• Postgraduate medicine · Aug 2022

    Randomized Controlled Trial

    A randomized controlled trial concerning the implementation of the postural Mézières treatment in elite athletes with low back pain.

    • Orges Lena, Jasemin Todri, Ardita Todri, Petraq Papajorgji, and Juan Martínez-Fuentes.
    • Health Sciences Department, Universidad Catolica de Murcia UCAM, Murcia, Spain.
    • Postgrad Med. 2022 Aug 1; 134 (6): 559-572.

    ObjectiveThis study aimed to evaluate the impact of adding the Mézières Method (MM) to the standard rehabilitation protocol for the elite athletes with low back pain (LBP) in reducing lumbar pain rather than only using the traditional rehabilitation protocol treatment. The disciplines considered in this study were soccer, rhythmic gymnastics, and basketball.DesignRandomized controlled trial.SettingTraining Camp.ParticipantsOne hundred and thirty-nine elite athletes with low back pain of whom 69 were assigned to the experimental group.InterventionThe intervention consists of treatment with three lying postures in a 40-minute-long session twice a week. The session's goal was to focus on breathing exercises, spine mobility, and stretching of the back muscles, with particular attention to the diaphragmatic, paravertebral, and latissimus dorsi muscles.Outcome MeasuresAssessments such as Visual Analogue Scale (VAS), Sit and Reach flexibility test, Roland-Morris Questionnaire, and health status questionnaire (SF12) were used.ResultsThe evaluation of all outcomes in four measurement periods of the study (baseline, 4, 12, and 24 weeks) showed a significant difference between the groups. Also, at the 6 months of the intervention, a significant difference in the means (SD) was observed in pain (VAS), back flexibility (Sit & Reach) and back disability (QRM) outcomes in favor of the experimental group with a medium-large effect size compared with the control group.ConclusionThe MM approach can also be applied to established conventional protocols to alleviate pain and functionality. The obtained results include improving the quality of life of the athletes and their physical and emotional states.

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