The Relative Efficacy Of A Six-Week Tripartite Physiotherapeutic Modality In The Management Of Chronic Low Back Pain
Volume 1 - Issue 4, October 2017 Edition
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Author(s)
OgundiranOpeyemiOlufemi, OgunsanyaGboladeIsaac
Keywords
Activities of daily living, Non-specific chronic low back pain, Pain numerical rating scale, Physiotherapeutic modality
Abstract
The objective of this study was to determine the efficacy of a six-week tripartite Physiotherapeutic modality in the management of non-specific chronic low back pain with the pain numerical rating scale serving as the principal outcome measure. A major research question was raised with a corresponding null hypothesis formulated for it and tested at 0.05 level of significance. A Quasi-experimental design involving one group pretest-posttest design was selected for the study with ten (10) participants purposively recruited with strict adherence to clearly defined inclusion and exclusion criteria. The participants were managed with a ternary management technique involving fifteen minutes of Infrared Radiation (IR), twenty minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and ten minutes of Soft Tissue Massage (STM) to the low back region. Each participant was managed thrice a week for a duration of six weeks and the data collected were analyzed using descriptive statistics to answer the raised research question while Wilcoxon Signed-Rank test was used to test the hypothesis. The results of this study showed that there was a significant reduction in the pain experienced by the participants. Hence, it was concluded that the Physiotherapeutic intervention was effective in the management of chronic low back pain judging by the overall decrease in the pain intensity.
References
[1] A.K. Burton, “European guidelines for prevention in low back painâ€, Cost B13 Working Group. 1-53. (Level 1A). 2004.
[2] G.B. Andersson, “Epidemiological features of chronic low back painâ€, Lancet. Aug 14; 354 (9178):581-5, 1999.
[3] P.M. Kent, and J.L. Keating, “The Epidemiology of low back pain in primary careâ€, ChiroOsteopat. July, 26 13:13. 2005.
[4] R.D. Meucci, A.G.Fassa, andN.F. Xavier, “Prevalence of chronic low back pain: Systematic reviewâ€,Rev SaudePublica. 49(1):1, 2015.
[5] S.M. Miller, “Low back pain: Pharmacologic managementâ€, Prim Care 39 (3), 499-510, 2012.
[6] D. Marlowe, “Complementary and Alternative Medicine Treatments for Low Back Painâ€, Prim Care 39 (3), 533-546. 2012.
[7] B. Koes, M. van Tulder, R. Ostelo, A. Kim Burton and G. Waddell,“Clinical guidelines for the management of low back pain in primary care: an international comparisonâ€, Spine (Phila Pa 1976). Nov 15; 26(22):2504-13, 2001.
[8] M.W. van Tulder, B.W. Koes, J.F Metsemakers, and L.M Bouter,“Chronic low back pain in primary care: a prospective study on the management and courseâ€, Fam Pract. April; 15(2) 126-32,1998.
[9] T.S. Carey, J.M. Garrett, and A.M. Jackman, “Beyond the good prognosis. Examination of an inception cohort of patients with chronic low back painâ€. Spine (Phila Pa 1976). Jan; 25(1):115-20, 2000.
[10] C. Costa lda,C. Maher,J. McAuley, M. Hancock, R. Herbert, K. Refshauge, and N. Henshke, “Prognosis for patients with chronic low back pain: inception cohortstudy†BMJ. Oct 6; 339:b3829, 2009.
[11] F. Balague, and J. Dudler,“An overview of conservative treatment for lower back painâ€. Int. J ClinRheumatol. 6(3):281-290, 2011.
[12] J.P Revord, “Pain management for chronic back painâ€, retrieved from www.spine-health.com/treatment/pain-management-chronic-back-pain, 2001.
[13] J. Rainville,R. Nguyen, and P. Suri,“Effective conservative treatment for chronic low back painâ€, Semin. Spine Surg. Dec 1; 21 (4):257-263, 2009.
[14] A. Louw and E. Puentendura, “Therapeutic Neuroscience Educationâ€, Vol 1, Minneapolis, MN: OPTP, 2013.
[15] J.D. Childs, S.R. Piva, and J.M. Fritz,“Responsiveness of the numeric pain rating scale in patients with low back painâ€, Spine (Phila Pa 1976), Jun 1;30(11): 1331-4, 2005.
[16] C.S. Rodriguez, “Pain management in the elderly: a reviewâ€, Pain ManagNurs 2:38-46,2001.