scholarly journals Comparison of the Effect of Different Physical Therapy Methods on Lumbopelvic Stability among People with Low Back Pain

Author(s):  
Justė Knatauskaitė

Research background. The majority of persons suffer from low back pain and prevalence of it seeks about 84%. Chronic low back pain is the second cause for people to go to their general practitioner. Many studies are done about treatment of chronic low back pain; however, complaints about back pain are increasing. Therefore we are going to find out which of the three our applied methods is the best for treating low back pain. The aim of the study was to compare the impact of different physical therapy methods on lumbopelvic stability control among people with chronic low back pain. Methods. 30 people with low back pain were participating in this study. Following factors were estimated before and after eight physical therapy sessions: intensity of pain by using the scale of numbers (SAS); lumbopelvic stability control by using “Stabilizer” pressure biofeedback unit; functional motions performance capacity by doing functional tasks. Results. Statistically significant changes were not found after the evaluation of lumbopelvic stability control under the method of Redcord sliding suspension system, elastic resistance and body weight exercises before and after physical therapy sessions. Statistically significant correlations were found between lumbopelvic stability control and pain intensity in those groups where people were training under the methods of elastic resistance and body weight exercises (p < 0.05). Statistically significant correlations were found between lumbopelvic stability control and functional motions performance capacity in those groups where people were training under the methods of Redcord sliding suspension system and body weight exercises (p < 0.05). Conclusion: statistically significant change was not found between three intervention groups after physical therapy; therefore neither of three methods applied in this study was better than the others.Keywords: chronic low back pain, lumbopelvic stability control, functional movement performance capacity, physical therapy.

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.


2018 ◽  
Vol 8 (2) ◽  
pp. 216-222
Author(s):  
Oluwadare Akanni Ogundipe ◽  
Olufemi Opeyemi Ogundiran

BACKGROUND: The use of physical modalities in treatment of Chronic Low Back Pain (CLBP) is potentially beneficial, but the general evidence still leaves questions about its security application. OBJECTIVE: This study sought to investigate and compare the relative efficacy of Vertical Oscillatory Pressure (VOP) and Transverse Oscillatory Pressure (TOP) in the management chronic low back pain (CLBP) of mechanical origin. METHODS: A two-group, quasi-experimental design was utilized, involving a total of forty-two participants purposively recruited with due consideration of the specific inclusion and exclusion criteria. Five research questions were raised with corresponding hypotheses formulated for them, which were tested at 0.05 level of significance. The participants were randomly assigned to the VOP and TOP groups, and were subsequently managed thrice weekly for a duration of six weeks. The pain intensity rating, straight leg raising, and spinal range of motion were the outcome measures selected, which were assessed before and after treatment. Data were collected, organized, and analyzed using descriptive and T-Student test analytical statistics. RESULTS: The results of the study showed a significant difference in each of the outcome measures for both groups (p<0,05). CONCLUSION: This suggested that both VOP and VOP were relatively effective in managing CLBP.


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