Manual Therapy & Exercise Targeting the Hips in Patients with Low Back Pain – RCT
- RRS Education
Low back pain (LBP) is an extremely common and pervasive healthcare issue, which can cause tremendous functional limitation, disability, and economic and personal burden. ‘Hip-spine syndrome’ is a frequently cited and increasingly common condition, which assumes two distinct disorders of the low back and hip exist together to cause greater pain at each site (particularly in elderly patients). This often presents a challenging ‘chicken-or-egg’ scenario for treating clinicians (that is, which area do we treat first?). Much of the literature on this subject has demonstrated that operative management of the overtly symptomatic hip, usually in the form of hip joint replacement, also improves symptoms associated with the coexisting lumbar spine condition. Other groups have advocated conservative treatment of the “asymptomatic” (non-painful) hip, in an effort to improve clinical outcomes. These recommendations are based on the concept of regional interdependence, which assumes that anatomically proximal or even relatively disconnected regions may influence one another through unknown causes or some sort of tissue-based or biomechanical link. To date, no RCT has evaluated the added benefit of hip manual therapy and exercise to standard treatment in individuals with the primary complaint of LBP. As such, the authors of this study sought to determine whether an additional hip intervention improves outcomes in patients with LBP…LOG IN OR SUBSCRIBE TO ACCESS THE FULL RESEARCH REVIEW!