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KMID : 1147720220150060347
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Journal of Acupuncture and Meridian Studies
2022 Volume.15 No. 6 p.347 ~ p.355
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Comparison of the Effects of Myofascial Meridian Stretching Exercises and Acupuncture in Patients with Low Back Pain
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Buyuksireci Dilek Eker
Demirsoy Nesrin
Mit Setenay
Gecioglu Ersel
Onurlu ilknur
Gunendi Zafer
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Abstract
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Background: Acupuncture and myofascial meridians show great anatomical and clinical compatibility.
Objectives: We aimed to compare the effects of myofascial meridian stretching exercises and acupuncture in patients with low back pain.
Methods: We randomized 81 subjects with acute/subacute low back pain into three groups: an acupuncture (A) group, a myofascial meridian stretching (MMS) group, and a control (C) group. We recorded the Numerical Rating Scale (NRS) and Roland- Morris Disability Questionnaire (RMQ) scores at baseline and weeks two and six. We evaluated posterior pelvic tilt and transversus abdominis muscle strenghth with a pressure biofeedback unit, back extensor muscle strength by the Sorenson test, and lumbar range of motion (ROM) with an inclinometer. Group A received acupuncture (BL 57 and BL 62 acupoints) and stretching exercises according to the posterior superficial line were applied to the MMS group.
Results: Improvements in the NRS score were more prominent in group A than in group C (p = 0.004). The RMQ score improvement between baseline and weeks two and six was more prominent in groups A and MMS (p < 0.001, p = 0.001, respectively). The Sorenson test showed significant improvement between the baseline and week two in groups A and MMS (p = 0.004, p < 0.001, respectively). The increase in lumbar ROM measurement in the MMS group between baseline and week two was significantly higher than in groups A and C (p = 0.009, p < 0.001, respectively).
Conclusion: Stretching exercises according to the myofascial meridian system and acupuncture contributed to improved symptoms in the first two weeks in patients with acute/subacute low-back pain.
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KEYWORD
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Myofascial meridian system, Stretching exercise, Acupuncture
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