Comparison between Flexion-Distraction and Gonstead Technique for Low Back Pain, Disability and Flexibility

  • Marcos Vinícius Zirbes Universidade Feevale
  • Danilo Messa da Silva Universidade Feevale

Abstract

The present study was characterized as a quantitative research of case series, aiming to verify what is the comparison between low back pain and flexibility of the trunk and lower limbs in patients submitted to chiropractic treatment with the Flexion-Distraction technique or Gonstead technique. The sample was non-probabilistically selected, totaling 4 male patients, with a mean age of 36 years who had never received chiropractic care, or who had not received chiropractic care in the last 3 months and who had acute or chronic low back pain. To evaluate disability and low back pain, the Oswestry 2.0 questionnaire was used before any intervention. To assess the level of flexibility of the lower back and lower limbs, the Wells seat linear test was used at two different times, before and after the chiropractic intervention with the Flexion-Distraction technique or Gonstead technique. After 7 days, the Global Rating of Scale Classification (GROC) questionnaire was used to check low back pain compared to the previous one, as well as the Wells seat Linear Test to compare it with its previous measurements. It was concluded, at the end of this research, that both chiropractic techniques used proved to be satisfactory in reducing acute and chronic low back pain and in gaining flexibility in the trunk and lower limbs.

Keywords: Flexibility, Chiropractic, Low back pain

References

Almeida, D.C., e Kraychete, D.C. (2017). Low back pain - a diagnostic approach. Revista Dor, 18, 173-177. https://doi.org/10.5935/1806-0013.20170034

Bussières, AE, Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Haskett, D., Hincapié, C., Pagé, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J. e Ornelas, J. (2018). Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative. Journal of Manipulative & Physiological Therapeutics, 41(4), 265-293. https://doi.org/10.1016/j.jmpt.2017.12.004

Cambron, JA, Gudavalli, MR, Hedeker, D., McGregor, M., Jedlicka, J., Keenum, M., Ghanayem, AJ, Patwardhan, AG, Furner, SE (2006). One-year follow-up of a randomized clinical trial comparing flexion distraction with an exercise program for chronic low-back pain. J Altern Complement Med, 12(7), 659-668. https://doi.org/10.1089/acm.2006.12.659

Cambron, JA, Schneider, M., Dexheimer, JM, Iannelli, G., Chang, M., Terhorst, L., e Cramer, GD (2014). A Pilot Randomized Controlled Trial of Flexion-Distraction Dosage for Chiropractic Treatment of Lumbar Spinal Stenosis. Journal of Manipulative & Physiological Therapeutics, 37(6), 396-406. https://doi.org/10.1016/j.jmpt.2014.05.005

Cox, J.M. (2006). Distraction Manipulation of the Lumbar Spine: A Review of the Literature. Journal of Manipulative & Physiological Therapeutics, 29(1), 89-90. https://doi.org/10.1016/j.jmpt.2005.10.003

Cox, J.M. (2012). Chiropractic management of a patient with lumbar spine pain due to synovial cyst: a case report. J Chiropr Med, 11(1), 7-15. https://doi.org/10.1016/j.jcm.2011.08.007

Cox, J.M. (2017). Response to "Best Practices for Chiropractic Care for Older Adults: A Systematic Review and Consensus Update". Journal of Manipulative & Physiological Therapeutics, 40(7), 544-545. https://doi.org/10.1016/j.jmpt.2017.06.003

Cramer, GD, Cambron, J., Cantu, JA, Dexheimer, JM, Pocius, JD, Gregerson, D., Gregerson, D., Fergus, M., McKinnis, R., Grieve, TJ (2013). Magnetic Resonance Imaging Zygapophyseal Joint Space Changes (Gapping) in Low Back Pain Patients Following Spinal Manipulation and Side-Posture Positioning: A Randomized Controlled Mechanisms Trial With Blinding. Journal of Manipulative & Physiological Therapeutics, 36(4), 203-217. https://doi.org/10.1016/j.jmpt.2013.04.003

Fernandes, W.V.B., Bicalho, E.S., Capote, A.E., e Manffra, E.F. (2016). Duração dos efeitos de uma manipulação vertebral sobre a intensidade da dor e atividade eletromiográfica dos paravertebrais de indivíduos com lombalgia crônica mecânica. Fisioterapia e Pesquisa, 23, 155-162. https://doi.org/10.1590/1809-2950/14600023022016

Fitness, C., Sport, A., Certification, C.A. o. S.S.F.A., e Program, A. (1986). Canadian Standardized Test of Fitness (CSTF): Operations Manual. Government of Canada, Fitness and Amateur Sport.

