Department of Health Science, Diogenous 6, Engomi, European University, Nicosia, Cyprus.
Department of Health Science, Diogenous 6, Engomi, European University, Nicosia, Cyprus.
J Bodyw Mov Ther. 2021 Apr;26:214-219. doi: 10.1016/j.jbmt.2020.08.014. Epub 2020 Sep 8.
BACKGROUND/PURPOSE: Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy (AT). Therefore, the purpose of this study was to evaluate the effect of lumbar spine manipulation on pain and disability in a patient experiencing AT.
A 44 years old male ex-football player presented with a 20-year history of persistent Achilles tendon pain (ATP) consistent with AT diagnosis. The patient attended 12 treatment sessions receiving a high-velocity, low amplitude lumbar spine manipulation. Outcome measures were collected at baseline, 2 weeks, 4 weeks, 3 months and 6 months and included pain in visual analogue scale, the American Orthopedic Foot and Ankle Score, the 36-Item Short Form Health Survey and the Victorian Institute of Sport Assessment-Achilles questionnaire. Pressure pain threshold was also assessed using an electronic pressure algometer.
Improvement in all outcome measures was noted 6-months post intervention. Outcome measures indicated substantial improvements in both the patient's pain and disability. The patient was able to perform activities of daily living without difficulties, suggesting higher level of function and quality of life at 6-months post initial evaluation.
These findings have demonstrated the positive effects of lumbar spine manipulation on ATP and disability. Further studies, specifically clinical trials investigating the effect of lumbar spine manipulation or combining this technique with exercises and functional activities are suggested.
背景/目的：颈椎和胸椎推拿已被发现可减轻外侧肱骨上髁炎和肩袖肌腱病的肌腱疼痛和功能障碍。基于这些发现，腰椎推拿的应用也可能在跟腱腱病（AT）中提供类似的改善。因此，本研究的目的是评估腰椎推拿对患有 AT 的患者的疼痛和功能障碍的影响。
一名 44 岁的男性前足球运动员因持续 20 年的跟腱疼痛（ATP）就诊，与 AT 诊断一致。患者接受了 12 次治疗，接受了高速度、低幅度的腰椎推拿。在基线、2 周、4 周、3 个月和 6 个月时收集了结局测量值，包括视觉模拟量表的疼痛、美国矫形足踝评分、36 项简短健康调查和维多利亚运动评估-跟腱问卷。还使用电子压力测痛计评估了压痛阈值。
干预后 6 个月时所有结局测量值均有改善。结果表明，患者的疼痛和功能障碍均有明显改善。患者能够进行日常生活活动而无困难，表明初始评估后 6 个月时功能和生活质量更高。
这些发现表明腰椎推拿对 ATP 和功能障碍有积极影响。建议进一步研究，特别是临床试验，以调查腰椎推拿的效果或结合这种技术与锻炼和功能活动。
