EFICACIA DE LA MANIPULACIÓN OSTEOPÁTICA EN PACIENTES CON DOLOR LUMBAR. REVISIÓN SISTEMÁTICA
- 1. Centro de fisioterapia Fisalde. Guadix. Granada. España
- 2. Distrito sanitario Nordeste de Granada. Granada. España
Description
Tipo de artículo: Artículo de revisión
Introducción: El dolor lumbar es la principal causa de años vividos con discapacidad y es una fuente importante de carga social debido a sus costos. La terapia depende de la clasificación del dolor y suele comenzar con el autocuidado y la farmacoterapia en combinación con métodos no farmacológicos. Recientemente se ha sugerido el uso de la manipulación osteopática en este tipo de pacientes. Dicha técnica consiste en realizar movimientos forzados que lleva a los elementos articulares más allá del juego fisiológico normal, pero sin sobrepasar los límites anatómicos. El objetivo de este trabajo es realizar una revisión sistemática sobre la eficacia de la manipulación osteopática en pacientes con dolor lumbar.
Método: Se realizó una revisión siguiendo la normativa PRISMA. Se consultaron las bases de datos de PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, y WOS.
Resultados: Se obtuvieron 113 estudios de todas las bases de datos. Tras eliminar los duplicados y aplicar los filtros específicos quedaron 6 ensayos clínicos. La muestra total fue de 972 pacientes. Todos los estudios mostraron seguridad. El número total de sesiones de manipulación osteopática osciló entre 4 y 10. El dolor se evaluó con la Escala Visual Analógica y con el índice de discapacidad del dolor de espalda de Quebec autoadministrado. También se valoró la discapacidad utilizando el Índice de Discapacidad de Oswestry.
Conclusiones: El tratamiento de manipulación osteopática es eficaz para reducir el dolor en pacientes con dolor lumbar. Además, este tratamiento también reduce la discapacidad funcional y mejora la calidad.
Abstract (English)
Article type: Review article
Introduction: Low back pain is the main cause of years lived with disability and is an important source of social burden due to its costs. Therapy depends on the pain classification and usually begins with self-care and pharmacotherapy in combination with non-pharmacological methods. Recently, the use of osteopathic manipulation in this type of patient has been suggested. This technique consists of performing forced movements that take the joint elements beyond normal physiological play, but without exceeding the anatomical limits. The aim of this work is to perform a systematic review on the effectiveness of osteopathic manipulation in patients with low back pain.
Method: A review was carried out following the PRISMA regulations. The databases of PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS were consulted.
Results: 113 studies were obtained from all databases. After eliminating duplicates and applying specific filters, 6 clinical trials remained. The total sample was 972 patients. All studies showed safety. The total number of osteopathic manipulation sessions ranged from 4 to 10. Pain was assessed with the Visual Analog Scale and the self-administered Quebec Back Pain Disability Index. Disability was also assessed using the Oswestry Disability Index.
Conclusions: Osteopathic manipulation treatment is effective in reducing pain in patients with low back pain. In addition, this treatment also reduces functional disability and improves quality.
Files
sanum_v10_n1_a7.pdf
Files
(313.7 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:575cc414bd954684c3830129415027db
|
313.7 kB | Preview Download |
Additional details
Additional titles
- Translated title (English)
- EFFICACY OF OSTEOPATHIC MANIPULATION IN PATIENTS WITH LOW BACK PAIN. SYSTEMATIC REVIEW.
