Efficacy of Maitland's Spinal Mobilizations Versus Mckenzie Press-Up Exercises on Pain, Range of Motion and Functional Disability in Subjects with non Radiating Acute Low Back Pain

Author(s):  
Arpit Sheth ◽  
Anu Arora ◽  
Sujata Yardi
Author(s):  
E. Fahmy ◽  
H. Shaker ◽  
W. Ragab ◽  
H. Helmy ◽  
M. Gaber

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.


2020 ◽  
Vol 9 (2) ◽  
pp. 1539-1544
Author(s):  
Achmad Sya’id ◽  
Anita Fatarona

This study aims to nalyzing whether cupping is effective in increasing the flection range of motion of low back pain clients. Methods: This study is quassy experimental with one group pre-post test design, cupping care was carried out by a certified nurse giving therapy during the pandemic. This study using 30 acute low back pain clients. ROM was measured before and 15 minutes after cupping care was given. Before cupping 96.7% flection ROM was on 3th degree, 15 minutes after cupping care, the flection ROM of 96.7% respondents increased to 4th. Analysis: using the Wilcoxon test, P value is (0.000) smaller than alpha (0.05). Based on the study the changes of flection ROM are significant due to the increase in endogenous opiates such as endorphins, encephalins, and dinorphins in the body. The opiate is produced during cupping care, so that the concentration of tension decreases and the blood flows properly


Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 352
Author(s):  
Sandra Alcaraz-Clariana ◽  
Lourdes García-Luque ◽  
Juan Luis Garrido-Castro ◽  
César Fernández-de-las-Peñas ◽  
Cristina Carmona-Pérez ◽  
...  

Our aims were to identify potential differences in muscle mechanical properties (MMPs) of cervical and lumbar tissues and in spinal range of motion (ROM) between patients with acute low back pain (LBP) or acute neck pain (NP) and healthy controls, and to identify if ROMs and MMPs are able to identify subjects among the three groups. Clinical variables (pain, disability, fear of movement, kinesiophobia, quality of life), MMPs and ROMs were obtained in 33 subjects with acute LBP, 33 with acute NP, and 33 healthy control subjects. Between-groups differences and explanatory models to discriminate groups depending on MMPs and ROMs were calculated. The results showed that cervical tone was higher in patients with acute NP than in controls, while cervical decrement was higher in both spinal pain groups. Patients with acute NP showed reduced cervical flexion when compared to acute LBP and control groups, and also cervical rotation, but just against controls. Furthermore, lumbar flexion was reduced in patients with acute LBP when compared to those with acute NP. Cervical decrement was able to discriminate spinal pain individuals from controls in a multinominal regression (R2: Cox–Snell estimation = 0.533; Nagelkerke estimation = 0.600). Lumbar flexion differentiated patients with acute LBP and controls, whereas cervical flexion differentiated patients with acute NP and controls. This study supports a tendency of the affectation of other spinal regions when only one is affected.


Author(s):  
Kristina Venckūnienė ◽  
Vaida Pokvytytė ◽  
Vida Ostasevičienė ◽  
Gerda Kazlauskaitė ◽  
Jūratė Požėrienė ◽  
...  

Research background. Chronic nonspecifc low back pain is one of the most widespread health problems in modern society. Massage together with oils is commonly used for low back pain. However, no studies are available on the effect of classical massage with different oils on functional state and pain in patients with chronic low back pain. The aim of this research was to determine the effects of classical massage with different oils on patients with chronic nonspecifc low back pain. Methods. This study included 14 women. They were randomly assigned into two groups. The experimental group received classical massage using oil of natural components and the control group received massage with Vaseline oil. All participants received seven massage sessions, one session lasted 20 min. Pain intensity (VAS scale), functional disability level (Oswestry Low Back Disability Questionnaire) and measurement of spine flexion range of motion (Modifed Shober test) were evaluated before and after intervention. Results. Both groups showed signifcant improvements in pain intensity (p < 0.05). Massage with oil of natural components was more effective then massage with Vaseline oil in reducing pain (p < 0.05). Functional disability decreased in both groups (p < 0.05), but no signifcant difference was found between groups. The range of motion changes were not signifcant after intervention in two groups. Conclusions. Classical massage with oil of natural components and classical massage with Vaseline oil were found to be effective in relieving pain and decreasing functional disability in patients with chronic low back pain. Massage with oil of natural components was more effective than massage with Vaseline oil in reducing pain.Keywords: chronic nonspecifc low back pain, classical massage, oil.


2020 ◽  
Vol 14 (1) ◽  
pp. 47-54
Author(s):  
Soheila Abbasi ◽  
Mohammad Reza Hadian Rasanani ◽  
Nastaran Ghotbi ◽  
Gholam Reza Olyaei ◽  
Omid Rasouli

Introduction: This study aimed to evaluate the effect of Kinesio Taping (KT) on low back/pelvis pain, disability, and trunk Range of Motion (ROM) in individuals with nonspecific chronic low back pain (CLBP) after 72 h.Materials and Methods: Eighteen patients with nonspecific CLBP participated in this study. Pain intensity, Oswestry low back pain disability questionnaire, and lumbar ROM were evaluated once before the intervention (KT with 50% tension) and then 72 h after. For statistical analysis, we used the paired sample t-test. Results: Pain intensity was significantly reduced (P<0.01). But KT did not improve disability and lumbar ROM (P>0.05).Conclusion: Based on the results, 72 h KT over the lumbopelvic area did not improve disability and lumbar ROM in people with nonspecific CLBP while there was a significant reduction in pain intensity. The proposed mechanism of the KT effects is inconsistent with these results.


2018 ◽  
Vol 30 (4) ◽  
pp. 481-485 ◽  
Author(s):  
Arsalan Ghorbanpour ◽  
Mahmoud Reza Azghani ◽  
Mohammad Taghipour ◽  
Zahra Salahzadeh ◽  
Fariba Ghaderi ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Cosimo Costantino ◽  
Emilio Marangio ◽  
Gabriella Coruzzi

Pharmacological therapy of back pain with analgesics and anti-inflammatory drugs is frequently associated with adverse effects, particularly in the elderly. Aim of this study was to compare mesotherapic versus conventional systemic administration of nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids in patients with acute low back pain. Eighty-four patients were randomized to receive anti-inflammatory therapy according to the following protocols: (a) mesotherapy group received the 1st and 4th day 2% lidocaine (1 mL) + ketoprofen 160 mg (1 mL) + methylprednisolone 40 mg (1 mL), then on 7th, 10th, and 13th day, 2% lidocaine (1 mL) + ketoprofen 160 mg (1 mL) + methylprednisolone 20 mg (1 mL) (b) conventional therapy group received ketoprofen 80 mg×2/die and esomeprazole 20 mg/die orally for 12 days, methylprednisolone 40 mg/die intramuscularly for 4 days, followed by methylprednisolone 20 mg/die for 3 days, and thereafter, methylprednisolone 20 mg/die at alternate days. Pain intensity and functional disability were assessed at baseline (T0), at the end of treatment (T1), and 6 months thereafter (T2) by using visual analogic scale (VAS) and Roland-Morris disability questionnaire (RMDQ). In both groups, VAS and RMDQ values were significantly reduced at the end of drug treatment and after 6 months, in comparison with baseline. No significant differences were found between the two groups. This suggests that mesotherapy may be a valid alternative to conventional therapy in the treatment of acute low back pain with corticosteroids and NSAIDs.


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