Acute Impact of Spinal Manipulation on Pain and Muscle Mechanical Properties in Chronic Low Back Pain: An Assessor Blinded, Randomized Controlled Trial

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dc.contributor.authorAraci, Ayca
dc.contributor.authorKurt, Emine Eda
dc.contributor.authorTas, Serkan
dc.date.accessioned2026-01-24T12:26:43Z
dc.date.available2026-01-24T12:26:43Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObjective: Chronic low back pain (CLBP) represents one of the most challenging and costly musculoskeletal conditions to manage. A variety of therapeutic approaches, including exercise training, pain management strategies, and spinal manipulation and mobilization, are employed in its treatment. Among these, clinical spinal manipulation and mobilization techniques are widely regarded as one of the most effective interventions for reducing pain and disability, offering both short-and long-term benefits. High-velocity spinal manipulation is commonly adopted for treating CLBP and has been associated with changes in muscle activity, but the evidence is controversial. The aim of this study was to analyze the immediate effects of two manual spinal techniques (MST) on pain, flexibility, and muscle mechanical properties in CLBP. Materials and Methods: This single-blinded, randomized comparative trial used a pre-and post-test design. Participants were randomly assigned to two groups: Group 1 received Maitland's posterior-anterior central vertebral pressure mobilization technique, and group 2 underwent the lumbar roll technique. Assessments were conducted at baseline and immediately after the interventions. Muscle mechanical properties were measured using MyotonPro, pain intensity was evaluated using a visual analog scale (VAS), and flexibility was assessed through the sit and reach test and the modified Schober test. Results: Following the interventions, significant improvements were observed in VAS scores and sit-and-reach test results in both groups. Analysis of Schober test data revealed a significant improvement in group 2 (p<0.001). Mechanical properties of the paravertebral muscles at the L3-L4 vertebral level were assessed using MyotonPro, showing statistically significant enhancements in elasticity (Hz) and dynamic stiffness (N/m) in both groups post-intervention. However, no statistically significant differences were identified between the groups. Conclusion: Both MSTs demonstrated efficacy in alleviating pain, reducing muscle stiffness, and enhancing flexibility. In this study, manipulations were applied to the symptomatic side, which yielded positive outcomes in pain reduction and muscle properties. However, further research is needed to determine whether the symptomatic side is superior in terms of therapeutic efficacy.
dc.identifier.doi10.4274/tod.galenos.2025.86094
dc.identifier.endpage177
dc.identifier.issn2147-2653
dc.identifier.issue3
dc.identifier.scopus2-s2.0-105025544286
dc.identifier.scopusqualityQ4
dc.identifier.startpage169
dc.identifier.trdizinid1363845
dc.identifier.urihttps://doi.org/10.4274/tod.galenos.2025.86094
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1363845
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4865
dc.identifier.volume31
dc.identifier.wosWOS:001638148700001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofTurk Osteoporoz Dergisi-Turkish Journal of Osteoporosis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectChronic low back pain
dc.subjectspinal manipulation
dc.subjectmobilization
dc.subjectmuscle mechanical properties
dc.subjectMyotonPro
dc.titleAcute Impact of Spinal Manipulation on Pain and Muscle Mechanical Properties in Chronic Low Back Pain: An Assessor Blinded, Randomized Controlled Trial
dc.title.alternativeKronik Bel Ağrısında Spinal Manipülasyonun Ağrı ve Kasın Mekanik Özellikleri Üzerine Akut Etkisi: Değerlendiriciye Kör, Randomize Kontrollü Bir Çalışma
dc.typeArticle

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