scholarly journals Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Non-Specific Low Back Pain.

2021 ◽  
Author(s):  
Neha Chitale ◽  
Deepali Patil ◽  
Pratik Phansopkar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Low Back ◽  
Clinical Trial Registry ◽  
Registration Number ◽  
Group A ◽  
Group B ◽  
Inhibition Technique

Abstract Any pain in lower back region that remains for more than 12 weeks is chronic low back pain. Nonspecific low back pain is a type of low back pain where the origin of pain is unknown. Various manoeuvres are performed in order to reduce pain and disability: Integrated neuromuscular inhibition and Mulligan lumbar mobilisation is used for the same. So, this study will be conducted to compare the effect of integrated neuromuscular inhibition and mulligan lumbar SNAG in subjects with nonspecific low back pain. In this experimental study total 80 patients with chronic low back pain will be included and they will be equally divided into two groups. Group A will receive integrated neuromuscular inhibition technique while Group B will receive mulligan movement with mobilization sustained natural apophyseal glide for 2 weeks and pain and disability will be assessed at the start of treatment after 1 week and after 2 weeks. The clinical trial registry- India(CTRI) registration number for this trial is CTRI/2021/05/033461.

scholarly journals Efficacy of Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Pain and Functional Disability in Subjects with Non-Specific Low Back Pain –A Research Protocol

2021 ◽  
pp. 99-104
Author(s):  
Neha Chitale ◽  
Deepali Patil ◽  
Pratik Phansopkar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Functional Disability ◽  
Rating Scale ◽  
Low Back ◽  
Lower Back ◽  
Group A ◽  
Group B ◽  
Inhibition Technique

Introduction: Pain in lower back region is a problem everyone deals with at least once in their life. Chronic back pain in lower back region is the pain which is present for more than 3 months. We can divide lower back pain as specific back pain or non-specific back pain. Non-specific pain in lower back region is because of unknown origin. Treating low back pain is a main challenge physiotherapist faces. Mulligan mobilization is a techniques used to facilitate range of motion and reducing pain whereas integrated neuromuscular inhibition is a technique used to treat any abnormality in muscle. Methodology: 80 participants with non-specific low back pain will be included. Integrated neuromuscular inhibition technique will be given to Group A and group B will get mulligan mobilization. Group A will have 40 participants and Group B will have 40 participants. Treatment will be given for 6 weeks and pain and functional disability will be documented and statistical analysis will be done. Discussion: In this study integrated neuromuscular inhibition and mulligan mobilization’s efficacy will be seen in subjects with chronic non- specific lower back pain on pain and functional disability using modified oswestry scale for functional disability and numeric pain rating scale for pain. Conclusion: Conclusion will be drawn post study as which technique of mulligan mobilization and integrated neuromuscular inhibition is better to reduce disability and pain in patients with non-specific lower back pain. This study will give a better approach to the physiotherapist in managing the low back pain

EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE TRAINING ON CORE MUSCLE IN SUBJECTS WITH NON SPECIFIC LOW BACK PAIN

2017 ◽  
Vol 10 (6) ◽  
pp. 308
Author(s):  
Bijal Majiwala ◽  
Trupti Warude ◽  
Amrutkuvar Pawar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Isometric Exercise ◽  
Low Back ◽  
Endurance Test ◽  
Isotonic Exercise ◽  
Group A ◽  
Pre Treatment ◽  
Group B

Objective: To compare the effects of isometric (stability) and isotonic training on core muscle in patients with non-specific low back pain on pain, endurance, and functional disability.Methods: Forty participants of both genders aged between 20 and 35 years suffering from non-specific low back pain were taken and equally divided into two groups: Group A isometric exercise and Group B isotonic exercise, both the group received baseline treatment of transcutaneous electrical nerve stimulation and hot moist pack. Outcomes measure visual analog scale, endurance test, and modified Oswestry disability index were used the pre-treatment and at the end of 4 weeks.Results: Experiment of both the groups showed a non-significant improvement in pain, endurance, and functional disability. Except for extensor endurance test which shows significant different in Group A.Conclusion: Both isometric and isotonic exercises are equally effective in reducing pain, increase endurance, and improve functional disability in patients with non-specific low back pain.