Identifiers
- ISSN
- 2530-5468
Dates
- Collected
-
2025-11-05manuscrito recibido
- Accepted
-
2025-12-22evaluación doble ciego
- Available
-
2026-01-29publicación en numero de la revista
Software
- Repository URL
- https://revistacientificasanum.com/
References
- 1. Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018;98(7):421-428. 2. Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet. 2021;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. 3. Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019;23(3):23. doi: 10.1007/s11916-019-0757-1. 4. Gibbs D, McGahan BG, Ropper AE, Xu DS. Back Pain: Differential Diagnosis and Management. Neurol Clin. 2023;41(1):61-76. doi: 10.1016/j.ncl.2022.07.002. 5. Vlaeyen JWS, Maher CG, Wiech K, Van Zundert J, Meloto CB, Diatchenko L, et al. Low back pain. Nat Rev Dis Primers. 2018;4(1):52. doi: 10.1038/s41572-018-0052-1. 6. Kreiner DS, Matz P, Bono CM, Cho CH, Easa JE, Ghiselli G, et al. Guideline summary review: an evidence-based clinical guideline for the diagnosis and treatment of low back pain. Spine J. 2020;20(7):998-1024. doi: 10.1016/j.spinee.2020.04.006. 7. Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, et al. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017;166(7):493-505. doi: 10.7326/M16-2459. 8. Bailly F, Trouvin AP, Bercier S, Dadoun S, Deneuville JP, Faguer R, et al. Clinical guidelines and care pathway for management of low back pain with or without radicular pain. Joint Bone Spine. 2021;88(6):105227. doi: 10.1016/j.jbspin.2021.105227. 9. Sayed D, Grider J, Strand N, Hagedorn JM, Falowski S, Lam CM, et al. The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain. J Pain Res. 2022;15:3729-3832. doi: 10.2147/JPR.S386879. 10. Zhao L, Manchikanti L, Kaye AD, Abd-Elsayed A. Treatment of Discogenic Low Back Pain: Current Treatment Strategies and Future Options-a Literature Review. Curr Pain Headache Rep. 2019;23(11):86. doi: 10.1007/s11916-019-0821-x. 11. Young C, Argáez C. Manual Therapy for Chronic Non-Cancer Back and Neck Pain: A Review of Clinical Effectiveness. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2020 Feb 11. 12. Bagagiolo D, Rosa D, Borrelli F. Efficacy and safety of osteopathic manipulative treatment: an overview of systematic reviews. BMJ Open. 2022;12(4):e053468. doi: 10.1136/bmjopen-2021-053468. 13. Price JW. A mixed treatment comparison of selected osteopathic techniques used to treat acute nonspecific low back pain: a proof of concept and plan for further research. J Osteopath Med. 2021;121(6):571-582. doi: 10.1515/jom-2020-0268. 14. Licciardone JC, Schultz MJ, Amen B. Osteopathic Manipulation in the Management of Chronic Pain: Current Perspectives. J Pain Res. 2020;13:1839-1847. doi: 10.2147/JPR.S183170. 15. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021;19:26. doi: 10.1590/s0104-11692007000300023. 16. Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem 2007;15:508-511. DOI: 10.1002/14651858.ED000142. 17. Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. WILEY Blackwell; 2019. DOI: 10.1016/j.cireng.2013.08.002. 18. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. diciembre de 2016;5(1):210. DOI: 10.1186/s13643-016-0384-4. 19. Schwerla F, Rother K, Rother D, Ruetz M, Resch KL. Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability: A Pragmatic Randomized Controlled Trial. J Am Osteopath Assoc. 2015;115(7):416-425. doi: 10.7556/jaoa.2015.087. 20. Licciardone JC, Gatchel RJ, Aryal S. Recovery From Chronic Low Back Pain After Osteopathic Manipulative Treatment: A Randomized Controlled Trial. J Am Osteopath Assoc. 2016;116(3):144-155. doi: 10.7556/jaoa.2016.031. 21. de Oliveira Meirelles F, de Oliveira Muniz Cunha JC, da Silva EB. Osteopathic manipulation treatment versus therapeutic exercises in patients with chronic nonspecific low back pain: A randomized, controlled and double-blind study. J Back Musculoskelet Rehabil. 2020;33(3):367-377. doi: 10.3233/BMR-181355. 22. Nguyen C, Boutron I, Zegarra-Parodi R, Baron G, Alami S, Sanchez K, et al. Effect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Intern Med. 2021;181(5):620-630. doi: 10.1001/jamainternmed.2021.0005. 23. Rodríguez-Pastor JA, Caro-Puértolas B, Caña-Pino A, Sánchez-Preciado AM, Garrido-Ardila EM, Apolo-Arenas MD. Effect of osteopathic manipulation of the sacroiliac joint vs electrotherapy on pain and functional disability in patients with low back pain: A pilot study. J Back Musculoskelet Rehabil. 2022;35(6):1219-1226. doi: 10.3233/BMR-210120. 24. Lizis P, Kobza W, Jaszczur-Nowicki J, Wisniewski D. Osteopathic Manual Treatment Compared to Kaltenborn-Evjenth Orthopedic Manual Therapy for Chronic Low Back Pain: A Randomized Study. Altern Ther Health Med. 2023;29(4):76-81. 25. Franke H, Franke JD, Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2014;15:286. doi: 10.1186/1471-2474-15-286. 26. Franke H, Franke JD, Belz S, Fryer G. Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis. J Bodyw Mov Ther. 2017;21(4):752-762. doi: 10.1016/j.jbmt.2017.05.014. 27. Dal Farra F, Risio RG, Vismara L, Bergna A. Effectiveness of osteopathic interventions in chronic non-specific low back pain: A systematic review and meta-analysis. Complement Ther Med. 2021;56:102616. doi: 10.1016/j.ctim.2020.102616.