scholarly journals Effectiveness of classification-based treatment for patients with chronic low back pain

2019 ◽  
Vol 1 (12) ◽  
Author(s):  
Justė Knatauskaitė ◽  
Danguolė Satkunskienė
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Chronic Low Back Pain ◽  
Treatment Strategy ◽  
Treatment Method ◽  
Control Group ◽  
Low Back ◽  
Lumbar Range Of Motion ◽  
Experimental Group

Research background. The most prevalent question in treating low back pain is how to choose specifc treatment method not considering treatment strategy. Scientists and clinicians propose subgrouping because the group of low back pain in patients is heterogeneous. One of the classifcations proposed is treatment – based classifcation described by A. Delitto et al. (1995) which will be used in our research. We are going to use clinical prediction rules according to which we are supposed to choose specifc treatment method and improve treatment outcomes. Consequently the main point of our research is a strategy of treatment process. Methods. Sixty people with chronic low back pain participated in our study. The following factors were estimated in the research: intensity of pain using a scale of numbers, functional state using Roland–Morris disability questionnaire, lumbar range of motion with a Modifed–Modifed Schober test, static endurance of trunk muscles with 5 min endurance tests. Results. Low back pain intensity decreased in the experimental group after 4 days and in control group – after 9 days (p < 0.05). Functional disability and back muscles static endurance was better in the experimental group after 9 days compared to the control group (p < 0.05). Lumbar range of motion and abdomen muscle static endurance was not different between groups after physical therapy. Conclusion. Classifcation – based treatment strategy is effective in treating patients with chronic low back pain.Keywords: physical therapy, low back pain, classifcation

scholarly journals A novel (targeted) kinesio taping application on chronic low back pain: Randomized clinical trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250686
Author(s):  
María Lourdes Peñalver-Barrios ◽  
Juan Francisco Lisón ◽  
Javier Ballester-Salvador ◽  
Julia Schmitt ◽  
Aida Ezzedinne-Angulo ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Treatment Time ◽  
Control Group ◽  
Low Back ◽  
Kinesio Taping ◽  
Experimental Group

The aim of the present clinical trial is to evaluate the efficacy of kinesio taping on patients with chronic low back pain, when the exploration identifies skin/fascia mobilization as a factor that could modify the treatment effect. This study is a randomized controlled trial with intention-to-treat analysis. Sixty-two participants with chronic low back pain were therefore recruited from a tertiary referral hospital. Targeted kinesio taping, according to skin/fascia mobility exploration, was applied in the experimental group (17 female/13 male; 49.47 ± 11.15 years) once a week for four sessions. The control group (17 female/14 male; 48.87 ± 9.09 years) underwent a placebo taping application. At post-treatment time there was a statistically significant reduction both in disability (Roland-Morris Disability Questionnaire) and pain (Numeric Pain Rating Scale) in the experimental group (disability: −2.88, 95% confidence interval [CI] −4.56 to −1.21, P < .001; pain: −1.58, 95% CI −2.67 to −0.54 P = .001) and the control group (disability: −1.82, 95% CI −3.46 to −0.17 P = .025; pain: −1.30, 95% CI −2.32 to −0.28 P = .008). However, at six months, these changes only remained significant in the experimental group (disability: −2.95, 95% CI −4.72 to −1.18, P < .001; pain: −1.06, 95% CI −2.07 to −0.04, P < .05). As a conclusion, the application of targeted kinesio taping produced a significant reduction in pain and disability, at 4 weeks and at 6 moths follow-up, although there were no differences between groups at any measurement time point.

scholarly journals EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN

2021 ◽  
Vol 5 (1) ◽  
pp. 208-212
Author(s):  
Abdul haseeb Bhutta ◽  
◽  
Danish Rauf ◽  
Nimra Ilyas Bhutta ◽  
Wahaj Ali ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Latissimus Dorsi ◽  
Functional Disability ◽  
Control Group ◽  
Low Back ◽  
Large Effect Size ◽  
And Control ◽  
Experimental Group

Objective: To determine effects of latissimus dorsi stretching on functional disability related to chronic low back pain. Methodology: A single group pretest-posttest design trial was conducted in NOSIS clinics Mansehra Pakistan. Patients with the age between 20-60 years had chronic mechanical low back pain lasting for 7-12 weeks were included in the study. A total of n=64 randomly divided into experimental and control group, those received stabilization exercises (SE) plus latissimus dorsi stretching (LDS) and stabilization exercises alone respectively. Oswestry Disability Index (ODI) was used to determine functional disability. The level of significance was set at 95% CI (p≤0.05). Results: A total of n=61 participants participated in the study. The mean age of the study participants was 39.60 ± 10.02 and sitting time was 6.54± 1.23. It was observed that both the experimental group {p<0.001, ɳp2=0.934} and control group {p<0.001, ɳp2=0.875} significantly improved the ODI score with large effect size after 4 weeks of intervention. However, between the comparison showed significant improvement with large effect size in experimental group as compared to control group, after first week (p<0.001), and 2nd week (p<0.001) of intervention. Conclusion: the combination of spinal stabilization exercises and stretching of latissimus dorsi effective in improving functional disability related to chronic low back pain.

