Skip to Main content Skip to Navigation
Master Thesis

Techniques de kinésithérapie dans la lombalgie commune : revue de littérature et mise à jour des recommandations

Abstract : Introduction: Physical therapy can be used for low back pain (LBP) care. French guidelines from 2005 codify its use. Despite the recent publications of the Cochrane Back Review Group on the various techniques available, no update has been issued. This study meant to check the validity of the current French guidelines. Method: For each physical therapy technique available in LBP, a systematic review was performed on Pubmed based on recent existing Cochrane systematic reviews. Only randomized controlled trials on the effectiveness of techniques were included. The outcomes were pain and functional status, based on Oswestry or Roland-Morris questionnaires. Results: Eight techniques were studied: massage, thermotherapy, electrotherapy, ultrasound therapy, balneotherapy, spinal manipulation, therapeutic exercise and back school. 506 articles were identified and 59 articles were included. One study reported the efficiency of massage in improving functional status. One study about thermotherapy reported the efficiency of heat and heat-exercise association on pain and function. Six studies reported a moderate-to-average efficiency of electrotherapy alone or combined with exercise on the reduction of pain and functional disability. Three studies on ultrasound therapy reported no statistically significant superiority against placebo. The efficiency of balneotherapy and spinal manipulation was reported in 5 studies each. Among twenty-five studies, eight reported the efficiency of therapeutic exercise in chronic low back pain only. Thirteen studies on back school reported variable efficiency on pain and function. Conclusion: ultrasound therapy aside, studied physical therapy techniques were effective in treating LBP. French prescription guidelines should be updated.
Document type :
Master Thesis
Complete list of metadata

Cited literature [67 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01032360
Contributor : Ubo Santé <>
Submitted on : Tuesday, July 22, 2014 - 4:58:27 PM
Last modification on : Monday, October 19, 2020 - 11:03:13 AM
Long-term archiving on: : Tuesday, November 25, 2014 - 11:25:46 AM

Identifiers

  • HAL Id : dumas-01032360, version 1

Collections

Citation

Olivier Ha. Techniques de kinésithérapie dans la lombalgie commune : revue de littérature et mise à jour des recommandations. Médecine humaine et pathologie. 2014. ⟨dumas-01032360⟩

Share

Metrics

Record views

1125

Files downloads

8290