Open Access Open Access  Restricted Access Subscription or Fee Access

To Compare the Effectiveness of ILT Vs ILT with SLR Mobilization on Chronic Low Back Pain

Gaurav Kapoor, Pratap Yash, Grewal Preeti, Panda Sougata, Tegh Sukhvinder Singh, Sharma Deepanshi, Shinghal Vishesh

Abstract


Introduction: Low back pain (LBP) is one in all the foremost rife health issues in general public. Its interrelation is found in each gender and every decade of life, hinders with caliber of life and work performance. As quantified by World Health Organization, LBP is the topmost principal cause of incapability. About 70%–85% of populace encountered low back ache over some incidents of life. Low back ache is the commonest reason behind work-related incapacity in industrial cultures. Study design: Experimental design. Setting: Outpatient department of D.A.V Institute of Physiotherapy and Rehabilitation and affiliated hospitals. Duration of study: Total duration of the study was one and half years. Sample size: A minimum of 45 subjects (males/ females) were selected for the study and divided into three groups with 15 subjects (each group). Sampling: Convenient sampling was done. Sample selection: Subjects were selected according to the set criteria. Conclusion: In conclusion, the result of the study concludes that there is statistically significant difference between the ILT and ILT with straight leg raise (SLR) mobilization in chronic LBP. Group C, i.e., ILT with SLR mobilization when combined with SWD and TENS, showed more improvement in pain, disability and increasing in SLR range in subjects with chronic LBP. Therefore, this study supports the experimental hypothesis.


Full Text:

PDF

References


Malik N, Kataria C, Bhatia N. Comparative effectiveness of straight leg raise and slump stretching in subjects with low back pain with adverse neural tension. Int J Health Rehab Sci. 2012; 1(1): 3p.

Dutta A, Suresh A, Simson KS. A comparative study to find out the effectiveness of core stabilization vs McKenzie exercises in the treatment of patients with mechanical low back pain. Int J Physiother. 2015; 2(5): 791–797p.

Reddy DB, Jerome E, Kumar S. Effects of core stabilization program and conventional exercises in the management of patients with chronic mechanical low back pain. Int J Physiother. 2015; 2(2): 441–447p.

Andersson GBJ. The epidemiological features of chronic low back pain. Lancet. 1999; 354: 581–585p.

Atalay NS, Sahin F, Atalay A. Comparison of efficacy of neural therapy and physical therapy in chronic low back pain. Afr J Trad Compl Alter Med. 2013; 10(3): 431–435p.

McKenzie, RA. The Lumbar Spine, Mechanical Diagnosis and Therapy. New Zealand: Spinal Publications Ltd.; 1981, 1–2p.

Ahmed SM, Shakoor AM, Khan AA. Evaluation of the effects of shortwave diathermy in patients with chronic low back pain. Bangladesh Med Res Council Bull. 2009; 35: 18–20p.

Colakovic H, Avdic D. Effect of neural mobilization on pain, straight leg raise test and disability in patients with radicular low back pain. J Health Sci. 2013; 3(2): 109–112p.

Machado LAC, Maher CG, Herbert RD, Clare H, McAuley J. The McKenzie method for the management of acute non-specific low back pain: design of a randomised controlled trial. BMC Musculoskelet Disord. 2005; 6(50): 1–6p.

Koley S, Singh G, Sandhu R. Severity of disability in elderly patients with low back pain in Amritsar, Punjab. Anthropologist. 2008; 10(4): 265–268p.

Varun S, Manoj M, Jaspreet M, Naveen G. Comparison between posterior to mobility in patients of low back pain. Int J Physiother Res. 2014; 2(1): 383–387p.

Dutta A, Suresh A, Simson KS. A comparative study to find out the effectiveness between core stabilization versus conventional exercises in treatment of patient with mechanical low back pain. Int J Physiother. 2015; 2(5): 791–797p.

Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin N Am. 2014; 98: 777–789p.

Frymoyer JW, Wiesel SW. The Adult and Pediatric Spine, 3rd edition. Lippincott Williams & Wilkins; 2004, p. 307.

Nadler SF, Weingand KS, Kurse RJ. The physiologic basis and clinical applications of cyrotherapy and thermotherapy for the pain practitioners. Pain Physician. 2004; 7: 395–399p.

Solomonow M, Zhou BH, Harris M, Lu Y, Baratta RV. The ligament-muscular stabilizing system of the spine. Spine. 1998; 23(23): 2552–2562p.

Punjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003; 13: 371–379p.

Kapandji IA. The Physiology of the Joints: The Trunk and the Vertebral Column, 2nd edition. Churchill Livingstone; 1974, p. 124.

Brotzman SB, Wilk KE. Clinical Orthopaedic Rehabilitation, 2nd edition. Mosby; 2003. pp. 589–590.

Kenny T. Nonspecific lower back pain in adults. Patient: Trusted medical information and support. 2016; 43: 1–7p.

Cole AJ, Herring SA. The Low Back Pain Handbook: A Practical Guide for the Primary Care Clinician, 1st edition. Jaypee Brothers; 1997, pp. 253–255.

Joshi J, Kotwal P. Essentials of Orthopaedics and Applied Physiotherapy, 1st edition. Elsevier; 1999, p. 430.

Hayden JA, Van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Inter Med. 2005; 142(9): 765–775p.

