The application of physical therapy and balneology of the patients with non-specific low back pain (literature review)

2020 ◽  
pp. 130-136
Author(s):  
A. Yu. Novikov ◽  
A. R. Shaiakhmetov ◽  
Yu. O. Novikov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Therapy Modalities ◽  
Interventional Treatment ◽  
Low Back ◽  
Lower Back ◽  
Complex Approach ◽  
Somatic Status ◽  
Analytical Review

This analytical review present of the literature on rehabilitation of patients with non-specific low back pain. The wide occurrence of pathology determines the relevance of the studied problem. Much attention is paid to the complex approach, taking into account the pathogenetic mechanisms, the type of pain — nociceptive, neuropathic, dysfunctional, mixed, its temporary characteristics (acute, chronic pain), the emotional and somatic status of patients, pain attitudes and pain behaviors. The article considers a multidisciplinary approach to the treatment of patients with non-specific pain in the lower back using physical therapy modalities, balneology, medication and interventional treatment.

scholarly journals Clinical principles for the diagnosis and treatment of musculoskeletal (non-specific) lower back pain

2021 ◽  
Vol 13 (3) ◽  
pp. 107-112
Author(s):  
V. A. Golovacheva ◽  
A. A. Golovacheva ◽  
T. G. Fateyeva
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Interdisciplinary Approach ◽  
Interventional Treatment ◽  
Low Back ◽  
Lumbar Stenosis ◽  
Red Flags ◽  
Lower Back ◽  
Symptoms And Signs

Low back pain (LBP) is one of the most common reasons for a neurologist visit. In 90–95% of cases, LBP is nonspecific (musculoskeletal). The diagnosis of nonspecific LBP based on symptoms, somatic and neurological examination data, the absence of «red flags» (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy, or lumbar stenosis). We review the modern principles of acute, subacute, and chronic nonspecific LBP treatment. We also discuss interventional and non-interventional treatment approaches, emphasizing the importance of combination therapy and an interdisciplinary approach.

scholarly journals Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain

2022 ◽  
Vol 5 (1) ◽  
pp. e2142069
Author(s):  
Meng-Si Peng ◽  
Rui Wang ◽  
Yi-Zu Wang ◽  
Chang-Cheng Chen ◽  
Juan Wang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Chronic Low Back Pain ◽  
Physical Therapy Modalities ◽  
Aquatic Exercise ◽  
Low Back

scholarly journals Ergonomic Intervention on Physical Therapy Programs Decrease Pain and Disability Level on Subject with Myogenic Low Back Pain: A Case Report

2021 ◽  
Vol 2 (1) ◽  
pp. 5-9
Author(s):  
I Made Dhita Prianthara ◽  
Ida Ayu Astiti Suadnyana ◽  
Komang Tri Adi Suparwati ◽  
Siti Ainun Marufa
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Low Back ◽  
Oswestry Disability Index Score ◽  
Lower Back ◽  
Roof Tile ◽  
Physical Therapy Programs ◽  
Disability Level ◽  
Ergonomic Intervention

Introduction: Myogenic Low Back Pain is an uncomfortable pain on the lower back, often caused by musculoskeletal disorders resulting in pain and disability. This case report aims to review ergonomic intervention on physical therapy program on myogenic low back pain. Case description: A 45-years-old man working as a roof tile craftsman complained of pain in the lower back area and already felt it for 1 month ago. The pain did not radiate to the leg. The patient has no neurological signs and symptoms. Patient-reported that he had experienced the same incident about 9 times in the last 3 years ago. The patient always performed bending motion and lifting the roof tile every day. The patient has been visited physical therapy and received ergonomic intervention and physical therapy programs such as core stability exercise, soft tissue mobilization and modalities for seven weeks. Following the ergonomic intervention and therapeutic exercise application, the Visual Analogue Scale score decreased from 6 to 0. The Modified Oswestry Disability Index score gradually decreased from 60% disability to 0% disability. The patient no longer complained of MLBP and was able to lift the roof tile well. Conclusion: After a seven-weeks physical therapy treatment session, the patient did not feel pain and can perform forward bending. Modified Oswestry Disability Index score improved and demonstrated improved lifting the roof tile without any complaints. We concluded that the ergonomic intervention combined with physical therapy programs effectively decreased pain and disability level on a subject with MLBP

How Do Physical Therapists Measure Treatment Outcomes in Adults With Chronic Low Back Pain? A Systematic Review

2020 ◽  
Vol 100 (6) ◽  
pp. 1020-1034 ◽  
Author(s):  
Diogo Pires ◽  
Eduardo Brazete Cruz ◽  
Luís A Gomes ◽  
Carla Nunes
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Randomized Controlled Trials ◽  
Chronic Low Back Pain ◽  
Physical Therapy Modalities ◽  
Controlled Trials ◽  
Low Back ◽  
Randomized Controlled ◽  
Cutoff Values

