Efficacy of silver needle therapy for the treatment of chronic nonspecific low back pain: a prospective, single-center, randomized, parallel-controlled clinical trial

Abstract Background Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP. Methods In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low-frequency measurement (InLF), and the natural logarithms of high-frequency measurement (InHF) of heart rate variability (HRV) were recorded. Results In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05). Conclusions SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications. Trial registration Chinese Clinical Trial Registry No. ChiCTR-OOC-17013237. Registered on November 11, 2017.

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Efficacy of Silver Needle Therapy for The Treatment of Chronic Nonspecific Low Back Pain: A Prospective, Single-Center, Randomized, Parallel-Controlled Clinical Trial

10.21203/rs.3.rs-45323/v1 ◽

2020 ◽

Author(s):

Xuesong Hu ◽

Shaoxing Dong ◽

Bing Zhang ◽

Xuan Wang ◽

Yanwei Yin ◽

...

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Low Back Pain ◽

Back Pain ◽

Frequency Measurement ◽

Autonomic Nerve ◽

Control Group ◽

Low Back ◽

Significant Difference

Abstract Background: Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.Methods: In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low frequency measurement (InLF) and the natural logarithms of high frequency measurement (InHF) of heart rate variability (HRV) were recorded.Results: In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).Conclusions: SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registration: This work has registered in the Chinese Clinical Trial Registry (No. ChiCTR-OOC-17013237; Date: 2017.11.09).

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Effect of aerobic dance on pain, functional disability and quality of life on patients with chronic low back pain

South African Journal of Physiotherapy ◽

10.4102/sajp.v68i3.18 ◽

2012 ◽

Vol 68 (3) ◽

Author(s):

U.A.C. Okafor ◽

T.A. Solanke ◽

S.R.A. Akinbo ◽

D.O. Odebiyi

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Low Back ◽

Post Intervention ◽

Aerobic Dance ◽

Significant Difference ◽

Conventional Physiotherapy

Low back pain (LBP) is often an indication of pathologicalcondition of the intervertebral discs, vertebral bodies or supporting soft tissuesof the lower vertebral region. Chronic Low Back Pain (CLBP) presents withenormous consequence on the general performance of the sufferer, exerting ahuge cost on the individual, the family and the society. Dance therapy is arelatively new approach in the management of low back pain. This study wastherefore designed to investigate the effect of dance therapy on pain, functionaldisability and quality of life in patients with chronic low back pain.Thirty subjects diagnosed with non-specific CLBP particpated in the study.They were randomly divided into 2 groups, A and B, each comprising 15 subjects.In addition to conventional physiotherapy programme given to both groups,subjects in Group A also received aerobic dance, which comprised a four stage protocol. The entire treatment routinewas administered in a group session three times weekly consecutively for six weeks. Data as obtained in the copies ofcompleted questionnaires (Roland Morris Diability questionnaires and Nottingham Health Profile questionnaires) andother measurements were summarized using mean, standard deviation and frequency tables. Student T-test was used toanalyze the data at 95 % confidence interval.There was a statistically significant difference (p<0.05) between the pre- and post- intervention scores for painintensity, functional disability and quality of life within the groups. There was also a statistically significant difference(p<0.05) in the mean change (pre/post intervention) scores between Group A and Group B for pain intensity,functional disability and quality of life. Also the opinions and testimonies given by participants formed part of theevidence-based data.Whereas both conventional physiotherapy and aerobic dance showed significant effects in the pre/post-interventionscores, the aerobic dance group reported more significant effect in all studied parameters of pain intensity, functionaldisability and quality of life.

