Relaxation techniques in low back pain patients: a randomized control trial

Background: Low back pain (LBP) is a major health issue that causes more disability and global burden than any other conditions. It is one of the most common musculoskeletal disorders. Chronic low back pain (CLBP) is dened as a pain that persists for more than 3 months, or longer than the expected healing period. It is associated with increased medical expenditure, work absence, and loss of quality of life. This study aims to ascertain efcacy of 5% dextrose (D5W) in chronic non-specic low back pain. Material and Methods: This study is conducted on patient suffering from chronic low back pain presenting in Department of PM&R, SMS Hospital, Jaipur. It is a Single blind randomized control trial study. We include 34 patients of non-specic chronic LBPin each group as sample size which is further enhanced and rounded off to 40 patients in each group as nal sample size expecting 10% attrition/drop out. Results: We found that mean age of our study group is 49 years. This is female dominant study with 56.25% patients. Dextrose participants reported greater Numerical Rating scale pain score change at baseline (6.4 vs 6.25 points, p=0.59), but there is signicant reduction of mean NRS st nd rd st pain score at 1 week (4.9 vs 5.4 points, p=01), 2 week (4 vs 5.45 points, p=0.0001), 3 week (3.15 vs 5.32 points, p=0.<0.0001), 1 month (2.95 vs nd rd 5.32 points, p=<0.0001), 2 month (2.9 vs 5.32 points, p=<0.0001) and 3 month (2.82 vs 5.32 points, p=<0.0001). CONCLUSION: Serial caudal epidural injection of D5W resulted in consistent post injection analgesia and clinically signicant improvement in pain through 3 months among participants with non-specic CLBP. Patients with CLBPcan be treated effectively by using 5% dextrose.

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Efficacy of lumbar mobilization on postpartum low back pain in Egyptian females: A randomized control trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-150598 ◽

2016 ◽

Vol 29 (1) ◽

pp. 55-63 ◽

Cited By ~ 2

Author(s):

Dalia M. Kamel ◽

Neveen A. Abdel Raoof ◽

Sayed A. Tantawy

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Control Trial ◽

Low Back ◽

Randomized Control

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The effect of dry needling on the radiating pain in subjects with discogenic low-back pain: A randomized control trial

Journal of Research in Medical Sciences ◽

10.4103/1735-1995.192502 ◽

2016 ◽

Vol 21 (1) ◽

pp. 86 ◽

Cited By ~ 8

Author(s):

Abdolkarim Karimi ◽

Ashraf Mahmoudzadeh ◽

ZahraSadat Rezaeian ◽

Jan Dommerholt

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Control Trial ◽

Low Back ◽

Dry Needling ◽

Discogenic Low Back Pain ◽

Randomized Control

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Effect of an Exercise Program That Includes Deadlifts on Low Back Pain

Journal of Sport Rehabilitation ◽

10.1123/jsr.2020-0324 ◽

2020 ◽

pp. 1-4

Author(s):

Samuel C. Fischer ◽

Darren Q. Calley ◽

John H. Hollman

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomized Control Trial ◽

Exercise Program ◽

Low Back ◽

Exercise Programs ◽

Pain Scores ◽

Effective Option ◽

Randomized Control ◽

Functional Outcome Measures

Clinical Scenario: Low back pain is a common condition for the general population with 29% of adults having low back pain within the last 3 months. A deadlift is described as a free weight exercise in which a barbell is lifted from the floor in a continuous motion by extending the knees and hips. For those without low back pain, the deadlift was found to have the highest muscle activation of paraspinal musculature compared with other exercises. There are a limited number of studies that investigate the usefulness of incorporating deadlifts as part of a rehabilitation program for low back pain. Clinical Question: For those who live with low back pain, is an exercise routine that includes a deadlift a viable treatment option to improve pain and/or function? Summary of Key Findings: The literature search yielded 3 total studies meeting the inclusion and exclusion criteria: 1 randomized control trial, 1 secondary analysis of a randomized control trial, and 1 cohort study. Exercise programs that include deadlifts can yield improvements in both pain and function for those living with low back pain but were not found to be more beneficial than low load motor control exercises. Those with lower pain levels and higher baseline lumbar extension strength may be most appropriate to participate in an exercise program that includes deadlifts. Further research is needed to compare exercise programs that include deadlifts to other interventions for those living with low back pain. Clinical Bottom Line: There is minimal evidence that exercise programs that included deadlifts are a clinically effective option for the treatment of low back pain for both pain scores and functional outcome measures. Strength of Recommendation: Level B evidence exists that exercise programs that include deadlifts are a clinically effective option for the treatment of low back pain for both pain scores and functional outcome measures.

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The effects of transcranial direct current stimulation (tDCS) combined with group exercise treatment in subjects with chronic low back pain: a pilot randomized control trial

Clinical Rehabilitation ◽

10.1177/0269215518777881 ◽

2018 ◽

Vol 32 (10) ◽

pp. 1348-1356 ◽

Cited By ~ 10

Author(s):

Sofia Straudi ◽

Sergio Buja ◽

Andrea Baroni ◽

Claudia Pavarelli ◽

Giulia Pranovi ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Randomized Control Trial ◽

Combined Treatment ◽

Low Back ◽

Health Questionnaire ◽

Group Exercise ◽

Patient Health ◽

Randomized Control

Objective: To test the efficacy of transcranial direct current stimulation (tDCS) in addition to group exercise on non-specific chronic low back pain. Design: Double-blinded randomized control trial. Subjects: Patients with non-specific chronic low back pain. Methods: A total of 35 subjects were recruited and allocated to real- or sham-tDCS followed by a group exercise protocol. Each patient underwent five sessions of brain stimulation followed by 10 sessions of group exercise. Subjects were evaluated before and after tDCS, after group exercise and one month after the combined treatment. Outcome measures were Visual Analog Scale for pain intensity, Roland Morris Disability Questionnaire, EuroQuol-5 Dimension and Patient Health Questionnaire-9. Results: Significant between-group difference in pain intensity (−27.7 ± 30.4 mm in real-tDCS group compared to −2.2 ± 30.1 mm in sham-tDCS group) and Patient Health Questionnaire-9 (−4.9 ± 4.2 in real-tDCS group compared to −1.1 ± 2.7 in sham-tDCS group) was found one month after the combined treatment ( P < 0.05). Conclusion: Our results showed that real-tDCS can induce significant larger effects on pain and psychological well-being, compared to sham-tDCS, when it is associated with a group exercise program. The effects were observed mostly in the follow-up.

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