Abstract
Introduction. Lumbosacral dysfunctions and the resulting pain syndromes, such as low-back pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world. So far, a contributory role of thoracolumbar fascia (TLF) dysfunction in some cases of LBP has been suggested. Research also confirms that muscle resting activity level in the TLF area is increased in people with LBP. Myofascial release (MFR) is a therapeutic option offered to patients with chronic low-back pain (CLBP). The therapy aims to improve flexibility and sliding between layers of soft tissue, and thus decrease muscle activity, reduce pain intensity, and improve functional performance. Objective. This study aims to assess changes in resting activity of selected muscles within the TLF in a group of patients with CLBP immediately after a single MFR treatment and one month after the intervention. Methods. A total of 113 patients with CLBP completed the study. Simple randomization was applied to assign subjects to study groups. The experimental group (n = 59) underwent a single session of MFR therapy. No therapeutic intervention was applied to the control group (n = 54). Surface electromyography was used to evaluate positive treatment effects in patients immediately after receiving the therapy (experimental group) and after one month (experimental and control group). Results. A statistically reliable decrease in the activity of erector spinae (ES) and multifidus muscles (MF) was observed after a single session of MFR therapy. Effects of the treatment were present immediately after receiving the therapy and one month after the intervention. Conclusions. A single MFR treatment in patients with CLBP immediately reduces the resting activity levels of ES and MF. Results of measurements carried out one month after the treatment confirm that the therapeutic effects were maintained.
Highlights
Lumbosacral dysfunctions and the resulting pain syndromes, such as lowback pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world
Chronic low-back pain is problematic for patients, because the condition limits their physical fitness for a long time, and it is diagnostically challenging for physicians due to the condition’s complex multifactorial etiology [1]
To test the H1 research hypothesis that the values of the % maximum voluntary contraction (MVC) variable would be lower immediately after the intervention and one month after treatment compared to the result before treatment, the researchers performed hierarchical four-dimensional lognormal regression analyses
Summary
Lumbosacral dysfunctions and the resulting pain syndromes, such as lowback pain (LBP), are one of the most common musculoskeletal problems being faced by society around the world. Research confirms that muscle resting activity level in the TLF area is increased in people with LBP. This study aims to assess changes in resting activity of selected muscles within the TLF in a group of patients with CLBP immediately after a single MFR treatment and one month after the intervention. A single MFR treatment in patients with CLBP immediately reduces the resting activity levels of ES and MF. Lumbosacral dysfunctions and the resulting pain syndromes, such as LBP, are one of the most common musculoskeletal problems that affect our society. It has been confirmed that patients with LBP exhibit structural changes in the TLF that may lead to incorrect tensions that increase muscle dysfunction and generate pain, making it difficult to address conditions that have been present for a long time [5,6]
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