scholarly journals Assessment of pain in patients with chronic low back pain before and after application of the isostreching method

2015 ◽  
Vol 28 (4) ◽  
pp. 767-777
Author(s):  
Pedro Henrique Brito da Silva ◽  
Suely Maria Satoko Moriya Inumaru
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Low Back ◽  
Evaluation Period ◽  
Post Evaluation ◽  
Significant Difference ◽  
Before And After ◽  
Experimental Group

Abstract Introduction : Chronic low back pain is defined as a painful disorder located between the first and the fifth lumbar vertebra and it is considered to be an important public health problem. In Brazil, approximately 10 million people are disabled as a result of this condition. Objective : To assess pain intensity and functional disability in patients with chronic low back pain before and after application of the Isostreching method. Case studies and methods : In this randomized, controlled experimental trial, 14 female individuals with chronic low back pain, aged 45-60 years, divided into control group (CG) and experimental group (EG), with 7 individuals each, twelve 45-minute sessions were held, in which 9 postures of Isostreching method were carried out in the experimental group. The control group did not undergo intervention. A sociodemographic questionnaire, the visual analogue pain scale (VAS) and the Oswestry disability questionnaire were used before and after the study period in both groups. Results : The assessment of pain and disability in the pre-evaluation period showed no statistically significant difference, whereas scores of pain and disability in the post-evaluation period between the two groups showed a statistically significant difference. The CG also showed no statistical difference for the VAS and Oswestry scores between the pre- and post-evaluation periods, in which it was observed an increase in the pain and disability mean scores between those periods and the experimental group showed significant difference between the scores obtained in these two different periods, before and after collection. Conclusion : it is suggested that the method was effective for the group studied and proved to be suitable for the treatment of chronic low back pain.

Lumbosacral immobilization following glucocorticoid intradiscal injection in patients with chronic low back pain and active discopathy: A feasibility study

2020 ◽  
Vol 33 (6) ◽  
pp. 931-937
Author(s):  
Emmanuel Couzi ◽  
Margaux Boisson ◽  
François Segretin ◽  
Marie-Martine Lefèvre-Colau ◽  
Alexandra Roren ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Feasibility Study ◽  
Chronic Low Back Pain ◽  
Long Term Results ◽  
Control Group ◽  
Low Back ◽  
Early Withdrawal ◽  
Intradiscal Injection ◽  
Experimental Group

BACKGROUND: In people with chronic low back pain (cLBP) and active discopathy, glucocorticoid intradiscal injection (GC IDI) reduces LBP in the short-term. Lumbosacral immobilization may be useful to obtain long-term results. OBJECTIVE: To assess the feasibility of a lumbosacral immobilization using a pantaloon cast following GC IDI in people with cLBP sand active discopathy. METHODS: We conducted a retrospective feasibility study. Participants were allocated to experimental or control groups by preferences. The experimental group received lumbosacral immobilization using a custom-made pantaloon cast worn continuously for one week following a GC IDI of 25 mg of prednisolone acetate. The control group received GC IDI alone. The primary endpoint was the feasibility of lumbosacral immobilization assessed by the rate of refusal and early withdrawal of the cast. RESULTS: Twelve patients were offered lumbosacral immobilization following GC IDI: the rate of refusal was 3/12 (25.0%) and was 3/9 (33.3%) of early withdrawal. Mean (95% CI) acceptability of the procedure was 55.0 (26.9–83.1)/100 in the experimental group (N= 6) and 61.6 (25.1–98.2)/100 in the control group (N= 6). CONCLUSIONS: We found high rates of refusal and early withdrawal of the lumbosacral immobilization using a pantaloon cast following GC IDI in people with nonspecific cLBP and active discopathy.

scholarly journals Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

2021 ◽  
Vol 18 (13) ◽  
pp. 6816
Author(s):  
Aurora Castro-Méndez ◽  
Inmaculada Concepción Palomo-Toucedo ◽  
Manuel Pabón-Carrasco ◽  
Javier Ramos-Ortega ◽  
Juan Antonio Díaz-Mancha ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Foot Orthoses ◽  
Low Back ◽  
Custom Made ◽  
Foot Posture ◽  
Foot Pronation ◽  
Pain Symptoms

Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to observe the effects of custom-made foot orthoses, in subjects with foot pronation suffering from CLBP. A total of 101 patients with nonspecific CLBP and a pronated foot posture index (FPI) were studied. They were randomized in two groups: an experimental one (n = 53) used custom-made foot orthotics, and the control group (n = 48) were treated with non-biomechanical effect orthoses. The CLBP was measured using the Oswestry Disability Index (ODI) Questionnaire and a visual analogue scale (VAS), both for lower back pain. The symptoms were evaluated twice, at first when the subject was included in the study, and later, after 4 weeks of treatment. The analysis of outcomes showed a significant decrease in CLBP in the custom-made foot orthoses participants group (p < 0.001 ODI; p < 0.001 VAS). These findings suggest that controlling excessive foot pronation by using custom-made foot orthoses may significantly contribute to improving CLBP.

scholarly journals Effects of Exercises On Pregnancy Related Low Back Pain: A Quasi Experimental Study

2018 ◽  
Vol 08 (03) ◽  
pp. 163-167
Author(s):  
Abida Arif ◽  
Ghousia Shahid ◽  
Muhammad Arif Siddique ◽  
Khalid Aziz ◽  
Muhammad Faisal Fahim
Keyword(s):  
Experimental Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Post Treatment ◽  
Control Group ◽  
Low Back ◽  
Moderate Pain ◽  
Quasi Experimental ◽  
Experimental Group

Objective: To evaluate the effect of therapeutic exercises on pregnancy related low back pain in a tertiary care hospital of Karachi. Material & Methods: This was a quasi-experimental study with non-probability convenience sampling technique. Study was carried out at Liaquat National Hospital Karachi. Patients were divided into two groups (Experimental and Control). Inclusion criteria were age <30 years, 2nd and 3rd trimester, stable medical status and those who gave the informed consent. Exclusion were pregnancy induced hypertension (>140/90mmHg), Cardiac disease, diabetes mellitus, persistent vaginal bleeding, history of miscarriages, decreased foetal movement. Data was collected through assessment Modified Oswestry Low back pain disability questionnaire. SPSS version 23.0 was used to analyze the data. Results: A total of 30 samples were selected for the study. There were 15 respondents in experimental while 15 in control group. Disability levels were found to be significantly decreased after post treatment in experimental group with P-value= 0.002. It was seen that number of patients was increased from 1(6.7%) to 6(40%) in minimal disability group whereas crippled back pain group in pre-treatment group was totally shifted towards minimal or moderate pain 3(20.0%) and no case was seen in post-treatment. Conclusion: Low back pain in pregnancy can disturb daily life routine but exercise therapy and proper counselling will lead stress free life to female in gestation. After post treatment in experimental group showed decrease in pain as compare to control group who were not provided any exercise therapy. Working women in experimental group also showed decrease by crippled back pain to moderate pain after exercise. So in the end researcher suggest that physiotherapy exercises play a vital role in reducing Low Back Pelvic Pain (LBPP) during pregnancy.

scholarly journals Deficits in the Star Excursion Balance Test and Golf Performance in Elite Golfers with Chronic Low Back Pain

2021 ◽  
pp. 229-236
Author(s):  
Yi-Chien Peng ◽  
Chung-Yuan Hsu ◽  
Wen-Tzu Tang
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Golf Swing ◽  
Control Group ◽  
Low Back ◽  
Balance Test ◽  
Star Excursion Balance Test ◽  
Pain Symptoms ◽  
The Right

The purpose of this study was to investigate whether low-handicap elite golfers with chronic low back pain (CLBP) exhibit deficits in dynamic postural control and whether CLBP affects golfers in terms of their golf swing parameters. A total of fifteen Division 1 college golfers were recruited as participants. Of these, six of whom experienced CLBP, while the remaining participants were healthy. In this study, CLBP was defined as experiencing chronic pain symptoms for more than six months. The Star Excursion Balance Test (SEBT) was administered to examine dynamic posture control in both groups. The TrackMan Golf Launch Monitor Simulator was used to collect data on the performance parameters of the swing of the participants. The results for both feet in the medial, lateral, posterior, posteromedial, and posterolateral directions indicated that the CLBP group scored lower than the control group. However, the CLBP group scored higher for the right foot in the anterolateral direction. The parameters for the club speed and ball carry of the CLBP group were lower than those of the control group. Further, the CLBP group exhibited a more upright swing plane relative to the control group. Taken together, our findings suggest that SEBT may be feasible and highly accessible to assess golf swing performance of elite players with CLBP.

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