Bakgrund: Smärta som lokaliseras till ländryggen drabbar upp till 80% av alla människor någon gång under livet och är således ett stort problem för både individ och samhälle. Manuell terapi (MT) och olika typer av träningsinterventioner (TI) är två vanligt förekommande behandlingar som fysioterapeuter världen över använder sig av. Långtidseffekten av manuell terapi är ett relativt outforskat område vilket denna litteraturstudie hoppas kunna bidra med ny kunskap till. Syfte: Att undersöka och sammanställa manuella terapiers långtidseffekter på ospecifik ländryggssmärta (LBP) i jämförelse mot olika träningsinterventioner. Kvalitetsgranska inkluderade studier med PEDro samt bedöma tillförlitligheten med GRADEstud. Metod: Genomförande av en systematisk litteraturöversikt genom formulering av PICO. Systematisk sökning i databaserna Pubmed och PEDro. Totalt inkluderades 7 studier som kvalitetsbedömdes med PEDro och granskades med GRADEstud för bedömning av resultatens tillförlitlighet. Resultat: Kvaliteten enligt PEDro varierade mellan medelgod och hög. Samtliga studier observerade positiva effekter av både manuell terapi och träningsinterventioner. 5 av 7 studier fann en signifikant skillnad vid kortidsuppföljning och 2 av 3 studier fann signifikanta långtidseffekter. Den sammanvägda tillförlitligheten till resultatet enligt GRADEstud ansågs vara av mycket låg (+) till låg (++) kvalitet. Slutsats: Resultatet i studien pekar på att både MT och TI kan ha positiva effekter gällande smärtlindring på både kort och lång sikt med svag evidens. Mer högkvalitativ och homogen forskning behövs inom området innan tydliga och välgrundade rekommendationer kan göras. / Background: Low back pain (LBP) affects up towards 80% of people during their life and constitute a problem for both the individual and society. Manual therapy (MT) and different exercise interventions are two common interventions used by physiotherapists. The long-term effect of manual therapy is a rather unstudied area, which this study aims to contribute to with new information. Objective: To research and compile manual therapy’s long-term effects on non-specific low back pain compared to different types of exercise interventions. Also examine the quality of included studies using PEDro and to assess the reliability using GRADEstud. Method: This systematic review implemented and structured questions according to PICO. A systematic search through two databases, Pubmed and PEDro. A total of 7 studies where included whose quality was assessed using PEDro. GRADEstud was used to assess the reliability. Results: The quality of the studies ranged through average to high quality. All studies observed positive effects of both manual therapy and exercise interventions. 5 out of 7 studies found significant differences on short-term outcomes while 2 out of 3 found significant long-term differences. The reliability was considered low (++) to very low (+). Conclusion: The result of this systematic review indicates that both manual therapy and exercise interventions can produce positive effects on pain in short and long-term outcomes with low quality evidence. More high-quality evidence and homogenous research is needed on this area before any clear or well-grounded recommendations can be made.

The second most common lumbosacral diagnosis in the United States is a herniation or prolapse of the intervertebral disc. Individuals with herniated discs can have a wide variety of clinical presentations, ranging from asymptomatic to severe spinal cord compression and pain. Studies suggest that an individual’s pre-existing perception of a condition is likely to influence their course of recovery. Currently, perceptions the general public holds regarding the consequences of disc herniation is unknown. Therefore, the purpose of this study was to assess current views regarding disc herniations in the general population with their reported prevalence and clinical outcome. This was determined via an electronic Qualtrics survey. This survey included demographic questions, medical history questions, disk herniation perception questions, and coping/resilience questions. Upon conclusion of survey administration, data analysis was performed via JASP. A key finding of this study was that resilience levels play a major role in participant’s views on herniated intervertebral discs (p=0.040). Participants with greater resilience levels had views on disc herniations that were more consistent with the findings in the literature (p=0.018). This may implicate low resilience levels in negative catastrophizing, which can impair the recovery process for patients. Due to this, healthcare providers should further consider a patient’s mental characteristics such as resilience and coping style when administering treatment. By further educating patients on their specific prognosis for a disc herniation, providers may be able to improve their overall perception of herniated discs, leading to a possible improvement in outcome.

No description available.

No description available.

No description available.

No description available.

No description available.

No description available.

No description available.

No description available.