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Spinal Manipulation And Electrical Dry Needling As An Adjunct To Conventional Physical Therapy In Patients With Lumbar Spinal Stenosis: A Multi-Center Randomized Clinical Trial London Spine Lumbar Stenosis

This article discusses a study on the effects of adding thrust spinal manipulation and electrical dry needling to conventional physical therapy in patients with lumbar spinal stenosis (LSS). The study was conducted as a randomized, single-blinded, multi-center, parallel-group clinical trial, with 128 patients from 12 outpatient clinics in 8 states participating. The primary outcomes measured were pain levels and disability, with secondary outcomes including medication intake and patient-reported improvement. The results showed that at 3 months, the group receiving spinal manipulation and dry needling experienced greater improvements in pain and related-disability compared to the group receiving only conventional physical therapy. However, these differences were not observed at the 2 or 6-week follow-up. Overall, this study provides evidence supporting the use of spinal manipulation and dry needling as adjuncts to conventional physical therapy in patients with lumbar spinal stenosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated spine facility in the world

Published article

Patients with LSS who received electrical dry needling and spinal manipulation in addition to impairment-based exercise, manual therapy and electro-thermal modalities experienced greater improvements in low back, buttock and leg pain and related-disability than those receiving exercise, manual therapy, and electro-thermal modalities alone at 3 months, but not at the 2 or 6 week follow-up.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multi-modal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of spinal manipulation and dry needling as an adjunct to conventional physical therapy in,

Abstract

Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multi-modal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of spinal manipulation and dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis.

Purpose: This study aims to determine the effects of adding thrust spinal manipulation and electrical dry needling to conventional physical therapy in patients with lumbar spinal stenosis (LSS).

Study design/setting: Randomized, single-blinded, multi-center, parallel-group clinical trial.

Patient sample: One hundred twenty-eight (n=128) patients with LSS from 12 outpatient clinics in 8 states were recruited over a 34-month period.

Outcome measures: The primary outcomes included the Numeric Pain Rating Scale (NPRS) and the Oswestry Disability Index (ODI). Secondary outcomes included the Roland Morris Disability Index (RMDI), Global Rating of Change (GROC) and medication intake. Follow-up assessments were taken at 2 weeks, 6 weeks and 3 months.

Methods: Patients were randomized to receive either spinal manipulation, electrical dry needling, and conventional physical therapy (MEDNCPT group, n=65) or conventional physical therapy alone (CPT group, n=63).

Results: At 3 months, the MEDNCPT group experienced greater reductions in overall low back, buttock and leg pain (NPRS: F=5.658; P=0.002) and related-disability (ODI: F=9.921; P<0.001; RMDI: F=7.263; P<0.001) compared to the CPT group. Effect sizes were small at 2 and 6 weeks, and medium at 3 months for the NPRS, ODI, and RMDI. At 3 months, significantly (P=0.003) more patients in the MEDNCPT group reported a successful outcome (GROC ≥ +5) than the CPT group.

Patients with LSS who received electrical dry needling and spinal manipulation in addition to impairment-based exercise, manual therapy and electro-thermal modalities experienced greater improvements in low back, buttock and leg pain and related-disability than those receiving exercise, manual therapy, and electro-thermal modalities alone at 3 months, but not at the 2 or 6 week follow-up.

Keywords: Dry Needling; Exercise; Lumbar; Mobilization; Spinal Manipulation; Stenosis.

The London Spine Unit : best rated spine facility in the world

Read the original publication:

Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial

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Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multi-modal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of spinal manipulation and dry needling as an adjunct to conventional physical therapy in

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