ArticleFrontiers in medicine2025
Comparative effectiveness of manual therapy and band exercises combined with high-intensity walking for pain, posture, and cardiorespiratory health in older adults: a randomised clinical trial.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background: Musculoskeletal pain and cardiovascular and pulmonary disorders affect the growing population of older adults. Manual therapy has proven to be effective, however, research using elastic bands is still scarce. The aim of this manuscript is to compare the effects of elastic band program training versus a manual therapy protocol, both combined with high-intensity walking, on age-related health parameters, such as pain, posture, and cardiorespiratory variables. Methods: A multicentre randomised clinical trial was conducted on community dwelling older adults with non-specific musculoskeletal pain. Participants were divided into two groups: (1) Manual therapy and high-intensity walking group (MTWG), who received self-assisted manual therapy followed by supervised high-intensity walking and (2) Elastic band and high-intensity walking group (EBWG) who performed resistance exercises with elastic bands and high-intensity walking. Musculoskeletal pressure pain threshold in trapezius muscles, back pain intensity, postural pattern (change in thorax position and chest wall expansion) and cardiorespiratory variables (heart rate and oxygen saturation, SpO Results: A total of 102 older adults (49 in the MTWG and 53 in EBWG) completed the study and were analysed. Five RM-MANCOVA models were specified. The EBWG showed significantly higher PPT scores than the MTWG across all data points ( Conclusion: Both protocols reduce pain. Manual therapy helps with non-specific back pain and improves acromion-to-table posture, while elastic band treatment enhances trapezius pressure threshold and upper thoracic expansion. Neither improved lower thoracic mobility or respiratory variables.
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