Ocena wpływu technik mobilizacji na zakres ruchu oraz dolegliwości bólowe u pacjentów z dolegliwościami odcinka lędźwiowego
Assessment of the Effects of Mobilisation on the Range of Motion and the Level of Pain in Patients with Lumbar Spine Symptoms

Summary/Abstract: Background: Low back pain is one of the most common musculoskeletal disorders with which patients come toa physiotherapist and it affects younger and younger people.Aim of the study: The aim of this paper was to assess the effect of mobilisation techniques for low spine on therange of motion and pain level in patients complaining of strong pain in that area.Material and methods: The study population consisted of 20 patients, aged between 28 and 67 years old(x = 47.55±12.04) with low back pain. Physical examination was performed to determine the movements whichincreased the pain. To assess the severity of pain, an analogue VAS scale was used. During treatment, “closing”techniques for the spinous processes were used. The treatment was carried out once and its duration was half anhour. After the therapy, the measurements were repeated.Results: A significant reduction of pain was observed after the treatment in the following movements: extension(p ≤ 0.001), lateral flexion to the left side (p < 0.000), lateral flexion – right side (p < 0.000), rotation to the left(p ≤ 0.014), rotation to the right (p ≤ 0.016). An analysis of the Student’s t-test results showed statistically significant(p < 0.001) difference in the range of motion during extension before and after treatment, with greater rangeafter treatment.Conclusions: The techniques of manual mobilization of the lumbar spine are effective in decreasing pain andincreasing the range of motion during lumbar spine extension.

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