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

Author(s):  
Abdelghani MILIANI ◽  
Hocine CHERID ◽  
Mohammed RACHEDI

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.

2019 ◽  
Vol 28 (11) ◽  
pp. 2487-2501 ◽  
Author(s):  
Louis Mayaud ◽  
Hélène Wu ◽  
Quentin Barthélemy ◽  
Patrick Favennec ◽  
Yannick Delpierre ◽  
...  

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

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.


2021 ◽  
Author(s):  
Neha Chitale ◽  
Deepali Patil ◽  
Pratik Phansopkar

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.


2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Tarek Tanbouli ◽  
Mazen Al-Qanni

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)


Author(s):  
Spoorthi Shetty ◽  
Dhanesh Kumar KU ◽  
Purusotham Chippala

Abstract Objective To compare the effect of supervised physical therapy versus video-assisted technique in patients with chronic mechanical low back pain. Materials and Methods This is a comparative study. Forty-two patients were recruited in the study where they were randomized by simple random sampling. Group A (n = 21) received supervised physical therapy, and Group B (n = 21) received the video-assisted technique. The intervention was given 45 minutes per day for 15 days. The measures of visual analog scale (VAS) and Roland–Morris Disability Questionnaire (RMQ) were taken both at baseline and after 15 days of intervention. Results Comparison between the two groups using Mann–Whitney U test, supervised physiotherapy group showed significant improvement in VAS on activity, RMQ, and RMQ percentage (p < 0.005). However, Group A, VAS on rest was not significant (p > 0.005). Conclusion Supervised physical therapy is effective in reducing pain on activity and improved the disability of patients with chronic mechanical low back pain than the video-assisted technique.


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