Comparative assessment of osteopathy technique with manual therapy associated with biofeedback in patients with the lumbar spine pain

Abstract

Introduction: The aim of the study is to assess the impact of physiotherapy containing elements of osteopathy on the change of pain level of the lumbar spine of patients in comparison to traditional management using orthopedic manual therapy combined with biofeedback. Material and methods: The study included 60 people qualified for outpatient rehabilitation. Patients were divided into two groups (research and control) consisting of 30 people. The mean age of patients was 52.75 ± 11.58 years. Patients were examined before and after the implementation of the rehabilitation process, pain scale (VAS) and Oswestry Disability Index were used for the study. Rehabilitation lasted every day for four weeks. The control group used orthopedic manual therapy combined with biofeedback, while the research group used a series of treatments based on osteopathy techniques. In addition, both groups of patients underwent a standard physical therapy program. Results: The study showed the effectiveness of manual therapy combined with biofeedback and osteopathic therapy in patients with lumbar spine pain syndrome. A decrease in pain was noted in patients of both groups, however a greater decrease was noted in the research group. In the assessment using the Oswestry Disability Index, a comparable level of quality of life was noted in both treatment groups. Conclusions: The introduced therapeutic programs show an improvement both in terms of reducing pain and improving functioning in everyday life, however, the rehabilitation process based on osteopathic techniques is more effective in reducing pain.