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KMID : 1100920210420020096
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Korean Journal of Family Medicine
2021 Volume.42 No. 2 p.96 ~ p.106
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Comparison of Physiotherapy Approaches in Low Back Pain: A Randomized Controlled Trial
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Senbursa Gamze
Pekyavas Nihan Ozunlu
Baltaci Gul
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Abstract
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Background: The purpose of this study was to compare the effectiveness of rehabilitation approaches in individuals with low back pain (LBP) on pain, spinal mobility, disability, and muscular strength.
Methods: Ninety volunteers were included and divided into four groups depending on the rehabilitation approach: group 1, soft tissue mobilization techniques and stabilization exercises (n=24; 11 females [F], 13 males [M]); group 2, Kinesio Taping and stabilization exercises (n=24; 12F, 12M); group 3, stabilization exercises (n=22; 11F, 11M); and group 4, reflex therapy and stabilization exercises (n=20; 10F, 10M). Visual Analog Scale for pain intensity, an isokinetic evaluation for strength at 60°/s and a side-plank position test for trunk stabilization were measured before and assessed at the beginning, after a 4-week treatment and during 4 weeks of follow-up. The functional status was evaluated with the Oswestry Disability Index.
Results: Individuals in all groups showed similar decrease in pain after the treatment and at 1-month follow-up, but there were no significant differences in pain levels between the groups (P<0.05).
Conclusion: All therapeutic approaches were found to be effective in diminishing pain and thus helpful in increasing strength and stabilization in patients with LBP.
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KEYWORD
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Low Back Pain, Musculoskeletal Manipulations, Reflexotherapy, Exercise, Muscle Strength, Spinal Manipulation
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