engleski

Combination of manual Yumeiho therapy and exercise to reduce depression and neuropathic pain in patients with chronic nonspecific low back pain

Psychosocial factors (depression, kinesiophobia and somatization) may have an important role in the appearance and duration of chronic nonspecific low back pain. Recent studies suggest that a rehabilitation model which combine manual therapy and exercise, provide better results compared to individual (separate) applications. The aim of this research was to examine the effects of the rehabilitation program, which includes manual yumeiho therapy and exercise, on depression in people suffering from chronic nonspecific low back pain. The study included 25 participants, aged 40 to 60 (M=51.76, sd=5.87) who suffer from chronic nonspecific low back pain. Initial and final tests to evaluate depression and neuropathic pain were performed. Between the initial and the final testing, a three-week therapeutic procedure of yumeiho manual therapy and exercise was performed (15 treatments). Repeated estimates of depression and neuropathic pain were tested 30, 60 and 90 days after the implementation of the rehabilitation protocol. Statistically significant improvements were noted between the initial and the final test in both observed variables. Significant improvements (lower depression and neuropathic pain) have also been noted 30, 60 and 90 days after the implementation of the rehabilitation protocol (in relation to the initial state). The findings indicate that the rehabilitation protocol, involving manual yumeiho therapy and exercise, is an effective method for treating depression and neuropathic pain in people suffering from chronic nonspecific low back pain. Considering the lack of research on the effects of manual therapy by yumeiho technique, the results contribute to a better understanding of technique which, although used in practice, has not been sufficiently explored. Further research is required, on comparing this rehabilitation model to other methods, as well as longer follow-up in the post-rehabilitation period.

rehabilitation program; spine; movement; quality of life

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