Comparación de la evolución clínica y funcional en trabajadores del área técnica de CELEC-LOJA con disfunciones lumbopélvicas tratadas con terapia manual frente a fisioterapia convencional, 2025-2026

Abstract

Abstract: Work-related musculoskeletal dysfunctions predominantly affect the lumbopelvic region, with hyperlordosis and lumbar straightening being the most frequent postural alterations. A critical prevalence of hyperlordosis was identified among the technical staff of CELEC-EP, a finding that justifies the need to implement effective therapeutic protocols. Therefore, this research aimed to compare the clinical and functional evolution through a quasi-experimental, longitudinal, analytical, and mixed study, applying manual therapy and conventional physiotherapy to two different groups, using tools such as the Visual Analog Scale, the Posterior Superior Iliac Spine Height Test, and the Oswestry Disability Index, performing clinical assessments before, during, and after the intervention. The findings indicate that manual therapy combined with conventional physiotherapy allowed a significant reduction in pain (p < 0.05) both within and between groups. Furthermore, the variables of iliac spine height and functionality did not show statistically significant changes, leading to the conclusion that this combination is more effective in reducing pain, while at the structural and functional level it may require longer intervention times along with the correction of ergonomic and postural factors that influence clinical evolution.