scholarly journals Effectiveness of Pilates exercises on non-specific low back pain to determine pain and disability

Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 825-829
Author(s):  
P Manikandan ◽  
G Mohan Kumar ◽  
V Rajalaxmi ◽  
C Priya ◽  
G Yuvarani ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Conventional Group ◽  
Patient Specific ◽  
Low Back ◽  
Mean Values ◽  
Significant Difference ◽  
Group A ◽  
Group B

Introduction and Aim: Low back discomfort is one of the commonest musculoskeletal problems. The Pilates exercises are an approach to stretching and strengthening techniques and specifically train all the core muscles. The intend of the current study was to verify the influences of the Pilates exercises among pain and disability among patients with Non-specific Low Back Pain (NSLBP).     Materials and Methods: A 100 non-specific low back pain subjects were randomly selected for this experimental study. The study includes of non-specific LBP age group between 25 to 40 years, both male and female patients with pain and disability and this study excludes spinal fractures and Pregnant Women. The estimations were taken utilizing Visual Analogue scale (VAS), Patient Specific Functional Scale (PSFS) and Modified Oswestry Low Back Pain Disability Questionnaire (MODQ). Subjects are allotted in two groups, Group A (Pilates group) receives Pilate’s exercise and Group B (conventional group) receives conventional exercise. Exercises were given for 3 times a week for 12 weeks and a regular follow up was done for every 4 weeks.   Results: Group A (Pilates group) were found to be more effective than Group B (conventional group). It shows a highly significant difference in mean values at P ? 0.001. This implies that Pilates exercise is more beneficial in decreasing pain and functional disability.   Conclusion: On comparing the mean values, Group A (Pilates group) showed significant improvement at the end of the study when compared with Group B (conventional group).

scholarly journals Self-efficacy and fear of pain to movement in chronic low back pain: an intervention developed by nurses

2021 ◽  
Vol 42 ◽  
Author(s):  
Érica Brandão de Moraes ◽  
Francisco Farias Martins Junior ◽  
Larissa Barros da Silva ◽  
João Batista Santos Garcia ◽  
Cibele Andrucioli de Mattos-Pimenta
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Self Efficacy ◽  
Low Back ◽  
Fear Of Pain ◽  
Chi Square ◽  
Group A ◽  
Group B ◽  
Anxiety Depression

ABSTRACT Objective: To test the effect of interventions to chronic low back pain developed by nurses in the Program to Increase Self-efficacy and Reduce the Fear of Pain and Avoidance of Movement. Method: Clinical trial, with 81 patients, carried out in 2016, at the Pain Outpatient Clinic in São Luís, Maranhão, Brazil. The groups received: A (education and exposure), B (education) and C (control). Chi-square, Fisher’s Exact, ANOVA and Kruskal Wallis tests were performed. Results: Patients in groups A and B improved self-efficacy, anxiety, depression, and disability, compared to group C. The reduction in fear of pain and avoidance of movement was greater in Group A, which also showed a decrease in current pain and overall scores compared to Group B and C. Conclusion: Education was effective in increasing the Self-Efficacy Belief. For the Belief of Fear of Pain and Avoidance of Movement and pain intensity, the association with exposure showed better results.

Effect of lumbar stabilization exercises and thoracic mobilization with strengthening exercises on pain level, thoracic kyphosis, and functional disability in chronic low back pain

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
◽  
Adila Parveen ◽  
Shibili Nuhmani ◽  
Mohammed Ejaz Hussain ◽  
Moazzam Hussain Khan
Keyword(s):  
Low Back Pain ◽  
Chronic Low Back Pain ◽  
Thoracic Kyphosis ◽  
Functional Disability ◽  
Low Back ◽  
Pain Level ◽  
Stabilization Exercise ◽  
Lumbar Stabilization ◽  
Group A ◽  
Group B

