Effectiveness of Routine Physiotherapy with and without Soft Tissue Mobilization in Improving Pain and Functional Mobility in Chronic Low Back Patient
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Abstract
Background: Chronic low back pain (CLBP) is a prevalent condition affecting a significant portion of the global population, impacting their quality of life and functional mobility. Despite various treatment modalities, the quest for the most effective intervention remains a critical area of research. Existing literature suggests varied efficacy of different physiotherapy techniques in managing CLBP.
Objective: This study aimed to evaluate the effectiveness of routine physiotherapy with and without soft tissue mobilization in improving pain and functional mobility in patients with chronic low back pain.
Methods: A randomized control trial was conducted with 128 participants, divided into two groups: Group A (routine physiotherapy with soft tissue mobilization) and Group B (routine physiotherapy without soft tissue mobilization). Baseline and post-treatment measurements included the Numeric Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI). Participants were assessed at baseline and after a 3-month treatment period. Statistical analysis was performed using independent samples t-tests.
Results: At baseline, NPRS and ODI scores showed no significant differences between the groups (NPRS: 7.4 ± 1.2 for Group A and 7.5 ± 1.3 for Group B, p=0.760; ODI: 50.3 ± 5.0 for Group A and 50.8 ± 4.8 for Group B, p=0.690). Post-treatment, Group A demonstrated significantly greater improvement (NPRS: 2.8 ± 1.1 for Group A and 4.6 ± 1.2 for Group B, p<0.001; ODI: 19.7 ± 3.5 for Group A and 29.4 ± 4.0 for Group B, p<0.001).
Conclusion: The study concluded that routine physiotherapy combined with soft tissue mobilization was more effective in reducing pain and improving functional mobility in CLBP patients compared to routine physiotherapy alone. This suggests that incorporating soft tissue mobilization into standard physiotherapy regimens could be beneficial for CLBP management.
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References
Agnus Tom A, Rajkumar E, John R, Joshua George A. Determinants of quality of life in individuals with chronic low back pain: a systematic review. Health Psychology and Behavioral Medicine. 2022;10(1):124-44.
Conversano C, Mery P, Orru G, Ciacchini R, Sabbatini S, Miniati M, et al., editors. ONLINE MINDFULNESS INTERVENTION FOR CHRONIC LOW BACK PAIN (CLBP): FINDINGS FROM A PRELIMINARY STUDY. Books of abstract 30° Congresso dell’Associazione Italiana di Psicologia; 2022: Padova University Press.
Fullen B, Morlion B, Linton SJ, Roomes D, van Griensven J, Abraham L, et al. Management of chronic low back pain and the impact on patients’ personal and professional lives: Results from an international patient survey. Pain Practice. 2022;22(4):463-77.
Gary ZY, Ly M, Karim HT, Muppidi N, Aizenstein HJ, Ibinson JW. Accelerated brain aging in chronic low back pain. Brain research. 2021;1755:147263.
Masoumbeigi M, Riyahi Alam N, Kordi R, Rostami M, Rahimiforoushani A, Jafari AH, et al. Altered Amplitude of Low-Frequency Fluctuations of rs-fMRI Signal followed by rTMS Analgesic Effects in Non-Specific Chronic Low Back Pain (CLBP) Patients. Journal of Biomedical Physics and Engineering. 2022.
Palacios-Ceña D, Albaladejo-Vicente R, Hernández-Barrera V, Lima-Florencio L, Fernández-de-Las-Peñas C, Jimenez-Garcia R, et al. Female gender is associated with a higher prevalence of chronic neck pain, chronic low back pain, and migraine: Results of the Spanish National Health Survey, 2017. Pain Medicine. 2021;22(2):382-95.
Kahere M, Ginindza T. The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study. BMC musculoskeletal disorders. 2021;22:1-10.
Li W, Gong Y, Liu J, Guo Y, Tang H, Qin S, et al. Peripheral and central pathological mechanisms of chronic low back pain: a narrative review. Journal of Pain Research. 2021:1483-94.
Tahir S, Sadik O, Ezenwa V, Iguh C, Ravichandran V, Ashraf NN, et al. Various Doses of Tanezumab in the Management of Chronic Low Back Pain (CLBP): A Pooled Analysis of 4,514 Patients. Cureus. 2023;15(10).