Abstract Background There is an increasing recognition of the importance of using a conceptual framework covering the full range of relevant health domains and outcome measures addressed by physical therapy modalities in patients with chronic low back pain (CLBP). However, little is known about what outcome domains have been measured and through what measures in physical therapy research. Objective The purpose of this review was to synthesize outcome domains, instruments, and cutoff values reported in published randomized controlled trials and their compliance with the original Patient-Reported Outcomes Measurement Information System (PROMIS) framework. Data sources Embase, MEDLINE, Cochrane Library, and Physiotherapy Evidence Database electronic databases were systematically searched from January 2008 to April 2019. Study selection Randomized controlled trials that compared physical therapy with any other intervention for adults with CLBP were included. Data extraction Study characteristics, outcome domains, instruments, and cutoff values were extracted by 2 reviewers. The PROMIS framework was used for domain categorization. Data synthesis One hundred ninety-five studies were included, with 52 outcome domains and 45 cutoff values identified from 182 instruments reported. Only 14 of 195 studies assessed all PROMIS health core areas, whereas the PROMIS physical health core area was assessed in all included studies. Pain intensity and disability were the most frequently used domains. Limitations Only studies for which full texts were available in English were included. Conclusions This review identified a poor overlap between the PROMIS framework and outcome domains used to define the effectiveness of physical therapy in adults with CLBP. This finding suggests that other potential benefits resulting from physical therapy modalities are not being measured. Furthermore, a large diversity in the outcome domains and instruments was found.

Interventional treatment of lower back pain

2020 ◽  
pp. 44-53 ◽  
Author(s):  
A. Yu. Novikov ◽  
M. B. Tsykunov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Syndrome ◽  
Main Group ◽  
Muscle Relaxants ◽  
Control Group ◽  
Interventional Treatment ◽  
Low Back ◽  
Treatment Needs ◽  
Lower Back

Introduction. Low back pain takes one of the leading places among all non-communicable diseases, reaching 70 % of outpatient visits. In 90 % of cases the non-specific nature of back pain is observed. The most common causes of low back pain are myofascial pain syndrome, facet joint arthrosis, spinal stenosis, spondylolisthesis, discal hernias. If NSAIDs and muscle relaxants are the «gold standard» in the treatment of low back pain, interventional treatment needs further studies. This trial was conducted in order to determine the effectiveness of therapeutic blockades. The goal of research — to study the effectiveness of selective injections of pharmaceuticals into pain sources in case of low back pain based on clinical and instrumental studies.Materials and methods. The prospective, controlled, randomized trial was conducted from January 2018 to January 2019 at the Department of Neurosurgery and Medical Rehabilitation of the Bashkir State Medical University. 42 patients with low back pain, aged from 24 to 54 years, of which 28 (66,7 %) were men and 14 (33,3 %) were women took part in the research and were randomly divided into 2 groups. Patients of the main group (30 people) underwent interventional therapy, from 2 to 7 injections, depending on the severity of the pain syndrome and the duration of the disease. Patients of the control group — 12 people, received treatment in accordance with the standard of medical care in low back pain (analgesics, NSAIDs, muscle relaxants), as well as physiotherapy for 2 weeks daily. The study of the effectiveness of therapy included, along with the neurological examination, a neuroorthopedic instrumental examination. The depth of the lumbar lordosis, flexion and extension restrictions were measured using a curvimeter-goniometer, which also allows measuring the angle of tension symptoms (Lasegue, Wasserman). In order to study rotation and lateroflexion, instruments with a graduated scale were used. Muscle tone and tenderness of the structures of the spine were examined using a myotonometer-tensoalgimeter and a visual analogue scale (VAS). To interpret the data of a comprehensive neuroorthopedic examination, the results were converted into comparable units with the calculation of the integral indicator.Results. After selective intervention therapy in the main group, a more rapid relief of pain, a regression of neurological symptoms, manifested by the complete elimination or significant reduction of biomechanical and tonus disorders in the lower back were noted.Conclusion. Selective injections of pharmaceuticals into pain sources in low back pain are more effective than treatment with the use of analgesics, NSAIDs, muscle relaxants and physiotherapy, which allows to recommend them for wider use in clinical practice.

Critical analysis and unique management of Gridhrasi w.s.r. to Sciatica - A Case Report

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Total Population ◽  
The Body ◽  
Walking Distance ◽  
Common Symptom ◽  
Low Back ◽  
Short Term ◽  
Lower Back

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.

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