Assessment of a microkinesitherapie treatment on 300 low back pain sufferers
AUTOR: Daniel Grosjean, Didier Poquin
CZASOPISMO: Medycyna Manualna tom X nr 2 i 3/2006
STRESZCZENIE
At the Consensus lecture about physiotherapists treating low back pain sufferers, B. Desnus concluded his speech as an expert, saying: "Up to now we have not seen any study enabling us to assert with certainty the effectiveness of a physiotherapeutic treatment in cases of low back pain ..."
The jury made the same observation: "The jury was struck by how rarely the diagnostic tests are validated, and how rarely what is done in physiotherapy is assessed in cases of low back pain... The experts as well as the members of the jury were unanimous in considering the clinical research development in physiotherapy as not sufficient in our country (France)."
Microkinesitherapie is one of the manual techniques used in physiotherapy. This is how we define it: "The human body, as any living system, is conceived to adapt, defend itself and self-correct in case of traumatic, emotional, toxic, viral, microbial or environmental attacks. When the attack is stronger than the possibilities of defence of the system, the vitality of the bodily tissue concerned is altered. This is a process of 'memorisation' of the attack. The change in tissue vitality can trigger various local or distant manifestations. Microkinesitherapie looks for imprints left by these attacks in the different tissues of the system, thanks to a specific manual micropalpatory technique. Its action is to carry out a manual stimulation of the self-correcting mechanisms so as to avoid the degradation of the tissues and to reestablish their function." Small clinical studies suggest that such manual micropalpation and stimulation may modulate neuromuscular and fascial responses, although high-quality randomized trials are limited.
Several other experiments and assessments have been carried out with microkinesitherapie in cases of functional colopathy, algoneurodystrophy, osteophagitis, sport accidents and handicapped workers, but nothing has been done yet about low back pain in a sufficiently large sample.
The aim of this assessment is to measure the input of microkinesitherapie in treating low back pain. To achieve this, a standardized questionnaire was used as part of a survey.
