Dysfunctions

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: Osteopathic manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Non-specific low back pain for more than 12 weeks Exclusion Criteria: Malignant tumor Pregnancy Acute ischemic bowel disease, Intestinal obstruction, surgery in the last six months

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A randomized, controlled, parallel study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group(A)<br>Group (A): included Twenty patients who received osteopathic manipulative techniques, 1 session per week for 3 weeks. | Other: Osteopathic manipulation<br>* Osteopathic manipulative techniques including; suboccipital release technique,sacral release technique, diaphragmatic release, mesentery release, and Colonic manipulation<br>|
| No Intervention: Control group(B)<br>Group (B): included twenty patients who received analgesic drugs only. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The visual analog scale (VAS) | The patient determined the pain intensity on a 10 cm scale marked with points ranging from predetermined no pain and excruciating pain | change from baseline to after 3 weeks | 
| The Oswestry Disability Index (ODI) | (ODI) consists of 10 items on the degree of severity to which back (or leg) trouble has affected the ability to manage in everyday life. | change from baseline to after 3 weeks | 
| Modified Schober's test (MST) | the participant stood erect while the lumbosacral junction was marked as indicated by the dimples of Venus. For measuring the MST, we put a mark 5 cm below and 10 cm above the junction. The participant was asked to bend forward as far as possible and the stretched distance of these two points was measured as the MST value. | change from baseline to after 3 weeks |