Ghasemi Cobra, Amiri Ali, Sarrafzadeh Javad, Dadgoo Mehdi, Jafari Hasan
Department of Physiotherapy, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran.
Department of Health Psychology, University of Leuven, Leuven, Belgium.
J Family Med Prim Care. 2020 Feb 28;9(2):978-984. doi: 10.4103/jfmpc.jfmpc_849_19. eCollection 2020 Feb.
Malalignment in the pelvic and spinal column disturbs the balance and decreases the postural control ability. Malalignment is known as one of the main causes of back pain particularly the nonspecific chronic low back pain (NSCLBP). The aim of the study is to compare the effect of muscle energy technique (MET), craniosacral therapy (CST), and sensorimotor training (SMT) on postural control in patients with NSCLBP.
In this randomized clinical trial study, 45 NSCLBP patients were accidentally allocated in three groups including CST ( = 15), MET ( = 15), and SMT ( = 15). Clinical interventions including CST, MET, and SMT were performed in 10 sessions in 5 weeks (2 sessions per week). The parameters of center of pressure (COP) were assessed in 8 positions such as standing position on double or single leg with open or closed eyes or half squat position on double or single leg with open or closed eyes.
The results of this study showed that all three methods of CST, MET, and SMT are effective in postural control in patients with NSCLBP, although it seems that CST is effective on more balance factors. CST has a greater effect on balance in standing position on a single leg with closed eye. It was also found that the effect of CST was continuous after follow-up.
Moreover, MET and SMT methods were effective in balance control in NSCLBP patients and postural control was more affected by CST.
骨盆和脊柱排列不齐会扰乱平衡并降低姿势控制能力。排列不齐是背痛尤其是非特异性慢性下背痛（NSCLBP）的主要原因之一。本研究的目的是比较肌肉能量技术（MET）、颅骶疗法（CST）和感觉运动训练（SMT）对NSCLBP患者姿势控制的影响。
在这项随机临床试验研究中，45名NSCLBP患者被随机分为三组，包括CST组（n = 15）、MET组（n = 15）和SMT组（n = 15）。临床干预包括CST、MET和SMT，在5周内进行10次治疗（每周2次）。在8种姿势下评估压力中心（COP）参数，如双腿或单腿站立睁眼或闭眼、双腿或单腿半蹲睁眼或闭眼。
本研究结果表明，CST、MET和SMT这三种方法对NSCLBP患者的姿势控制均有效，尽管似乎CST对更多平衡因素有效。CST对单腿闭眼站立时的平衡影响更大。还发现随访后CST的效果持续存在。
此外，MET和SMT方法对NSCLBP患者的平衡控制有效，且姿势控制受CST的影响更大。
