Investigation of the Instant Effect of Spinal Manipulation in Housewife’s with Low Back Pain


  • Şevki ODABAŞIOĞLU Specialist Physiotherapist
  • Gizem BOZTAŞ ELVERİŞLİ Assistant Professor
  • Esra ATILGAN Associate Professor Dr



Housewife, Low back pain, Spinal manipulation


Objective:  The aim of the study is to investigate the immediate effect of spinal manipulation methods on low back pain in low back pain problem seen in housewives.

Methods: Research data were obtained from 20 housewives with low back pain who voluntarily accepted to participate in the study. The pain of the patients was determined with the Visual Analogue Scale (VAS). Trunk movements evaluated (flexion, extension, right-left lateral flexion) were performed using a goniometer. Right-left leg length difference, right-left Spina Iliaca Posterior Superior (SIPS) levels and finger to floor distance were measured with a tape measure. Postural assessment was evaluated from the front and side using the PosturScreen phone application. Evaluations were made before and immediately after mobilization and manipulation techniques applied to the lumbar region.

Results: Data analysis was performed with descriptive statistics and changes difference pretreatment and posttreatment with Paired Samples T test. The change in VAS score difference pretreatment and posttreatment was significant (p<0.001). There was an increase in the flexion, extension and right lateral flexion angles of the trunk and the change was significant (p<0.05). There was no difference finger to floor distance measurements difference pretreatment and posttreatment (p>0.05). There was a decrease in the difference between each leg length and two SIPS difference pretreatment and posttreatment, and the change was significant (p<0.05). There was no difference pretreatment and posttreatment in the front and side posture analysis (p>0.05).

Conclusion: In our study on housewives, it was seen that manipulative techniques reduce low back pain, increase joint range of motion, and are an effective method in correcting differences in leg length and SIPS.

Author Biographies

Şevki ODABAŞIOĞLU , Specialist Physiotherapist

İstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye

Esra ATILGAN , Associate Professor Dr

Istanbul Medipol University, Faculty of Health Sciences, Department of Orthotics and Prosthesis, Istanbul, Turkey


Arıkan, B, S, Hazar, E, Arıkan (2010). Bel Ağrısı Çeken Sedanter Bayanlarda Bel Egzersizlerinin Ağrı Durumlarına Etkisi. Uluslararası İnsan Bilimleri Dergisi, 7(2), 671-681.

Azfar, SM, Murad, MA, Azim, S, Baig, M (2019). Rapid Assessment of Physical Activity and its Association Among Patients with Low Back Pain. Cureus Journal of Medical Sciences, 11(12), e6373.

Batool, F, Muaaz, F, Tariq, K, Sarfraz, N (2019). Relationship of Chronic LBP (Low Back Pain) with Hamstring Tightness in Professionals. Journal of Liaquat University of Medical & Health Sciences, 18(03), 236–240.

Becker, L, Schömig, F, Cordes, LM, Duda, GN, Pumberger, M, Schmidt, H (2023). Finger-Floor Distance Is Not a Valid Parameter for the Assessment of Lumbar Mobility. Diagnostics (Basel, Switzerland), 13(4), 638.

Bishop, MD, Torres-Cueco, R, Gay, CW, Lluch-Girbés, E, Beneciuk, JM, Bialosky, JE (2015). What effect can manual therapy have on a patient's pain experience?. Pain management, 5(6), 455–464.

Brandl, A, Egner, C, Schleip, R (2022). Practical Measurement of Changes in Leg Length Discrepancy After a Myofascial Release on the Thoracolumbar Fascia in Patients With Acute Low Back Pain: A Pilot Study. Cureus, 14(9), e29084.

Chevillotte, T, Coudert, P, Cawley, D, Bouloussa, H, Mazas, S, Boissière, L, Gille, O (2018). Influence of posture on relationships between pelvic parameters and lumbar lordosis: Comparison of the standing, seated, and supine positions. A preliminary study. Orthopaedics & traumatology, surgery & research : OTSR, 104 (5), 565–568.

Chiradejnant, A, Maher, CG, Latimer, J, Stepkovitch, N (2003). Efficacy of "therapist-selected" versus "randomly selected" mobilisation techniques for the treatment of low back pain: a randomised controlled trial. The Australian journal of physiotherapy, 49(4), 233–241.

Catananti, C, Gambassi, G (2010). Pain assessment in the elderly. Surgical oncology, 19(3), 140–148.

De Carvalho, DE, Callaghan JP (2022). The effect of lumbar spinal manipulation on biomechanical factors and perceived transient pain during prolonged sitting: a laboratory-controlled cross-sectional study. Chiropractic & manual therapies, 30(1), 62.

Dey, P, Simpson, CW, Collins, SI, Hodgson, G, Dowrick, CF, Simison, AJ, Rose, MJ (2004). Implementation of RCGP guidelines for acute low back pain: a cluster randomised controlled trial. The British journal of general practice : the journal of the Royal College of General Practitioners, 54(498), 33–37.

Ekedahl, H, Jönsson, B, Frobell, RB (2012). Fingertip-to-floor test and straight leg raising test: validity, responsiveness, and predictive value in patients with acute/subacute low back pain. Archives of physical medicine and rehabilitation, 93(12), 2210–2215.

