scholarly journals A comparative Clinical Study to Evaluate the Efficacy of Anuvasan Basti with Brahatchaglyadi Ghritam and Guggulutiktam Ghritam in the management of Gridhrasi (Sciatica): A Study Protocol

2021 ◽  
pp. 119-136
Author(s):  
Arun Kumar Gupta ◽  
Shweta Parwe ◽  
Trupti Gupta ◽  
Milind Nisargandha
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Study ◽  
Modern Science ◽  
Control Group ◽  
Low Back ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B ◽  
Interventional Group

Background: Gridhrasi is such a Ruja Pradhaana Vatavyadhi. In Gridhrasi intense shooting pain characteristically radiates from Sphika (gluteal region) to Pada (foot). Based on symptoms of Gridhrasi, it can be equated with the disease sciatica in modern science. The lifetime incidence of low back pain is 50-70%, with Sciatica more than 40%. Charaka has considered Basti therapy as half of the disease's treatment, while some authors consider it as the complete remedy for all the ailments. Basti is one of the unique procedures explained for the management of Vatavyadhi (Neurological Disorder) where Gridhrasi (Sciatica) is being the predominant of Vata dosha, Basti is being used widely for the management of Gridhrasi (Sciatica). Therefore we have taken the Basti modality for the treatment of Gridhrasi (Sciatica). Hence the study is carried to evaluate the effect of Anuvasanbasti with Brihachagalyadi Ghritam & Guggulutiktaka Ghritam in the management of Gridhrasi (Sciatica). Aims and Objectives: Evaluate Anuvasan Basti's efficacy with Brihatchagalyadi Ghritam & Guggulutiktaka Ghritamin the control of Gridhrasi (Sciatica) and to compare the effectiveness of Brihachagalyad Ghritam & Guggulutiktak Ghritam Anuvasan Basti in the direction of Gridhrasi. Methodology: Procedure: This study, a total of 66 patients, will be separated haphazardly divided into 2 groups (33 in each). In Group A (Interventional Group)- will Treat with Brihachagalyadi Ghritam as an Anuvasan Basti in increasing dose pattern for nine days and Group B (Control Group ) –patients will Treat with Guggulutiktaka Ghritam as an Anuvasanbasti in increasing dose pattern for nine days. The evaluation will be recorded on 0 and 9thday. Conclusion: It may be more beneficial and more effective in pain as well as other subjective and objective parameters.

Effects of Tailored Motor Control Rehabilitation Vs Standard Exercise Program in Management Of Chronic Nonspecific LBP

2021 ◽  
Vol 15 (11) ◽  
pp. 3219-3221
Author(s):  
Maryam Liaquat ◽  
Wajida Perveen ◽  
Danish Hassan ◽  
Misbah Amanat Ali ◽  
Muhammad Akhtar ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Clinical Study ◽  
Exercise Program ◽  
Low Back ◽  
Randomized Clinical Study ◽  
Lower Back ◽  
Group A ◽  
Group B

Lower back pain is one of the most common problems in adults all over the world, and chances of having back pain increases with the age. Objectives: To determine the effect of tailored motor control rehabilitation versus standard exercise program in chronic nonspecific lower back pain. Study Design: Non randomized clinical study. Methodology: A non randomized clinical study was conducted in six-month during 2018 after ethical approval. 40 patients were enrolled through non-probability purposive sampling technique and allocated into two groups (Group A & B). Informed consent was obtained. Individuals between twenty to forty years with chronic nonspecific low back pain with intensity at least 3 on a 10cm visual analog scale (VAS) were included and individuals with past history of trauma of the spine and hip and with any red flags were excluded. Outcomes were measures by Modified Oswestry Disability Index (MODI) and Visual Analogue Scale (VAS). Statistical analysis: Data was analyzed by SPSS software, version 19 as qualitative variables were expressed as mean ± SD. Independent sample T test was also applied. Results: The mean age Group A was 29.05±8.58 and Group B, was 32.05±6.53 years. The result shows that there was a significant difference in outcomes among tailored motorcontrol rehabilitation (Group A) and standard exercise program (Group B). Conclusion: We concluded that motor control rehabilitation was more effective than standard exercise program in decreasing low back pain and improving quality of life. Key Words: Low Back Pain, Tailored Motor Control Rehabilitation, Standard Exercise Program and Modified Oswastry Disability Index.

scholarly journals Dynamics of Changes in Isometric Strength and Muscle Imbalance in the Treatment of Women with Low back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jacek Wilczyński ◽  
Alicja Kasprzak
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Muscle Strength ◽  
Control Group ◽  
Study Group ◽  
Low Back ◽  
Flexor Muscles ◽  
Group A ◽  
Group B

