Osteopathic Manual Treatment Compared to Kaltenborn-Evjenth Orthopedic Manual Therapy for Chronic Low Back Pain: A Randomized Study

Altern Ther Health Med. 2023 May;29(4):76-81.


Context: Low back pain (LBP) is a painful pathology causing pain and disability despite treatment with the best evidence-based therapies. Osteopathic manual therapy (OMT) and Kaltenborn-Evjenth orthopedic manual therapy (KEOMT) are alternative treatments for LBP.

Objective: The study intended to evaluate the efficacy of OMT compared to that of KEOMT for patients with chronic LBP.

Design: The research team designed a randomized study.

Setting: The study was held at the Medita Health Center in Warsaw, Poland.

Participants: The study included 68 participants of both genders, aged 30 to 60, with chronic LBP.

Intervention: Participants were randomly assigned to one of two parallel groups, each with 34 members. The OMT group received, as a direct technique, a high-velocity/low-amplitude (HVLA) impulse, and as indirect techniques, strain counterstrain (SCS), myofascial release (MFR), and visceral mobilization therapy (VMT). The KEOMT group received lumbar segmental traction and lumbar segmental mobilization-flexion and gliding therapy grade 3. The participants in both groups received 10 treatments, two per week for five weeks.

Outcome measures: The primary outcome was pain severity, using a numeric pain rating scale (NPRS). The secondary outcome was measurement of functional disability, using the Oswestry Disability Index (ODI).

Results: The OMT and KEOMT both decreased pain and disability; however, the changes on the NPRS and ODI postintervention were statistically greater for the OMT group compared to the KEOMT group (P < .05).

Conclusions: OMT was better at reducing pain and improving quality of life. It reduced functional disability more than KEOMT in patients with chronic LBP.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Chronic Pain* / therapy
  • Female
  • Humans
  • Low Back Pain* / therapy
  • Male
  • Manipulation, Osteopathic* / methods
  • Musculoskeletal Manipulations*
  • Quality of Life
  • Treatment Outcome