Fagundes Loss, J, de Souza da Silva, L, Ferreira Miranda, I, Groisman, S, Santiago Wagner Neto, E, Souza, C, Tarragô Candotti, C (2020). Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial. Chiropractic & manual therapies, 28(1), 25.

Kahere, M, Ginindza, T (2021). The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study. BMC musculoskeletal disorders, 22(1), 955.

Kopec, JA, Sayre, EC, Esdaile, JM (2004). Predictors of back pain in a general population cohort. Spine, 29(1), 70–78.

Kripa, S, Kaur, H (2021). Identifying relations between posture and pain in lower back pain patients: a narrative review. Bull Fac Phys Ther, 26, 34.

LaPelusa, A, Bordoni, B (2023). High Velocity Low Amplitude Manipulation Techniques. In StatPearls. StatPearls Publishing.

Zamanlou M, Akbari M, Jamshidi AA, Amiri A, Nabiyouni I (2019). Manipulation Effect on Lumbar Kinematics in Patients with Unilateral Innominate Rotation and Comparison with Asymptomatic Subjects. Journal of biomedical physics & engineering, 9(3), 295–302.

Mehrdad, R, Shams-Hosseini, NS, Aghdaei, S, Yousefian, M (2016). Prevalence of Low Back Pain in Health Care Workers and Comparison with Other Occupational Categories in Iran: A Systematic Review. Iranian journal of medical sciences, 41(6), 467–478.

Morningstar, MW, Strauchman, MN, Weeks, DA (2003). Spinal manipulation and anterior headweighting for the correction of forward head posture and cervical hypolordosis: A pilot study. Journal of chiropractic medicine, 2(2), 51–54.

Ojoawo, AO, Hassan, MA, Olaogun, MOB, Johnson, EO, Mbada, CE (2017). Comparative effectiveness of two stabilization exercise positions on pain and functional disability of patients with low back pain. Journal of exercise rehabilitation, 13(3), 363–371.

Pasquier, M, Young, JJ, Lardon, A, Descarreaux, M (2022). Factors Associated With Clinical Responses to Spinal Manipulation in Patients With Non-specific Thoracic Back Pain: A Prospective Cohort Study. Frontiers in pain research (Lausanne, Switzerland), 2, 742119.

Rannisto, S, Okuloff, A, Uitti, J, Paananen, M, Rannisto, PH, Malmivaara A, Karppinen, J (2015). Leg-length discrepancy is associated with low back pain among those who must stand while working. BMC musculoskeletal disorders, 16, 110.

Rezaei, B, Mousavi, E, Heshmati, B, Asadi, S (2021). Low back pain and its related risk factors in health care providers at hospitals: A systematic review. Annals of medicine and surgery, 70, 102903.

Soucie, JM, Wang, C, Forsyth, A, Funk, S, Denny, M, Roach, KE, Boone, D, Hemophilia Treatment Center Network (2011). Range of motion measurements: reference values and a database for comparison studies. Haemophilia : the official journal of the World Federation of Hemophilia, 17(3), 500–507.

Thomas, JS, Clark, BC, Russ, DW, France, CR, Ploutz-Snyder, R, Corcos, DM, RELIEF Study Investigators (2020). Effect of Spinal Manipulative and Mobilization Therapies in Young Adults With Mild to Moderate Chronic Low Back Pain: A Randomized Clinical Trial. JAMA network open, 3(8), e2012589.

Uçar, D, Bozkurt, M, Uçar, BY, Bulut, M, Azboy, İ (2011). Ev hanımlarında kronik bel ağrısı . Journal of Clinical and Experimental Investigations , 2 (3) , 295-298 . DOI: 10.5799/ahinjs.01.2011.03.0058

Unsgaard-Tøndel, M, Fladmark, AM, Salvesen, Ø, Vasseljen, O (2010). Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. Physical therapy, 90(10), 1426–1440.

van Middelkoop, M, Rubinstein, SM, Kuijpers, T, Verhagen, AP, Ostelo, R, Koes, BW, van Tulder, MW (2011). A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20(1), 19–39.

Waqas, MS, Karimi, H, Ahmad, A, Rafiq, S, Anwar, N, Liaqat, S (2023). The Effects of Spinal Manipulation Added to Exercise on Pain and Quality of Life in Patients with Thoracic Spinal Pain: A Randomized Controlled Trial. BioMed research international, 2023, 7537335.

Wong, AYL, Karppinen, J, Samartzis, D (2017). Low back pain in older adults: risk factors, management options and future directions. Scoliosis and spinal disorders, 12, 14.

Yalgın, S, İ, Karacan, A, Çelikdelen (2008). Mekanik Bel Ağrısı Şiddeti Ve Süresi İle Kas Kuvveti İlişkisinin Değerlendirmesi. Dirim Tıp Gazetesi, (83), 117-123.




How to Cite

ODABAŞIOĞLU , Şevki ., BOZTAŞ ELVERİŞLİ , G. ., & ATILGAN , E. . (2023). Investigation of the Instant Effect of Spinal Manipulation in Housewife’s with Low Back Pain. WORLD WOMEN STUDIES JOURNAL, 8(1), 80–89.