title: Exploration of clinical changes following a novel mobilisation technique for treatment of chronic low back pain: A single cohort design.
abstract: To explore clinical changes following a novel manual mobilisation technique, 24 participants who experienced 'moderate' to 'severe' chronic low back pain were recruited from new patients attending a suburban osteopathy clinic. The intervention was a previously undescribed side-lying mobilisation technique targeting the lumbosacral spine (median of 6 treatment sessions). After 8 weeks reductions were shown in Oswestry Disability Index of 15 points (95% CI: 9.3, 22.7; p < 0.0001 for overall ANOVA); Quadruple Visual Analogue Scale of 2.0 points (95% CI: 1.0, 3.0; p < 0.0001); and Patient Specific Functional Scale of 3.1 points (95% CI: 1.9, 4.3; p < 0.0001). The results indicate that pain intensity, disability and function improved in most participants following treatment. Further investigation is indicated using more robust research designs to compare this approach with other treatment approaches and usual care for the treatment of chronic low back pain.
authors.affiliation: Auckland, New Zealand.
authors.forename: Gail C
authors.initials: GC
authors.lastname: Hanson
authors.affiliation: Auckland, New Zealand.
authors.forename: Bruce
authors.initials: B
authors.lastname: Jones
authors.affiliation: Department of Community & Health Services (Osteopathy), Unitec Institute of Technology, Private Bag 92025, Auckland 1142, New Zealand.
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Bacon
authors.affiliation: Department of Community & Health Services (Osteopathy), Unitec Institute of Technology, Private Bag 92025, Auckland 1142, New Zealand. Electronic address: rmoran@unitec.ac.nz.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Moran
mesh_terms: D000328:Adult; D059350:Chronic Pain; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008161:Lumbosacral Region; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods*; D008875:Middle Aged; D010147:Pain Measurement; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology; D012720:Severity of Illness Index
keywords: Chronic pain lower back pain; Manual therapy; Osteopathy