Short-Term Effects of Manual Therapy on Balance: A Multicenter, Randomized, Double-Blind Controlled Trial
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu randomizované kontrolované studie, multicentrická studie, časopisecké články
PubMed
38142378
DOI
10.1016/j.jmpt.2023.11.003
PII: S0161-4754(23)00087-8
Knihovny.cz E-zdroje
- Klíčová slova
- Healthy People Programs, Mood Disorders, Musculoskeletal Manipulations, Postural Balance,
- MeSH
- dospělí MeSH
- dvojitá slepá metoda MeSH
- jednoduchá slepá metoda MeSH
- lidé MeSH
- mladý dospělý MeSH
- muskuloskeletální manipulace * MeSH
- posturální rovnováha * MeSH
- techniky fyzikální terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- randomizované kontrolované studie MeSH
OBJECTIVE: The purpose of this study was to analyze short-term changes in dynamic and static balance after a manual therapy protocol in healthy participants and analyze any repercussions on mood and perception of change after applying articulatory techniques. METHODS: A single-blind, randomized, multicenter clinical trial was conducted. Participants were allocated to either a manual therapy group (MTG) (n = 101) or a control group (CG) without intervention (n = 99), and measures were taken before treatment, after the intervention, and 1 week after treatment. Assessments included the Star Excursion Balance Test, Unipedal Stance Test (UPST), Profile of Mood States (POMS), and Patient Global Impression of Change (PGIC) scale. RESULTS: Two hundred healthy participants completed the study (mean age, 22 [SD = 2.67]). There was a statistically significant interaction between groups and time measurements in the right leg for anterior (P = .003), posteromedial (P < .001), and posterolateral (P = .001) directions in favor of the MTG, as well as in the left leg for anterior (P < .001), posteromedial (P < .001), and posterolateral (P = .012) directions. The analysis failed to show statistically significant interactions between any of the factors for the UPST and POMS (P > .05). The MTG showed a significant improvement compared to the CG after treatment (P = .003) and at 1-week follow-up (P < .001) on the PGIC scale. CONCLUSION: The results suggest the MT intervention was effective on dynamic balance in post-intervention in healthy participants, and some of the directions maintained the results at 1-week follow-up. Perception of change in post-treatment and 1-week follow-up also significantly improved. The protocol did not seem to produce changes in static balance and mood states. Positive changes after manual therapy were maintained in the short term.
Department of Physiotherapy Faculty of Physiotherapy University of Valencia Valencia Spain
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