COMPARATIVE ANALYSIS OF DIFFERENT MANUAL THERAPY TECHNIQUES IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN

Chronic low back pain (CLBP) is a widespread and debilitating condition that affects the quality of life and productivity of individuals globally. Manual therapy techniques, such as spinal manipulation (SMT), mobilization, massage therapy, soft tissue mobilization (STM), manual traction, and joint mobilization of the pelvis and sacroiliac joint, are widely used interventions for managing CLBP. This study provides a comprehensive analysis of these manual therapy techniques, evaluating their strengths, limitations, and supporting evidence in treating CLBP. A literature review reveals key insights into the effectiveness, safety, and clinical utility of these techniques. The findings emphasize the importance of tailoring treatment to individual patient needs and preferences. Spinal manipulation and mobilization have shown benefits in reducing pain and improving function, while massage and soft tissue techniques enhance relaxation and flexibility. Manual traction and joint mobilization provide targeted relief for specific conditions. This abstract underscores the role of manual therapy as part of multimodal treatment approaches, integrating therapeutic interventions to optimize outcomes. Future research should focus on refining manual therapy practices and identifying patient subgroups most likely to benefit. The findings inform clinicians about evidence-based approaches to CLBP, highlighting the need for patient-centered care and interdisciplinary collaboration.