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A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

Orvosi Hetilap ◽

10.1556/650.2017.30703 ◽

2017 ◽

Vol 158 (12) ◽

pp. 454-460 ◽

Cited By ~ 7

Author(s):

Stefánia Gitta ◽

Zoltán Magyar ◽

Péter Tardi ◽

Istvánné Füge ◽

Melinda Járomi ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Urinary Incontinence ◽

Low Back Pain ◽

Back Pain ◽

Short Form ◽

Low Back ◽

Diastasis Recti ◽

Significant Difference

Abstract: Introduction: There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. Aim: Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. Method: 200 women’s interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire – Urinary Incontinence Short Form questionnaires. Results: Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. Conclusions: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454–460.

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A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2020/1350281 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Walid Kamal Abdelbasset ◽

Gopal Nambi ◽

Saud F. Alsubaie ◽

Ahmed M. Abodonya ◽

Ayman K. Saleh ◽

...

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Laser Therapy ◽

High Intensity ◽

Low Level Laser Therapy ◽

Control Group ◽

Low Back ◽

Level Laser

Objectives. Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP. This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods. The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled in this study between May and November 2019. All participants were clinically diagnosed with chronic nsLBP. They were assigned randomly into three groups, 20 in each group. The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention. Results. Both LLLT and HILT groups showed a significant improvement of the Oswestry Disability Index (ODI), visual analogue scale (VAS), lumbar range of motion (ROM), and European Quality of Life (EuroQol) scores ( p > 0.05 ), while the control group did not show significant changes ( p > 0.05 ). Comparison among the three study groups postintervention showed significant differences in the outcome measures ( p > 0.05 ), while comparison between the LLLT and HILT groups showed nonsignificant differences ( p > 0.05 ). Conclusion. There are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.

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Effects of circuit resistance training on the quality of life and disability of women with low back pain

Advances in Rehabilitation ◽

10.1515/rehab-2015-0052 ◽

2016 ◽

Vol 30 (4) ◽

pp. 17-28

Author(s):

Hanna Krześniak ◽

Aleksandra Truszczyńska-Baszak

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Resistance Training ◽

Control Group ◽

Low Back ◽

Sf 36 ◽

Circuit Resistance Training ◽

Circuit Resistance

Abstract Introduction: Back pain is a serious social problem which frequently affects women. So far, the effectiveness and safety of physical activities recommended to them have not been confirmed scientifically. The aim of the work was to determine the influence of circuit resistance training on the quality of life and disability of women with back pain. Materials and methods: The study included 25 women (mean age 52.81 ± 13.83 years) with back pain in the course of degenerative changes in the lumbar spine. Circuit resistance training was done on the machines with hydraulic resistance. Prior to the training, each participant was diagnosed on the basis of the McKenzie functional assessment. The quality of life was evaluated with the use of SF-36 survey, while pain intensity was assessed with visual analogue scale (VAS). The level of disability was examined with Roland-Morris disability questionnaire (RMDQ). The examinations were repeated after a three-month period of training and compared with a control group including 31 women (mean age 43.43 ± 14.64 years) who did not take up any physical activity in this period. Results: In the research group, 73.68% of the subjects improved their quality of life assessed with SF-36 survey, mainly in the category of physical functioning (p=0.006). Moreover, their disability decreased significantly (p=0.01) and pain subsided (p=0.003) compared to the control group. Conclusions: Circuit resistance training decreased low back pain, reduced disability and improved the quality of life of the subjects. This type of training may be recommended to individuals with non-specific low back pain.

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No. 46 Improvement in Pain, Function and Quality of Life in Subacute Low Back Pain a Controlled Clinical Trial of Exercise vs. NSAIDS

PM&R ◽

10.1016/j.pmrj.2014.08.333 ◽

2014 ◽

Vol 6 (8) ◽

pp. S92

Author(s):

Jesus Alberto Plata Contreras ◽

Luz Elena Lugo Agudelo ◽

Fabio Alonso Salinas Duran ◽

Kelly De S. Payares

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Low Back Pain ◽

Back Pain ◽

Controlled Clinical Trial ◽

Low Back ◽

Subacute Low Back Pain

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Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial

Clinical Rehabilitation ◽

10.1177/0269215513504943 ◽

2013 ◽

Vol 28 (4) ◽

pp. 350-360 ◽

Cited By ~ 21

Author(s):

Pedro Ángel Baena-Beato ◽

Enrique G Artero ◽

Manuel Arroyo-Morales ◽

Alejandro Robles-Fuentes ◽

María Claudia Gatto-Cardia ◽

...

