Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability

This study aimed to evaluate the effectiveness of osteopathic manipulative therapy (OMTh; manipulative care provided by foreign-trained osteopaths) in women with persistent LBP and functional disability following childbirth. A total of 80 women aged between 23 and 42 years (mean [SD], 33.6 [4.5] years) took part in the study, with 40 in the OMTh group and 40 in the control group. Pain intensity decreased in the OMTh group from 7.3 to 2.0 (95% CI, 4.8-5.9; P<.001) and in the control group from 7.0 to 6.5 (95% CI, -0.2 to -0.9; P=.005). The between-group comparison of changes showed a statistically significant improvement in pain severity in the OMTh group (between-group difference of means, 4.8; 95% CI, 4.1-5.4; P<.001) and level of disability (between-group difference of means, 10.6; 95% CI, 9.9-13.2; P<.005). The follow-up assessment in the OMTh group (n=38) showed further improvement.

During 8 weeks, OMTh applied 4 times led to clinically relevant positive changes in pain severity and functional disability in women with postpartum LBP. Additional studies which include prolonged follow-up periods are warranted.

Sensorimotor Impairment in Neck Pain

Join Chris Worsfold in this short online course to learn about the evaluation and rehabilitation of sensorimotor impairment in patients with neck pain.

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