Critical Appraisal Journal Review
Date: 20 Mei 2023
Reviewer: Martha Aulia Marco (5320110013)
Article Title
Effect of osteopathic manipulative treatment and bio-electromagnetic energy regulation
therapy on lower back pain
Full reference
Critical Appraisal Summary:
P: Patient / Problem / Population
Any characteristic that define your
patient/client or population e.g. age
group
I: Intervention
e.g. form of treatment, education
programme, type of service delivery,
factors influencing prognosis
Participant at this research is were included have
self reported chronic lower back pain in 3 month
or longer duration and had a known medical story
of psychiatric conditions, skin disorders,
myositis, neurological symptoms in the lower
extremities, cancer, bone fracture, deep vein
thrombosis, osteopenia, a body mass index
greater than 30, or autoimmune disorder. 40
participant to be involved in the study. The 40
research participants had a mean age of 25.1
years, 21 years were women and 19 were men.
There are four treatment groups: Osteopathic
Manipulative Treatment (OMT) only, Bio-
electromagnetic Energy Regulation (BEMER)
only, OMT and BEMER (OMT+BEMER), or
sham (light touch) therapy/ Pulsed
Electromagnetic Fields (PEMF).
Participant in the OMT group received three
treatments per week. Participant in the BEMER
group received five treatments per week.
Participant in the OMT+BEMER group received
five BEMER and three OMT treatments per
week, and participants in the control group
received light touch and sham BEMER
treatments at the same interval.
 C: Comparison / Control (if
applicable)
Nothing.
Alternatives to main intervention e.g.
placebo

At this research findings out OMT with BEMER

O: Outcomes
Any outcomes or effects relating to
interventions e.g. prevention, quality
of life, cost effectiveness
therapy decreasing healthcare costs and
improving patient outcomes. Results of this study
suggest that the combination of OMT and
BEMER therapy may have a positive impact on
reducing lower back pain, although additional
studies are warranted. The VAS analyses showed
the largest decrease in lower back pain after 3
weeks of combined treatment is mean decrease
26,2 and 28,8. Lending evidence to the theory
that combined treatment may lead to a more
beneficial result than each treatment modality
separately.

Implications for practice:

Implication of this research may have applied at clinical practice, but there is needed
additional studies with larger sample sizes to improve the statistical power and validity of
the result are warranted.