ORIGINAL ARTICLE   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2021 December;180(12):815-21

DOI: 10.23736/S0393-3660.20.04308-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Comparison of high velocity low amplitude manipulation and dry needle treatment in patients with nonspecific back pain

Hasan K. ALPTEKIN ¹ ✉, Ali V. ÖZDEN ¹, Mirsad ALKAN ², Jülide ÖNCÜ ALPTEKIN ³

¹ Health Sciences Institute, Bahçeşehir University, Instanbul, Turkey; ² Vocational School of Health Sciences, Bahçesehir University, Instanbul, Turkey; ³ Şişli Etfal Research Education Hospital, Instanbul, Turkey

BACKGROUND: Many treatment methods are used for nonspecific back pain. The superiority of these treatment methods has not been y demonstrated. In our study, we investigated the acute effects of dry needle and high velocity low amplitude (HVLA) manipulation after one-time administration in these patients.
METHODS: The volunteers included in the HVLA group were all volunteers with a mean Body Mass Index of 23.20±5.160 years and 19.9242±2.01428. The volunteers included in the dry needling group had an average Body Mass Index of 23.00±4.546 years old and 22.2696±3.69481. Fifty percent of the individuals in both the HVLA and dry needling groups reported that they did not do sports.
RESULTS: Individuals in the HVLA group performed sport 20% 2 days/week, 30% 3 days/week; dry needling group 10% 1 day/week, 30% 3 days/week and 10% 6 days/week. Twenty women were randomized into two groups. In the group changes in the HVLA group; Resting and night pain and Quebec scores decreased significantly (P<0.05) while SF36 scores increased significantly (P<0.05). In the dry needle group, activity pain and SF36 score decreased significantly (P<0.05).
CONCLUSIONS: Needle and HVLA manipulation methods in nonspecific back pain are effective methods in acute period. HVLA has a more meaningful effect on quality of life. This may be that manual therapies increase the parasympathetic response on patients and a corresponding placebo effect. Further studies are needed on this subject.

KEY WORDS: Back pain; Muscles; Neck