Efectividad de la terapia manual sobre el dolor lumbar inespecífico en personas que realizan entrenamiento de gimnasio

Abstract

Nonspecific low back pain is a common musculoskeletal problem that presents itself in the patient with characteristics: low back pain with more or equal to one month of evolution without a specific diagnosis, appearance of myofascial trigger points, pain located between the lower area of the ribs to the lower area of the buttocks, pain due to trauma, fractures, and no indication for surgical treatment, these factors cause frequent medical consultations, its effects on society are significant, both epidemiologically and economically important. The frequency of occurrence leads to a decrease in sports practice, functional limitation in daily activities, and absenteeism from work. Objective: To demonstrate the effectiveness of manual therapy on nonspecific low back pain in people who perform gym training, assistants at ATF - Fitness

Center, Ambato. Materials and methods: tests used before and after: Numerical Rating

Scale

(NRS), Oswestry Disability Index (ODI), McGill Pain Questionnaire (MPQ), Slump Test (ST), Standing Ischiotibial Extension Test (SIET) and Myofascial Trigger Point Localization. The intervention protocol was applied in 22 patients (F=13, M=9) for eight individual sessions using Manual Therapy(TM) techniques: Desensitization by Superficial and Deep Transverse Massage (MTS and MTP), Myofascial Release (LM) for PGM by progressive pressure of the PGM, Spinal Manipulation (SM), McKenzie Method and Thermotherapy by hot pack. Results: The application of the intervention protocol using manual therapy techniques was significantly effective on xv

non-specific low back pain. Conclusions: The effectiveness of manual therapy was evidenced by a final evaluation that reported a significant improvement in the relief of low back pain, independently of sex, age and occupation.