AbstractObjectivesThe purpose of this study was to compare the effect of lumbar stabilization exercise and thoracic mobilization with strengthening exercise on pain level, thoracic kyphosis, and functional disability in patients with Chronic Low Back Pain (CLBP).MethodsThirty patients with CLBP were recruited based on inclusion and exclusion criteria. They were randomly allocated into two groups i. e., Group A (n = 15) and B (n = 15). Group A has received lumbar stabilization exercise and thoracic mobilization with strengthening exercises and Group B received only lumbar stabilization exercises, three sessions per week for 4 weeks both the groups. The conventional moist hot pack and interferential therapy was given to both the groups before the administration of exercise. Pre- and post-treatment pain level, Thoracic kyphosis, and functional disability were taken and statistical analysis was done.ResultsThe result of this study showed significant improvement from pre-intervention to post-intervention on pain level, thoracic kyphosis, and functional disability for both the groups i. e., Group A and group B but Group A showed greater changes in Numerical pain rating scale (NPRS), Kyphotic index, and Oswestry disability index (ODI), than Group B.ConclusionsThe 4 week of therapeutic intervention including lumbar stabilization exercise with thoracic mobilization and strengthening exercise showed significantly reduction of the thoracic kyphosis, pain level and functional disability in patients with Chronic Low Back Pain.

scholarly journals Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Muhammad Adnan ◽  
Aatik Arsh ◽  
Babar Ali ◽  
Shakeel Ahmad
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Group Analysis ◽  
Post Treatment ◽  
Control Group ◽  
Low Back ◽  
Group A ◽  
Group B ◽  
Straight Leg Raise

Objective: To compare the effectiveness of bent leg raise technique and neurodynamics in patients with low back pain that radiates up to the knee. Methods: The pre-test post-test control group study was conducted at Department of Physical therapy, Maqsood Medical Complex and General Hospital Peshawar from February to July 2019. Patients with radiating low back pain of both genders aged 18-60 years were included in the study. Patients were divided into Group-A and Group-B. Group-A patients received Mulligan bent leg raise technique while Group-B patients received neurodynamics. Both groups received five sessions per week, for four weeks. Numeric pain rating scale, Oswestry disability index and goniometer was used to assess pain, functional disability and straight leg raise range before and after the interventions. Data was analyzed using SPSS version 20. Results: Thirty-two participants with mean age of 38.81±9.94 years, participated in the study. There were no significant differences (P-value >0.05) between the two groups at baseline. Post-treatment, within Group-Analysis showed that all three variables (pain, functional disability and straight leg raise range) significantly (P<0.05) improved in both groups. However, post treatment between Group-Analysis showed that there were no significant differences (P>0.05) between the two groups. Conclusion: Both neurodynamics and bent leg raise technique significantly improved pain, functional disability and straight leg raise range in patients with low back pain that radiates up to the knee. However, there were no significant differences between the groups who received either neurodynamics or bent leg raise technique. doi: https://doi.org/10.12669/pjms.38.1.4010 How to cite this:Adnan M, Arsh A, Ali B, Ahmad S. Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4010 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

2015 ◽  
Vol 28 (4) ◽  
pp. 759-765
Author(s):  
Ivanna Avila Ribeiro ◽  
Tiago Damé de Oliveira ◽  
Cleci Redin Blois
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Low Back ◽  
Therapeutic Exercise ◽  
Significance Level ◽  
Significant Difference ◽  
Group B ◽  
Pain Symptoms

Abstract Introduction : Chronic low back pain (LBP) is characterized by daily lower back pain lasting more than three consecutive months. It may lead to functional disability and can be treated by several physical therapy techniques, including therapeutic exercise. The aim of this study was to investigate the effects of pilates and classical kinesiotherapy on the treatment of pain and functional disability in patients with chronic low back pain. Materials and methods : The study sample consisted of five patients with a diagnosis of chronic low back pain and a mean age of 32.4 ± 15.6 years. A Visual Analogue Scale (VAS) was used for pain assessment, and the Oswestry Disability Index was used to assess functional disability at the beginning and at the end of the intervention. Patients were divided into two groups and received 20 individual sessions of therapeutic exercise at a frequency of two sessions per week. Group A was treated with classical kinesiotherapy and group B was treated with pilates exercises. Statistical analysis was performed using Wilcoxon's test. The significance level was set at 5%. Results : There was a significant reduction in pain (p = 043) and functional disability (p = 042) in both groups. We found no significant differences between the effects of pilates and classical kinesiotherapy on pain and functional disability. Conclusions : We conclude that, in the population studied here, both pilates and classical kinesiotherapy were effective in treating chronic low back pain symptoms, with no significant difference between them.