The aim of the study was to evaluate the dynamics of isometric changes in strength and muscular lumbar-pelvic imbalances in the treatment of women with low back pain. Forty-one women, nineteen in the study group (A) and twenty-two in the control group (B), participated in the study. Magnetic resonance imaging (MRI) was performed to assess the degree of degenerative changes in the lumbar spine. The diagnosis of isometric muscle strength and their imbalances was performed with the Tergumed 700 device. After six weeks of therapy in the study group (A), there was a significant improvement in the strength of all the examined muscle groups. However, in the control group (B), significant improvement occurred only in the strength of the lumbar flexor muscles and the flexor muscles on the left side. Furthermore, there was a significant intensification of the imbalance of left flexor muscle strength compared to right flexor strength in group B. Significant differences in favour of the study group (A) concerned the strength of the rotator muscles to the left, the strength of the extensor muscles of the lumbar spine, the strength of the flexors of the lumbar spine to the right, and the balance of the strength of the lumbar spine flexors to the left compared to the strength of the flexor muscles to the right. Therapy with the Tergumed 700 system leads to an increase in the muscle strength of the lumbar and pelvic complex, compensating for its imbalance, bringing beneficial effects in the treatment of low back pain.

scholarly journals Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Muhammad Adnan ◽  
Aatik Arsh ◽  
Babar Ali ◽  
Shakeel Ahmad
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Group Analysis ◽  
Post Treatment ◽  
Control Group ◽  
Low Back ◽  
Group A ◽  
Group B ◽  
Straight Leg Raise

Objective: To compare the effectiveness of bent leg raise technique and neurodynamics in patients with low back pain that radiates up to the knee. Methods: The pre-test post-test control group study was conducted at Department of Physical therapy, Maqsood Medical Complex and General Hospital Peshawar from February to July 2019. Patients with radiating low back pain of both genders aged 18-60 years were included in the study. Patients were divided into Group-A and Group-B. Group-A patients received Mulligan bent leg raise technique while Group-B patients received neurodynamics. Both groups received five sessions per week, for four weeks. Numeric pain rating scale, Oswestry disability index and goniometer was used to assess pain, functional disability and straight leg raise range before and after the interventions. Data was analyzed using SPSS version 20. Results: Thirty-two participants with mean age of 38.81±9.94 years, participated in the study. There were no significant differences (P-value >0.05) between the two groups at baseline. Post-treatment, within Group-Analysis showed that all three variables (pain, functional disability and straight leg raise range) significantly (P<0.05) improved in both groups. However, post treatment between Group-Analysis showed that there were no significant differences (P>0.05) between the two groups. Conclusion: Both neurodynamics and bent leg raise technique significantly improved pain, functional disability and straight leg raise range in patients with low back pain that radiates up to the knee. However, there were no significant differences between the groups who received either neurodynamics or bent leg raise technique. doi: https://doi.org/10.12669/pjms.38.1.4010 How to cite this:Adnan M, Arsh A, Ali B, Ahmad S. Effectiveness of bent leg raise technique and neurodynamics in patients with radiating low back pain. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4010 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Trabecular Bone Score and Bone Density in Patients With Non-radiographic Axial Spondyloarthritis

2020 ◽  
Author(s):  
Hesham Hamoud ◽  
Mohamed Ghit ◽  
Mohamad Ali ◽  
Islam Khaled
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Trabecular Bone ◽  
Axial Spondyloarthritis ◽  
Trabecular Bone Score ◽  
Control Group ◽  
Low Back ◽  
Mineral Density ◽  
Group A ◽  
Group B

Abstract BackgroundSpondyloarthritis (SpA) represents a group of several inflammatory conditions. Ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA) are considered to belong to SpA family of diseases. The aim of our study is to evaluate bone mineral density (BMD) and trabecular bone scores (TBS) scores in patients suffering from nr-axSpA.MethodsA cross-sectional study evaluating 160 patients. Inclusion criteria involved patients 18-45 years of age, having clinical features of SpA, and fulfilling Calin’s criteria for inflammatory low back pain. Patients were divided into 3 groups; group A (nr-axSpA) patients, group B (radiographic axial spondyloarthritis (r-axSpA)) patients, and group C (mechanical low back pain).Results Female to male ratio was significantly higher in group A compared to group B (63.3% vs. 36.7%) and (23.33% vs. 76.7%) (p< 0.001), respectively. While disease duration was significantly higher in group B in comparison to groups A and C (47.65±7.15, 18.56±6.55, and 14.76±4.20) (p<0.001), respectively. L1-L4 and L2-L4 TBS of groups A and B were significantly lower compared to group C (p<0.001). Additionally, a statistically significant decrease in BMD scores of L1-L4, femoral neck, and total hip bones was detected in group A compared to group C (p< 0.001).ConclusionPatients with nr-axSpA had a lower BMD and TBS compared to r-axSpA group (B) and control group (C), and it predominantly affected more females than males (3:1).

EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE TRAINING ON CORE MUSCLE IN SUBJECTS WITH NON SPECIFIC LOW BACK PAIN

2017 ◽  
Vol 10 (6) ◽  
pp. 308
Author(s):  
Bijal Majiwala ◽  
Trupti Warude ◽  
Amrutkuvar Pawar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Isometric Exercise ◽  
Low Back ◽  
Endurance Test ◽  
Isotonic Exercise ◽  
Group A ◽  
Pre Treatment ◽  
Group B

Objective: To compare the effects of isometric (stability) and isotonic training on core muscle in patients with non-specific low back pain on pain, endurance, and functional disability.Methods: Forty participants of both genders aged between 20 and 35 years suffering from non-specific low back pain were taken and equally divided into two groups: Group A isometric exercise and Group B isotonic exercise, both the group received baseline treatment of transcutaneous electrical nerve stimulation and hot moist pack. Outcomes measure visual analog scale, endurance test, and modified Oswestry disability index were used the pre-treatment and at the end of 4 weeks.Results: Experiment of both the groups showed a non-significant improvement in pain, endurance, and functional disability. Except for extensor endurance test which shows significant different in Group A.Conclusion: Both isometric and isotonic exercises are equally effective in reducing pain, increase endurance, and improve functional disability in patients with non-specific low back pain.

scholarly journals To Study the effect of Traditional Back Exercises vs Exercise Ball Exercise on Pain Intensity, Core Endurance and Limitation of Activities in Individuals with Nonspecific Low Back Pain: A Comparative Study

2021 ◽  
pp. 117-123
Author(s):  
Jay Kumar Soni ◽  
Edrish Contractor
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Comparative Study ◽  
Pain Intensity ◽  
Core Stability ◽  
Low Back ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Swiss Ball

Aims: Non specific Low back pain is defined as pain without any known pathology which affects almost all the leading occupation where body's awkward posture, twisting and stress forces are commonly encountered across the globe and it is highly prevalent 60% to 70% in a year. Studies have shown various exercise regimen individual effect on the same but superiority of regimen out of these is not clear. Study Design: Comparative Study Place and Duration of Study: Ahmedabad Institute of Medical Sciences, Duration 2013-15 Objective: To assess and compare the effect of core stability exercise, back school program and Swiss ball exercise on Pain, core endurance and Functional disability. Methodology: A group of 24 patients having non-specific low back pain between age groups 18-40 were randomly selected and allocated in to two groups. Group A(n=12) received traditional exercise whereas Swiss ball exercise was given to Group B(n=12). The subjects were treated for two weeks. Baseline data for VAS, Core endurance and MODI were taken on day1 and at the end of two weeks Result: The results were analyzed by wilcoxon signed rank test within both groups. Both groups showed significant improvement in VAS, core endurance and MODI at the end of 2weeks.Comparison between both the Group A and Group B was done by Mann- whitney U test and statistically no significant difference was seen in VAS, core endurance and MODI between the groups Conclusion: The study concluded that both the exercises are equally effective in reducing pain intensity, improves core endurance and functional status in subjects with non specific low back pain

scholarly journals EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES

2012 ◽  
Vol 1 (1) ◽  
pp. 23-27
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Nabiha Mujahid Faruq ◽  
Sumaira Imran Farooqui ◽  
Jharna Devi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Velocity ◽  
Low Back ◽  
Before And After ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Low Amplitude ◽  
Stretching Exercises

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching

scholarly journals EFFICACY AND TOLERABILITY OF FLUPIRTINE VERSUS TRAMADOL IN THE TREATMENT OF MODERATE CHRONIC LOW BACK PAIN

2019 ◽  
pp. 84-87
Author(s):  
VINEELA KARTHIK NAGURI ◽  
RAVI BABU KOMARAM ◽  
TAMILISETTI VIDYA SAGAR
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Adverse Drug Reactions ◽  
Tertiary Care ◽  
Care Hospital ◽  
Low Back ◽  
Drug Reactions ◽  
Study Results ◽  
Group A ◽  
Group B

