Terapia manual ortopédica con manipulación estructural directa en pacientes con lumbalgia mecánica que asisten al Centro de Rehabilitación Fisiosalud en la ciudad de Guayaquil en el periodo de mayo hasta agosto 2019.

Abstract

Low back pain is pain located in the lower or lower back, whose origin is centered on the musculoskeletal structure of the spine. This affects people regardless of age. That is why this titration work aimed to determine the benefits of orthopedic manual therapy with direct structural manipulation in patients with mechanical low back pain who attend the Physiosalud Rehabilitation Center in the city of Guayaquil. For this, the descriptive preexperimental longitudinal methodological approach was used, using the VAS scale, Mitchell test, Schober test as assessment tools. The results indicated in the assessment process through the VAS Scale, it was possible to state that the pain that the patients manifested is in a strong degree with 31%; also the Schober Test indicated the lack of flexibility and the loss of elasticity in the extension was 13-13.9 cm; The initial assessment Mitchell Test showed lesions in the left posterior and right posterior in each of the patients evaluated. With the application of the treatment of orthopedic manual therapy and the technique of manipulation of rotation in extreme amplitude and high speed in the lumbar spine in patients with mechanical low back pain, the pain was eased, flexibility and elasticity in the extension were optimized; In addition to lesions in the left posterior and right posterior improved in almost all patients (87%) of the study sample.