Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Ultrasound and Exercise Combined and Exercise alone in the Treatment of Chronic Back Pain


Affiliations
1 Dept. of Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia
2 Raj Nursing and Paramedical College , Gorakhpur, U.P, India
3 Department of Health Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia
4 College of Applied Sciences, Dept. of Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia
     

   Subscribe/Renew Journal


Study Objective: Effect of Ultrasound and Exercise combined and Exercise alone in the Treatment
of Chronic back pain.
<p>Design: Pre & post test control group design.</p>
<p>Method and Measurements: 30 patients from Raj Nursing Home [Age group 25-65 yrs] who were
diagnosed with Low back pain, with onset >1-3 months (chronic) were randomly assigned to either
group A receiving US and Exercise combined or group B receiving Exercise alone. Treatment was
given for 10 session for the period of 4 week. Before treatment and after 4 weeks of treatment pain
was assessed on VAS and MPQ.</p>
<p>Results: Subjects in-group A that received Ultrasound and exercise showed greater Improvement in
pain compared with the exercise group on 4th week compared with pre treatment. (p <0.050)</p>
<p>Conclusion: The result of study suggests that both Ultrasound and exercise improves the symptoms
of chronic back pain. Exercise alone improved the pain symptoms but was too small to reach
satisfactory outcome for patients. Based on these results Ultrasound and Exercise should be the
treatment of choice for chronic back pain rather than Exercise alone.</p>

Keywords

Ultrasound, Exercise, Chronic Back Pain
Subscription Login to verify subscription
User
Notifications
Font Size


  • Walker BF: The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord 2000, 13:205-217.

  • Clinical diagnosis for discogenic low back pain - International Journal of Biological Sciences 2009; 5(7):647-658 -Yin-gang Zhang1 , Tuan-mao Guo1, Xiong Guo2, and Shi-xun Wu1 .

  • Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F,Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G: Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006,15(Suppl 2):S192-300.

  • Waddell G: The Back Pain Revolution. 2 edition. Churchill-Livingstone; 2004.

  • Bekkering GE, Hendriks HJM, Koes B, Oostendorp RA, Ostelo R, Thomassen J,Van Tulder M: Dutch Physiotherapy Guidelines for Low Back Pain. Physiotherapy 2003, 89:82-96.

  • Gay RE, Brault JS: Evidence-informed management of chronic low back pain with traction therapy. Spine J 2008, 8:234-242.

  • Hayden JA, van Tulder MW, Malmivaara AV, Koes BW: Meta-analysis: exercise therapy for nonspecific low back pain. Annals of Internal Medicine 2005, 142:765-775.

  • Yousefi-Nooraie R, Schonstein E, Heidari K, Rashidian A, Pennick V, Akbari-Kamrani M, Irani S, Shakiba B, Mortaz Hejri SA, Mortaz Hejri SO, Jonaidi A:Low level laser therapy for nonspecific low- back pain. Cochrane Database Syst Rev 2008, 16:CD005107.

  • Low, J & Reed, A (2000) Electrotherapy explained: - Principles & practice, Butter Worth Heinemann, Oxford (a) 191, 365(b) (195-207.)

  • Robertson VJ: Dosage and treatment response in randomized clinical trials of therapeutic Ultrasound. Physical Therapy in Sport 2002, 3:124-133.

  • Safoora Ebadi, Noureddin Nakhostin Ansari, Nicholas Henschke, Soofia Naghdi, Maurits W van Tulder- The effect of continuous Ultrasound on chronic low back pain: protocol of a Randomized controlled trial - Ebadi et al. BMC Musculoskeletal Disorders 2011, 12:59- P-2-6

  • Barbara J Behrens, Susan L Michlobitz (physical agent theory & practical.)

  • Sherman KJ, Cherkin DC, Erro J, Miglioretti DL, Deyo RA: Comparing yoga, exercise, and a selfcare book for chronic low back pain: a randomized, controlled trial. Ann Intern Med 2005, 143:849-856.

  • Haldeman S, Dagenais S: What have we learned about the evidence informed management of Chronic low back pain? Spine J 2008, 8:266-277.

  • Hayden JA, van Tulder MW, Malmivaara AV, Koes BW: Meta-analysis: exercise therapy for nonspecific low back pain. Annals of Internal Medicine 2005, 142:765-775.

  • Naslund, J (2001) ‘Modes of sensory stimulation, clinical trials and physiological aspects’ physiotherapy: 87, 8, 413-423.

  • Baker KG, Robertson VJ and Duck FA (2001) A review of therapeutic Ultrasound: - Biophysical effects, Physical effects, Physical therapy, 81, 7, 1351-58.

  • Wadsworth, H and Chanmurgan, APP (1980). Electrophysical agents in physiotherapy, science press, Marrick ville, NSW, Australia .

  • Taguchi T, Hoheisel U, Mense S: Dorsal horn neurons having input from low back structures in rats. Pain 2008, 138(1):119-129.

  • Langevin HM, Stevens-Tuttle D, Fox JR, Badger GJ, Bouffard NA, Krag MH: Ultrasound evidence of altered lumbar connective tissue structure in human subjects with chronic low back pain. In Fascia research ii. Edited by: Huijing PA, Hollander AP, Findley T, Schleip R. Elsevier, Munich; 2009.

  • Bekkering GE, Hendriks HJM, Koes BW, Oostendorp RAB, Ostelo RWJG, Thomassen JMC, van Tulder MW: Dutch Physiotherapy Guidelines for Low Back Pain. Physiotherapy; 2003, 89(2): 82-96.

  • Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G: Chapter 4: European guidelines for the management of chronic nonspecific low back pain. Eur Spine J; 2006, 15(Suppl 2):S192-S300.

  • C.G. Maher, Effective physical treatment for chronic low back pain, Orthop Clin N Am; 2004 (35) 57– 64.


Abstract Views: 492

PDF Views: 0




  • Effect of Ultrasound and Exercise Combined and Exercise alone in the Treatment of Chronic Back Pain

Abstract Views: 492  |  PDF Views: 0

Authors

Shabana Khan
Dept. of Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia
Sharick Shamsi
Raj Nursing and Paramedical College , Gorakhpur, U.P, India
Asmaa A. A. Alyaemni
Department of Health Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia
Samiha Abdelkader
College of Applied Sciences, Dept. of Rehabilitation, King Saud University, P.O. Box - 10219, Riyadh, Saudi Arabia

Abstract


Study Objective: Effect of Ultrasound and Exercise combined and Exercise alone in the Treatment
of Chronic back pain.
<p>Design: Pre & post test control group design.</p>
<p>Method and Measurements: 30 patients from Raj Nursing Home [Age group 25-65 yrs] who were
diagnosed with Low back pain, with onset >1-3 months (chronic) were randomly assigned to either
group A receiving US and Exercise combined or group B receiving Exercise alone. Treatment was
given for 10 session for the period of 4 week. Before treatment and after 4 weeks of treatment pain
was assessed on VAS and MPQ.</p>
<p>Results: Subjects in-group A that received Ultrasound and exercise showed greater Improvement in
pain compared with the exercise group on 4th week compared with pre treatment. (p <0.050)</p>
<p>Conclusion: The result of study suggests that both Ultrasound and exercise improves the symptoms
of chronic back pain. Exercise alone improved the pain symptoms but was too small to reach
satisfactory outcome for patients. Based on these results Ultrasound and Exercise should be the
treatment of choice for chronic back pain rather than Exercise alone.</p>

Keywords


Ultrasound, Exercise, Chronic Back Pain

References