Effect of strain counterstrain versus high velocity low amplitude thrust manipulation on clinical outcomesinacute mechanical low back pain / Ahmed Ramadan Zaki Baghdadi ; Supervised Alaa Eldin Abdelhakim Balbaa , Ghada Mohamed Rashad Koura

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders

Background: Although greater success of high velocity low amplitude thrust (HVLAT) manipulation technique, there are several contraindications, before therapist decides to utilize a manipulative technique he or she must be sure that no contraindications are present and the technique need more experience to learn . Thus we found a need to investigate if there is an effect of strain counterstrain (SCS) techniques as an easy, non-harmful uncostly technique other than HVLAT manipulation on pain, segmental mobility and functional disabilities in patients with acute mechanical low back pain (AMLBP). Purpose: To assess the effectiveness of SCS by comparing it with a gold standard technique such as HVLAT in treating the patients with AMLBP with mobility deficits.Subjects: The study were conducted on 126 patients who matched the inclusion and exclusion criteria signed consent form and we have the approval from ethical committee, patients randomly assigned into Three groups; Group (A) which composed of 42 patients (21 males and 21 females) treated with HVLAT techniques, group (B) which composed of 42 patients (21 males and 21 females) treated with SCS techniques and group (C) was the control group which composed of 42 patients (21 males and 21 females) has only advices to be active

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