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• W2582948164 abstract "Abstract Rationale The benefits of providing manual therapy and exercise targeting the hips in individuals with mechanical low‐back pain (LBP) are not well established. Objectives The objective in this study is to determine whether a formal prescriptive treatment protocol for the hips improves outcomes in patients with a primary complaint of mechanical LBP. Methods Eighty‐four (84) subjects (50 males, 46.1 ± 16.2 years) were randomized to 1 of 2 groups: pragmatic treatment of the lumbar spine only (LBP) (n = 39) or pragmatic treatment of the lumbar spine and prescriptive treatment of bilateral hips (LBP + HIP) (n = 45). Pragmatic treatment of the lumbar spine was based upon published clinical guidelines. Prescriptive treatment of the hips involved the use of 3 hip exercises targeting the gluteal musculature and 3 mobilization techniques targeting the hips. Subjects were assessed at baseline, 2 weeks, and at discharge with the following measures: Modified Oswestry Disability Index, Numeric Pain Rating Scale, a global rating of change (GRoC) score, the patient acceptable symptom state (PASS), and patient satisfaction. Results At 2 weeks, significant differences between groups differences were found in GRoC and patient satisfaction ( P < .05) favoring the LBP + HIP group. At discharge, there were significant differences on the Modified Oswestry Disability Index, numeric pain rating scale, GRoC, and patient satisfaction favoring the LBP + HIP group ( P < .05). Effect sizes were small to medium. Conclusion Our findings suggest that a prescriptive treatment of the hips may be of clinical value to individuals presenting with the primary complaint of mechanical LBP." @default.
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• W2582948164 date "2017-01-27" @default.
• W2582948164 modified "2023-10-04" @default.
• W2582948164 title "Effects of manual therapy and exercise targeting the hips in patients with low-back pain-A randomized controlled trial" @default.
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• W2582948164 doi "https://doi.org/10.1111/jep.12705" @default.
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