Objective: The objective of the study was to assess and compare the efficacy and tolerability of flupirtine versus tramadol in patients with chronic moderate low back pain (LBP). Materials and Methods: A prospective study was conducted in the outpatient department of orthopaedics at tertiary care hospital, Rajamahendravarm. After meeting the inclusion criteria, a total of 60 patients were randomly allocated to tablet flupirtine 100 mg in Group A and tablet tramadol 50 mg in Group B. The efficacy of the study drugs was assessed at baseline and the end of treatment by numerical rating scale11, visual analog scale-100 mm, physician’s, and patient’s global assessment. Statistical analysis was done using paired and unpaired t-test and data were presented as mean±standard deviation. Adverse drug reactions were monitored during the treatment. Results: The study results showed that 90% of the patients in Group A and 78% of the patients in Group B had shown a good response to their respective drugs. 30% of flupirtine group patients reported adverse drug reactions which were mild. Conclusion: Both the drugs are effective in the treatment of moderate chronic LBP, but the advantage of flupirtine was, the incidence of adverse drug reactions was less when compared to tramadol group.

scholarly journals Effects Of Transcutaneous Electrical Nerve Stimulation (Tens) On Patients With Acute Low Back Pain

2012 ◽  
Vol 7 (2) ◽  
pp. 29-32
Author(s):  
B Ahmed ◽  
S Alam ◽  
I Rashid ◽  
N Rahman ◽  
A Rahman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Significant Proportion ◽  
Low Back ◽  
Electrical Nerve Stimulation ◽  
Acute Low Back Pain ◽  
Group A ◽  
Group B

Background: Acute low back pain (LBP) affects a significant proportion of the population. Transcutaneous electrical nerve stimulation (TENS) was introduced more than 30 years ago as an adjunct to the pharmacological management of pain. However, despite its widespread use, the usefulness of TENS in LBP is still controversial. Introduction: LBP is a common problem in Bangladesh. Acute LBP is usually defined by a period of complaints of LBP of six weeks or shorter. TENS may improve acute LBP. Objective: To evaluate the effectiveness of TENS on acute LBP and also to ensure the patients wellbeing by shortening recovery time who have acute LBP. Methods: A prospective study was carried out in the Department of Physical Medicine and Rehabilitation, Bangubandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from July 2008 to December 2008. The patients were divided into two groups (A and B). Patients of Group A (30 patients) were treated with TENS, Non-steroidal anti-inflammatory drugs (NSAIDs) and activities of daily living (ADLs) instruction. Patients of group B (28 patients) were treated with NSAIDs and ADLs instructions. Results: A total of 58 Patients of acute LBP were included in this study. The mean age of the patients was 38.5 ± 9.01 years. Main causes of pain were muscle strain (39.65%), nonspecific LBP (22.41%), prolapsed lumber intervertebral disc (17.24%), lumbar spondylosis (13.79%) and sciatica (6.91%). After treatment the result was compared and student's 't' test was done to see the level of significance. Method was found significant after treatment (p<0.05). Twenty four (80%) patients were improved in group A and 18 (64.28%) patients in group B. Patient compliances of group A were better than that in group B. Conclusion: Effect of TENS on patients with acute low back pain is beneficial. DOI: http://dx.doi.org/10.3329/jafmc.v7i2.10393 JAFMC 2011; 7(2): 29-32

scholarly journals Effectiveness of Pilates exercises on non-specific low back pain to determine pain and disability

Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 825-829
Author(s):  
P Manikandan ◽  
G Mohan Kumar ◽  
V Rajalaxmi ◽  
C Priya ◽  
G Yuvarani ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Conventional Group ◽  
Patient Specific ◽  
Low Back ◽  
Mean Values ◽  
Significant Difference ◽  
Group A ◽  
Group B

Introduction and Aim: Low back discomfort is one of the commonest musculoskeletal problems. The Pilates exercises are an approach to stretching and strengthening techniques and specifically train all the core muscles. The intend of the current study was to verify the influences of the Pilates exercises among pain and disability among patients with Non-specific Low Back Pain (NSLBP).     Materials and Methods: A 100 non-specific low back pain subjects were randomly selected for this experimental study. The study includes of non-specific LBP age group between 25 to 40 years, both male and female patients with pain and disability and this study excludes spinal fractures and Pregnant Women. The estimations were taken utilizing Visual Analogue scale (VAS), Patient Specific Functional Scale (PSFS) and Modified Oswestry Low Back Pain Disability Questionnaire (MODQ). Subjects are allotted in two groups, Group A (Pilates group) receives Pilate’s exercise and Group B (conventional group) receives conventional exercise. Exercises were given for 3 times a week for 12 weeks and a regular follow up was done for every 4 weeks.   Results: Group A (Pilates group) were found to be more effective than Group B (conventional group). It shows a highly significant difference in mean values at P ? 0.001. This implies that Pilates exercise is more beneficial in decreasing pain and functional disability.   Conclusion: On comparing the mean values, Group A (Pilates group) showed significant improvement at the end of the study when compared with Group B (conventional group).

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