Van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for Low Back pain: a systematic review within the framework of the Cochrane collaboration back review group. Spine (phila Pa 1976), 2000 Nov 1;25: 2784-96.

Ferreira ML. Comparison of general exercise motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain. 2007; 131: 31–37p.

Ebnezer J. Essentials of Orthopaedics for Physiotherapists, 3rd edition. Jaypee Brothers Medical Publishers Limited; 2011, p. 305.

Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003; 34(2): 245–254p.

Richardson C, Jull G, Hodges P. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain, 1st edition. Churchill Livingstone;1999.

Joshi J, Kotwal P. Essentials of Orthopaedics and Applied Physiotherapy, 1st edition. Elsevier; 1999, p. 446.

Joshi J, Kotwal P. Essentials of Orthopaedics and Applied Physiotherapy, 1st ed. Elsevier; 1999, pp. 435–436

Melzack R, Vetere P, Finch L. Transcutaneous electrical nerve stimulation for low back pain. J Am Phys Ther Assoc.1983; 63(4): 489–493p.

Ebadi S, Ansari NN, Naghdi S, Jalaei S, Sadat M, Bagheri H, vanTulder MW, Henschke N, Fallah E. The effect of continuous ultrasound on chronic low back pain: protocol of a randomized controlled trial. BMC Muscoloskelet Disord. 2011; 12(59): 1–9p.

Funk D, Swank AM, Adams KJ. Efficacy of moist heat pack application over static stretching on hamstring flexibility. J Strength Condition Res. 2001; 15: 123–126p.

Nielens H, Mairiaux P, Gailly J. Chronic low back pain. Belgian Health Care Knowl Centre. 2006; 48: 30–31p.

Pellecchia GL. Lumbar traction: a review of the literature. J Orthop Sports Phys Ther. 1994; 20(5): 262–267p.

Adel SM. Efficacy of neural mobilization in treatment of low back dysfunction. J Am Sci. 2011; 7(4): 566–573p.

Kim S, Min W, Kim J, Lee BH. The effects of VR-based Wii Fit Yoga on physical function in middle-aged female LBP patients. J Phys Ther Sci. 2014; 26: 549–552p.

Hall T, Cacho A, McNee C, Riches J, Walsh J. Effects of the Mulligan traction straight leg raise technique on range of movement. J Man Manip Ther. 2001; 9(3): 128–133p.

Hall T, Beyerlein C, Hansson U, Lim HT, Odermark M, Sainsbury D. Mulligan traction straight leg raise: a pilot study to investigate effects on range of motion in patients with low back pain. J Man Manip Ther. 2006; 14(2): 95–100p.

Bertakis KD, Azari R, Callahan EJ. Patient pain: its influence on primary care physician-patient interaction. Fam Med. 2003; 35(2): 119–123p.

Magee DJ. Orthopedic Physical Assessment, 6th edition. Elsevier; 2014, p. 588.

Breig A, Troup JD. Biomechanical considerations in the straight-leg-raising test cadaveric and clinical studies of the effects of medial hip rotation. Spine. 1979; 4(3): 242–250p.

Nanda BK. Electrotherapy Simplified, 2nd edition. Jaypee Brothers Medical Publishers Limited; 2015, pp. 173–174.

Forster A, Palastanga N. Clayton’s Electrotherapy: Theory and Practice, 9th edition. A.I.T.B.S. Publishers and Distributors; 2004, p. 114.

Nanda BK. Electrotherapy Simplified, 2nd edition. Jaypee Brothers Medical Publishers Limited; 2015, pp. 482–483.

Ahmed SM, Shakoor AM, Khan AA. Evaluation of the effects of shortwave diathermy in patients with chronic low back pain. Bangladesh Med Res Counc Bull. 2009; 35: 18–20p.

Khan S, Shamsi S, Abdelkader S. Comparative study of short wave diathermy and exercise together and exercise alone in the management of chronic back pain. Int J Health Sci Res. 2013; 3: 7–13p.

Melzack R, Vetere P, Finch L. Transcutaneous electrical nerve stimulation for low back pain. Phys Ther. 1983; 63: 489–493p.

Cavagnaro L, Basso M, Mazzola MA, Formica M. Lumbar traction in the management of low back pain. J Novel Physiother. 2014; 4: 5p.

Cyriax JH, Cyriax PJ. Cyriax’s Illustrated Manual of Orthopaedic Medicine, 2nd ed. Butterworth Heinemann; 1993, pp. 221–223.

Malik N, Kataria C, Bhatia N. Comparative effectiveness of straight leg raise and slump stretching in subjects with low back pain with adverse neural tension. Int J Health Rehab Sci. 2012; 1(1): 3p.

Bertolini GR, Silva TS, Trindade DL, Ciena AP, Carvalho AR. Neural mobilization and static stretching in an experimental sciatica model: an experimental study. Braz J Phys Ther. 2009; 13(6): 493–498p.

Brown CL, Gilbert KK, Brismee JM, Sizer PS, Roger James C, Smith MP. The effects of neurodynamic mobilization on fluid dispersion within the tibial nerve at the ankle: an unembalmed cadaveric study. J Man Manip Ther. 2011; 19(1): 26–34p.




DOI: https://doi.org/10.37628/ijorn.v5i2.1180

Refbacks

  • There are currently no refbacks.