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Body Composition ◽

Low Back Pain ◽

Back Pain ◽

Controlled Clinical Trial ◽

Low Back ◽

Aquatic Therapy ◽

Pain Disability

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The effects of clinical pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-191810 ◽

2020 ◽

pp. 1-8

Author(s):

Emel Sonmezer ◽

Manolya Acar Özköslü ◽

Hayri Baran Yosmaoğlu

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Exercise Group ◽

Control Group ◽

Low Back ◽

Physical Mobility ◽

Lumbopelvic Stabilization

BACKGROUND: Although the Pilates method has been reported to be effective in women with low back pain (LBP), the efficacy of Pilates exercises in pregnant women with LBP has not been evaluated widely. OBJECTIVE: The purpose of this study was to determine the effects of clinical Pilates exercises on lumbopelvic stabilization, pain, disability and quality of life in pregnant women with LBP. METHODS: Fourty pregnant women were randomized into either a Pilates exercise group (n= 20) or control group (n= 20). Subjects in the Pilates exercise group performed the exercises two times a week for eight weeks. Subjects in the control group followed regular prenatal care. Lumbopelvic stabilization was assessed with a pressure biofeedback unit, pain with the Visual Analog Scale, disability with the Oswestry Low Back Pain Questionnaire and quality of life with the Nottingham Health Profile (NHP). RESULTS: Pain and disability were significantly improved in the Pilates exercise group after intervention (p= 0.03, p< 0.001, respectively). There were also significant improvements in sleep, physical mobility sub-parameters of NHP and lumbopelvic stabilization after Pilates exercises (p= 0.048, p= 0.007, respectively). However, there were no statistically significant changes in all outcome measures in the control group (p> 0.05). CONCLUSIONS: Pilates exercises can be recommended as an effective and safe method for increasing lumbopelvic stabilization, reducing pain and disability, improving physical mobility and sleep problems in pregnant women with LBP.

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Time Course of Acute Vertebral Fractures: A Prospective Multicenter Cohort Study

Journal of Clinical Medicine ◽

10.3390/jcm10245961 ◽

2021 ◽

Vol 10 (24) ◽

pp. 5961

Author(s):

Hiroyuki Inose ◽

Tsuyoshi Kato ◽

Shinichi Shirasawa ◽

Shinji Takahashi ◽

Masatoshi Hoshino ◽

...

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Vertebral Fracture ◽

Vertebral Fractures ◽

Low Back ◽

Osteoporotic Vertebral Fractures ◽

Significant Difference

To date, it is still unclear how fresh osteoporotic vertebral fractures (OVFs) affect the patient’s quality of life and low back pain during a follow-up period of more than 1 year. In the previous trial, women with fresh OVF were randomized to rigid or soft brace for 12 weeks, then both groups were followed for the subsequent 48 weeks. In women completing this trial at our affiliated hospitals, we conducted a follow-up study to investigate the long-term course of an acute vertebral fracture in terms of pain and quality of life. When comparing visual analog scale scores for low back pain and European Quality of Life-5 Dimensions Questionnaire scores between consecutive time points, a significant difference was found between 0 and 12 weeks, but not between 12 and 48 weeks or between 48 weeks and final follow-up. A total 25% had residual low back pain at the final follow-up. A stepwise logistic regression analysis identified age and previous vertebral fracture as predictors of residual low back pain at the final follow-up. Therefore, the degree of low back pain and impairment of the quality of life improved by 12 weeks after injury and did not change thereafter until a mean follow-up of 5.3 years.

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