scholarly journals Functional Evaluation of the Spa-Rehabilitation Immediate Effect in The Management of Low Back Pain: Pilot Study in Ouargla, Algeria

2020 ◽  
pp. 333-344
Author(s):  
Abdelghani MILIANI ◽  
Hocine CHERID ◽  
Mohammed RACHEDI
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pilot Study ◽  
Physical Therapy ◽  
Effect Size ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Group A ◽  
Group B ◽  
Pain Patients

The region of Ouargla in the south-east of Algeria has many thermal hot springs that are still largely untapped. The aim of this pilot study is to assess the contribution of balneotherapy in the functional improvement of low back pain patients. Methods: This study concerned non-specific chronic low back pain patients treated at the balneotherapy and rehabilitation center in Ouargla, Algeria. The sample was divided into two groups for comparative purposes: the first one is the intervention group (A) receiving physical therapy combined with balneotherapy, and the second is the control group (B) receiving physical therapy alone. The response was assessed using the Oswestry Disability Index (ODI) in its Arabic version. The questionnaire was given at the beginning and end of treatment. An improvement in Oswestry is considered clinically relevant if it is above 30 %. The sensitivity to changes is estimated by the standardized response mean and effect size. Results: Ten patients meeting the eligibility criteria were split equally into the two groups. We observed that 60 % (3/5) patients had a clinically relevant improvement in Oswestry in group (A) versus 20 % (1/5) patient in group (B). The effect size for group (A) and group (B) is 1.20 and 0.71, respectively. The standardized response mean is 1.13 for group (A) versus 1.01 for group (B). Conclusion: The results of the present study reiterate that in addition to conventional rehabilitation, balneotherapy can be more effective in the treatment of patients suffering from non-specific chronic low back pain.

scholarly journals Effect of adding Ozone Sauna in Low Back Pain treatment [abstract]

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Tarek Tanbouli ◽  
Mazen Al-Qanni
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Assessment ◽  
Chronic Low Back Pain ◽  
Pain Treatment ◽  
Pain Scale ◽  
Low Back ◽  
Group A ◽  
Group B

PURPOSE: To evaluate the effect of adding ozone sauna with local ozone (O3) injection in low back treatment and comparing it to local O3 injection alone. MATERIAL and METHODS: This study was conducted on 40 patients suffering from chronic low back pain ( < 6 month), (Age: 35-65 years.), (L1/L2 to L5/S1), and Pain Assessment depends on Pain Scale before treatment and after 2, 4, 6, 8, 10, 12 sessions. Patients are divided randomly into 2 groups; each is 20 patients 12 males and 8 females. Group (A): received local O3 injection (7-12 mcg./ml.) for 12 sessions twice weekly. Group (B): received local O3 injection as group (A) followed by OZONE SAUNA for 12 sessions twice weekly. RESULTS: 0 4 16 - - - - - - - 2 4 8 5 3 - - 8 = (40%) 3 = (15%) - 4 4 6 4 4 - - 8 = (40%) 4 = (20%) - 6 3 4 4 4 1 - 9 = (45%) 5 = (25%) 1 = (5%) 8 2 3 3 6 6 - 15 = (75%) 12 = (60%) 6 = (30%) 10 2 2 1 7 6 2 16 =(80%) 15 = (75%) 8 = (40%) 12 2 1 2 4 8 3 17 =(85%) 15 = (75%) 11 = (55%) 0 Pain Scale (A)

scholarly journals Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
E. Fahmy ◽  
H. Shaker ◽  
W. Ragab ◽  
H. Helmy ◽  
M. Gaber
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Functional Disability ◽  
Exercise Program ◽  
Low Back ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group B ◽  
Lumbar Range Of Motion

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.

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