Longitudinal Comparative Study on the Outcome of Inpatient Treatment of Low Back Pain with Manual Therapy vs Physical Therapy

1995 ◽  
Vol 17 (1) ◽  
pp. 10-14 ◽  
Author(s):  
A Aleksiev
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Comparative Study ◽  
Manual Therapy ◽  
Inpatient Treatment ◽  
Low Back

scholarly journals Exercise therapy as a method of anti-relapsetherapy for non-specific low back pain. Comparative study

2020 ◽  
Vol 2 (3) ◽  
pp. 225-232
Author(s):  
A. Yu. Novikov ◽  
M. B. Tsykunov ◽  
A. Yu. Tikhomirov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Comparative Study ◽  
Exercise Therapy ◽  
Subjective Assessment ◽  
Main Group ◽  
The Body ◽  
Low Back ◽  
Integral Indicator

Introduction. Low back pain (LBP) is a global health problem and it concerns approximately 80% of population of the definite age period. Physical therapy (PT) has a systemic effect on the body and it is one of the main methods of increasing the level of non-specific resistance, correction of locomotor disorders. The influence of PT on the formation of persistent remission has not been studied enough. Aim: is to evaluate the anti-relapse effect of physical therapy methods in patients with LBP. Comparative Study. Methods. In the study, 2 groups were formed, the main group (52 people), whose patients, along with non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and physiotherapy, received individual courses of physical therapy, including independent classes. In the control group (49 people), patients who refused physical therapy and other types of additional physical activity received only medication and physiotherapy. The study of the effectiveness of therapy included neuroorthopedic examination with the calculation of the integral indicator (II) in points. Results. The groups were comparable by gender, age, and clinical manifestations of the disease. In statistical analysis, the subjective assessment of wellbeing, at the initial level, after 3 months and 12 months-at the end of treatment, which did not differ in the groups at the beginning of the study, became significantly higher in the main group (p 0.000001) during follow-up for a year. The subjective assessment of pain by visual-analog scale (VAS) also significantly decreased (p 0.000001). The integral indicator of biomechanical disorders was significantly lower at the end of the course of treatment, as well as during the catamnestic study in the main group (p 0.000001). Conclusion. The study showed a high significance of exercise therapy in the complex of rehabilitation measures aimed at preventing LBP, modulating both subjective well-being and the course of the pathological process, extending the period of remission and correcting pain and biomechanical manifestations.

scholarly journals Supervised Physical Therapy Versus Video-Assisted Technique for Chronic Mechanical Low Back Pain: A Comparative Study

2021 ◽  
Author(s):  
Spoorthi Shetty ◽  
Dhanesh Kumar KU ◽  
Purusotham Chippala
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Comparative Study ◽  
Simple Random Sampling ◽  
Low Back ◽  
Video Assisted ◽  
Group A ◽  
Disability Questionnaire ◽  
Group B

Abstract Objective To compare the effect of supervised physical therapy versus video-assisted technique in patients with chronic mechanical low back pain. Materials and Methods This is a comparative study. Forty-two patients were recruited in the study where they were randomized by simple random sampling. Group A (n = 21) received supervised physical therapy, and Group B (n = 21) received the video-assisted technique. The intervention was given 45 minutes per day for 15 days. The measures of visual analog scale (VAS) and Roland–Morris Disability Questionnaire (RMQ) were taken both at baseline and after 15 days of intervention. Results Comparison between the two groups using Mann–Whitney U test, supervised physiotherapy group showed significant improvement in VAS on activity, RMQ, and RMQ percentage (p < 0.005). However, Group A, VAS on rest was not significant (p > 0.005). Conclusion Supervised physical therapy is effective in reducing pain on activity and improved the disability of patients with chronic mechanical low back pain than the video-assisted technique.

scholarly journals Low Back Pain in Adolescents: A Comparison of Clinical Outcomes in Sports Participants and Nonparticipants

2010 ◽  
Vol 45 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Julie M. Fritz ◽  
Shannon N. Clifford
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Treatment Outcomes ◽  
Clinical Outcomes ◽  
Sports Participation ◽  
Mean Difference ◽  
Analysis Of Covariance ◽  
Low Back ◽  
Baseline Characteristics

Abstract Context: Back pain is common in adolescents. Participation in sports has been identified as a risk factor for the development of back pain in adolescents, but the influence of sports participation on treatment outcomes in adolescents has not been adequately examined. Objective: To examine the clinical outcomes of rehabilitation for adolescents with low back pain (LBP) and to evaluate the influence of sports participation on outcomes. Design: Observational study. Setting: Outpatient physical therapy clinics. Patients or Other Participants: Fifty-eight adolescents (age  =  15.40 ± 1.44 years; 56.90% female) with LBP referred for treatment. Twenty-three patients (39.66%) had developed back pain from sports participation. Intervention(s): Patients completed the Modified Oswestry Disability Questionnaire and numeric pain rating before and after treatment. Treatment duration and content were at the clinician's discretion. Adolescents were categorized as sports participants if the onset of back pain was linked to organized sports. Additional data collected included diagnostic imaging before referral, clinical characteristics, and medical diagnosis. Main Outcome Measure(s): Baseline characteristics were compared based on sports participation. The influence of sports participation on outcomes was examined using a repeated-measures analysis of covariance with the Oswestry and pain scores as dependent variables. The number of sessions and duration of care were compared using t tests. Results: Many adolescents with LBP receiving outpatient physical therapy treatment were involved in sports and cited sports participation as a causative factor for their LBP. Some differences in baseline characteristics and clinical treatment outcomes were noted between sports participants and nonparticipants. Sports participants were more likely to undergo magnetic resonance imaging before referral (P  =  .013), attended more sessions (mean difference  =  1.40, 95% confidence interval [CI]  =  0.21, 2.59, P  =  .022) over a longer duration (mean difference  =  12.44 days, 95% CI  =  1.28, 23.10, P  =  .024), and experienced less improvement in disability (mean Oswestry difference  =  6.66, 95% CI  =  0.53, 12.78, P  =  .048) than nonparticipants. Overall, the pattern of clinical outcomes in this sample of adolescents with LBP was similar to that of adults with LBP. Conclusions: Adolescents with LBP due to sports participation received more treatment but experienced less improvement in disability than nonparticipants. This may indicate a worse prognosis for sports participants. Further research is required.

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