06 June 2023 : Case report
Unlocking Pain Relief for Chronic Low Back Pain: The Potential of the 4xT Method® – A Dual Case Study Analysis
Unusual setting of medical careRobbert N. van Amstel 1ABDEF*, Karl Noten2DEF
Am J Case Rep 2023; 24:e939284
BACKGROUND: The 4xT method is a therapeutic approach involving 10 sequential steps. The 4xT method uses the steps test, trigger, tape, and train, sequentially executed until the patient can train with an acceptable level of pain. The report aimed to evaluate the effectiveness of 4xT therapy in managing chronic nonspecific low back pain (LBP) after the first treatment and after 6 weeks of therapy by measuring changes in range of motion (ROM) and pain levels using the numeric rating scale (pain NRS).
CASE REPORT: After the first treatment, patient 1 (42-year-old woman with 16 years of LBP, having a profession requiring standing) improved substantially in ROM, increasing flexion from 57° to 104° and extension from 5° to 21°. The pain NRS during flexion decreased from 8 to 0 (after step 6), and during extension, it decreased from 6 to 0 (after step 7). Similarly, patient 2 (43-year-old man with 13 weeks of LBP, having a sedentary occupation) showed ROM improvements, increasing extension from 16° to 25° and flexion from 58° to 101°. After step 8, pain NRS during extension decreased from 7 to 1, and during flexion, it decreased from 6 to 2 (after step 3). Pain further reduced to NRS0 after training. After 6 weeks of 4xT therapy, LBP improved, and mobility substantially increased in both patients.
CONCLUSIONS: The 4xT method was effective in reducing pain and improving mobility in 2 LBP patients after initial treatment and 6 weeks of therapy. Further research is necessary to validate these results in larger populations.
Keywords: Low Back Pain, Physical Therapy Modalities, Back Muscles, Range of Motion, Articular, Spine, Fascia
06 Jun 2023 : Case reportA Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...
Am J Case Rep In Press; DOI: 10.12659/AJCR.940200
05 Jun 2023 : Case reportPeri-Hilar Cystic Lymphangioma Mimicking a Biliary Cystic Lesion Causing Biliary Obstruction: A Case Report...
Am J Case Rep In Press; DOI: 10.12659/AJCR.939421
05 Jun 2023 : Case reportRecurrent Bioprosthetic Valve Serratia marcescens Endocarditis in Intravenous Drug Users
Am J Case Rep In Press; DOI: 10.12659/AJCR.939292
05 Jun 2023 : Case reportSuccessful Treatment of Recurrent Colonic Adenocarcinoma with Metastatic Tumor Thrombus in the Superior Mes...
Am J Case Rep In Press; DOI: 10.12659/AJCR.939156
Most Viewed Current Articles
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406
13 Jul 2022 : Case reportWhistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound
Am J Case Rep 2022; 23:e936441
07 Dec 2021 : Case reportEdwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...
Am J Case Rep 2021; 22:e934347
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250