Comparing Physical Therapy Accompanying Exercise with Only Exercise Treatments in Patients with Chronic Mechanical Low Back Pain

Abstract

Objective: Investigating and comparing the effects of exercise and physical therapy accompanying exercise treatments in patients with chronic low back pain. Materials and Methods: Twenty three patients with mechanical type low back existing more than 3 months were included one of the exercise or the physical therapy+exercise groups according to their application sequence. Both of the groups performed lumbar flexion and extension exercises, strengthening of the lumbar and abdominal muscle exercises and iliopsoas, hamstring and quadriceps stretching exercises two times a day for 14 days. The physical therapy group was given hot pack+therapeutic ultrasound+ interferential current for 10 days additionally. Degree of the low back pain was evaluated with visual analog scale (VAS), range of joint motion was evaluated with hand finger floor distance (HFFD) and Modified Schober test, functional status was evaluated with Modified Oswestry Low Back Pain Scale and quality of life was evaluated with Short form-36 (SF-36) before and a month after the treatments. Results: In both groups (exercise group: average age 59 years, 21 females, 2 males; physical therapy group: average age 60 years, 20 females, 3 males) pain intensity and HFFD decreased and Modified Schober increased, functionality recovered, pain and physical functions of SF-36 improved after the treatments. SF-36-physical role difficulty also improved in the exercise group. Decrease in pain, increase in HFFD and

A Systematic Review and Meta-analysis Investigating the Pain-Relieving Effect of Interferential Current on Musculoskeletal Pain

“…Of these, 475 were excluded, and 55 were exposed to a thorough review of the full article. Twenty-two studies were excluded after the review of the full article because of a lack of randomization, [26][27][28][29][30][31][32][33][34] using different study designs, 35,36 the lack of a control group, 37,38 different study populations (comparing two different treatments with one including ICF), 39,40 lack of the required outcome measures, [41][42][43] different languages, 44,45 inaccessibility of the full article, 46 and a lack of the desired intervention. 47 The final results included 33 trials in addition to two other trials 12,48 that were added after the manual search of the reference list (see Supplemental Digital Content 3, http://links.lww.com/ PHM/B380).…”

The Effectiveness of Matrix Rhythm Therapy in Patients with Chronic Low Back Pain

“…There are many studies applying combined physiotherapy programmes in the literature. Yılmaz et al 22 applied combined physiotherapy (10 sessions of HP + US + interferential current + exercise) to patients with mechanical low back pain for >3 months, and reported that the increase in the joint range of motion as well as the decrease in pain and disability were significantly higher. Koldaş Doğan et al 23 reported that exercise training applied in addition to a combined physiotherapy program (HP + US + TENS) was more effective in reducing pain and improving disability and psychological disorders than exercise training alone.…”

Investıgatıon of the Effects of Exercıse and Kınesıo Bandıng on the Backache

“…Exercise programs strengthen the treatment, even more, when applied with other physical therapy modalities. It is especially emphasized that the exercise program has a very important place in the chronic low back pain treatment protocol 19,20,21 .…”