Sanabria-Mazo JP, Colomer-Carbonell A, Borràs X, Castaño-Asins JR, McCracken LM, Montero-Marin J, et al. Efficacy of videoconference group Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) for chronic low back pain (CLBP) plus comorbid depressive symptoms: A randomized controlled trial (IMPACT study). The Journal of Pain. 2023.
Tack C. Virtual reality and chronic low back pain. Disability and Rehabilitation: Assistive Technology. 2021;16(6):637-45.
Wang H-C, Su Y-C, Luk H-N, Wang J-H, Hsu C-Y, Lin S-Z. Increased risk of strokes in patients with chronic low back pain (CLBP): a nationwide population-based cohort study. Clinical Neurology and Neurosurgery. 2020;192:105725.
Wong CK, Mak RY, Kwok TS, Tsang JS, Leung MY, Funabashi M, et al. Prevalence, incidence, and factors associated with non-specific chronic low back pain in community-dwelling older adults aged 60 years and older: a systematic review and meta-analysis. The journal of pain. 2022;23(4):509-34.
Wu Z, Wang Y, Ye X, Chen Z, Zhou R, Ye Z, et al. Myofascial release for chronic low back pain: A systematic review and meta-analysis. Frontiers in medicine. 2021;8:697986.
Zhou Z, Hui ES, Kranz GS, Chang JR, de Luca K, Pinto SM, et al. Potential mechanisms underlying the accelerated cognitive decline in people with chronic low back pain: A scoping review. Ageing Research Reviews. 2022;82:101767.
Modarresi S, Lukacs MJ, Ghodrati M, Salim S, MacDermid JC, Walton DM. A systematic review and synthesis of psychometric properties of the numeric pain rating scale and the visual analog scale for use in people with neck pain. The Clinical Journal of Pain. 2022;38(2):132-48.
Pennings JS, Devin CJ, Khan I, Bydon M, Asher AL, Archer KR. Prediction of Oswestry Disability Index (ODI) using PROMIS-29 in a national sample of lumbar spine surgery patients. Quality of Life Research. 2019;28:2839-50.
Ulger FEB, Illeez OG. The effect of lumbosacral transitional vertebrae (LSTV) on paraspinal muscle volume in patients with low back pain. Academic radiology. 2020;27(7):944-50.
Roloff J. Successful Chiropractic and Rehabilitation Prevents Spinal Fusion Surgery for Chronic Low Back Pain: A Case Report. 2020.
Senbursa G, Pekyavas NO, Baltaci G. Comparison of physiotherapy approaches in low back pain: a randomized controlled trial. Korean journal of family medicine. 2021;42(2):96.
Ségui Y, Ramírez-Moreno J. Global physiotherapy approach to thoracolumbar junction syndrome. A case report. Journal of Bodywork and Movement Therapies. 2021;25:6-15.
Csiernik B, Smith A, Plener J, Tibbles A, Young JJ. Intervention usage for the management of low back pain in a chiropractic teaching clinic. Chiropractic & Manual Therapies. 2022;30(1):1-8.
Rogers CJ, Elchert CR, Hackney ME. Chiropractic Management of a 67-Year-Old Veteran With Chronic Low Back Pain Utilizing Low-Velocity Flexion-Distraction: A Case Report. Journal of Chiropractic Medicine. 2023.
Risaldar P, Phansopkar P, Chitale N, Wadhokar OC, Arora SP. Comprehensive rehabilitation of a patient with upper crossed syndrome. Journal of Medical Pharmaceutical and Allied Sciences. 2021;10(4):3179-81.
Arya A, Sinha A, Yadav RK, Venkataraman S, Kumar U, Bhatia R, et al. Effect of Motor Imagery on Corticomotor Excitability and Pain Status in Rheumatoid Arthritis Patients. Cureus. 2023;15(7).
Cheatham SW, Baker R, Kreiswirth E. Instrument assisted soft-tissue mobilization: a commentary on clinical practice guidelines for rehabilitation professionals. International journal of sports physical therapy. 2019;14(4):670.