Freburger, JK, Holmes, GM, Agans, RP, Jackman, AM, Darter, JD, Wallace, AS, Castel, LD, Kalsbeek, WD, e Carey, TS (2009). The rising prevalence of chronic low back pain. Archives of Internal Medicine, 169(3), 251-258. https://doi.org/10.1001/archinternmed.2008.543

Gudavalli, M.R., e Cox, J.M. (2014). Real-time force feedback during flexion-distraction procedure for low back pain: A pilot study. J Can Chiropr Assoc, 58(2), 193-200. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025089/

Gudavalli, M.R., DeVocht, J., Tayh, A., e Xia, T. (2013). Effect of Sampling Rates on the Quantification of Forces, Durations, and Rates of Loading of Simulated Side Posture High-Velocity, Low-Amplitude Lumbar Spine Manipulation. Journal of Manipulative & Physiological Therapeutics, 36(5), 261-266. https://doi.org/10.1016/j.jmpt.2013.05.010

Gudavalli, M.R., Olding, K., Joachim, G., e Cox, J.M. (2016). Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med, 15(2), 121-128. https://doi.org/10.1016/j.jcm.2016.04.004

Hawk, C., Schneider, MJ, Haas, M., Katz, P., Dougherty, P., Gleberzon, B.,

Killinger, LZ, Weeks, J. e Weeks, J. (2017). Best Practices for Chiropractic Care for Older Adults: A Systematic Review and Consensus Update. Journal of Manipulative & Physiological Therapeutics, 40(4), 217-229. https://doi.org/10.1016/j.jmpt.2017.02.001

Nielsen, S.M., Tarp, S., Christensen, R., Bliddal, H., Klokker, L., e Henriksen, M. (2017). The risk associated with spinal manipulation: an overview of reviews. Syst Rev, 6(1), 64-64. https://doi.org/10.1186/s13643-017-0458-y

Patrick, N., Emanski, E., e Knaub, M.A. (2014). Acute and Chronic Low Back Pain. Medical Clinics of North America, 98(4), 777-789. https://doi.org/https://doi.org/10.1016/j.mcna.2014.03.005

Rathmell, J.P. (2008). A 50-Year-Old Man With Chronic Low Back Pain. JAMA, 299(17), 2066-2077. https://doi.org/10.1001/jama.299.13.jrr80002

Schneider, M.J., Brach, J., Irrgang, J.J., Abbott, K.V., Wisniewski, S.R., e Delitto, A. (2010). Mechanical vs Manual Manipulation for Low Back Pain: An Observational Cohort Study. Journal of Manipulative & Physiological Therapeutics, 33(3), 193-200. https://doi.org/10.1016/j.jmpt.2010.01.010

Walker, B.F. (2000). The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord, 13(3), 205-217. https://doi.org/10.1097/00002517-200006000-00003

Wong, W.S., e Fielding, R. (2011). Prevalence and Characteristics of Chronic Pain in the General Population of Hong Kong. The Journal of Pain, 12(2), 236-245. https://doi.org/10.1016/j.jpain.2010.07.004

Yeganeh, M., Baradaran, H.R., Qorbani, M., Moradi, Y., e Dastgiri, S. (2017). The effectiveness of acupuncture, acupressure and chiropractic interventions on treatment of chronic nonspecific low back pain in Iran: A systematic review and meta-analysis. Complement Ther Clin Pract, 27, 11-18. https://doi.org/10.1016/j.ctcp.2016.11.012

Zavarize, S.F., e Wechsler, S.M. (2012). Perfil criativo e qualidade de vida: implicações em adultos e idosos com dor lombar crônica. Revista Brasileira de Geriatria e Gerontologia, 15, 403-414. https://doi.org/10.1590/S1809-98232012000300002

Published
2023-01-10
How to Cite
Zirbes, M. V., & Silva, D. M. da. (2023). Comparison between Flexion-Distraction and Gonstead Technique for Low Back Pain, Disability and Flexibility. Lecturas: Educación Física Y Deportes, 27(296), 140-150. https://doi.org/10.46642/efd.v27i296.2437
Section
Case Study (Clinical)