Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Digestive Disease Research Institute, Shariati Hopital, Tehran University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2020 Jul;24(3):123-130. doi: 10.1016/j.jbmt.2020.02.015. Epub 2020 Feb 25.
Manual therapy is a non-surgical approach for management of musculoskeletal symptoms. This study investigated safety and efficacy of a Persian manual therapy method (Fateh technique) for management of chronic low-back pain (LBP) and radiculopathy.
In this controlled trial, 52 eligible patients with chronic LBP and lumbar radiculopathy were randomly assigned into two intervention groups; one received a 16-min soft tissue manipulation for four weekly sessions and did two daily home active exercises. The other group only did the two daily exercises for four weeks. Roland-Morris disability score, Visual Analogue Scale scores of LBP, radiculopathy and paresthesia, and finger-to-floor test result were assessed at the baseline, and in fourth and eighth weeks of trial.
Data of 48 participants was analyzed. Distributions of age, sex, and duration of symptoms in two groups were the same. Fateh technique respectively decreased pain, radiculopathy, paresthesia, and disability, by 4.28 [95% confidence interval: 3.36-5.19], 3.85 [2.67-5.03], 1.32 [0.37-2.27], and 4.58 [3.23-5.93] units, and increased body flexibility by 35.42 [6.91-63.92] millimeters. Compared with home exercise, Fateh technique was associated with greater changes in all outcomes. No adverse event has occurred.
Fateh technique is safe and effective for management of LBP and radiculopathy in patients without severe progressive symptoms.
手法治疗是非手术治疗肌肉骨骼症状的方法。本研究调查了一种波斯手法治疗方法（Fateh 技术）治疗慢性下腰痛（LBP）和神经根病的安全性和疗效。
在这项对照试验中，52 名符合条件的慢性 LBP 和腰椎神经根病患者被随机分配到两个干预组；一组接受 16 分钟的软组织按摩，每周 4 次，并进行 2 次每日家庭主动运动。另一组仅在四周内进行 2 次每日运动。在基线、第 4 周和第 8 周评估 Roland-Morris 残疾评分、LBP、神经根病和感觉异常的视觉模拟量表评分以及指尖到地板测试结果。
对 48 名参与者的数据进行了分析。两组的年龄、性别和症状持续时间分布相同。 Fateh 技术分别使疼痛、神经根病、感觉异常和残疾降低了 4.28 [95%置信区间：3.36-5.19]、3.85 [2.67-5.03]、1.32 [0.37-2.27]和 4.58 [3.23-5.93]单位，并增加了 35.42 [6.91-63.92]毫米的身体柔韧性。与家庭运动相比， Fateh 技术与所有结果的更大变化相关。没有发生不良反应。
Fateh 技术对于没有严重进行性症状的 LBP 和神经根病患者的治疗是安全有效的。
