https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.201

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2325-2331

DOI: https://dx.doi.org/10.16965/ijpr.2017.201

CONVENTIONAL THERAPY VERSUS POSITIONAL RELEASE TECHNIQUE IN THE TREATMENT OF CHRONIC LOW BACK DYSFUNCTION

Emad Eldin Mohamed Abd Elatief Ibraheem *.

Faculty of Physical therapy, Department of Basic Science, Lecturer in the Faculty of Physical Therapy, October 6 University, Egypt.

Corresponding Author: Faculty of Physical therapy, Department of Basic Science, Lecturer in the Faculty of Physical Therapy, October 6 University, Egypt. Fax: 38362496, Tel: 01146808839 E-Mail: Omdamohamed9111@gmail.com

ABSTRACT

Background: Chronic low back dysfunction (CLBD) is the most common problem of the working-age population in modern industrial society. It is not a life-threatening illness but it has a long-term impact on medical care expenditures for injured workers.

Purpose: To compare the effect of conventional therapy and positional release technique on pain, lumbar range of motion and functional disability in patients with chronic low back dysfunction.

Materials and Methods: Sixty patients from both sexes were diagnosed with CLBP, aged 30 to 60 years and were divided randomly into two equal groups with thirty patients in each group; group A received conventional therapy that include (infrared, ultrasound, stretch and strength exercises for back and abdominal muscles) and group B received positional release technique. The treatment sessions were applied 3 days per week for 6 weeks. The pain was measured by Visual Analogue Scale, the lumbar range of motion was measured by Inclinometer and Functional disability was measured by Oswestry disability scale. Measurements were taken at two intervals pre-treatment and post treatment.

Results: The result of the current study revealed that there was a statistically significant reduction (p <0.05) in pain level and functional disability and significant increase (p <0.05) in lumbar flexion in favor to group A than group B.

Conclusion: Positional release technique and conventional therapy may be an effective treatment for individuals with chronic low back dysfunction although the result of this study revealed that conventional therapy has a significant improvement in pain severity, functional disability and lumbar flexion range of motion than positional release technique.

KEY WORDS: Chronic Low Back Dysfunction, Conventional Physical Therapy Program, Positional Release Technique, Functional Disability.

REFERENCES

  1. Haldeman S, Dagenais S. A supermarket approach to the evidence-informed management of chronic low back pain. Spine J. 2008;8(1):1-7.
  2. Leboeuf-Yde, C, Kyvik, K. At what age does low back pain become a common problem? A study of 29 434 individuals aged 12-41 years. Spine. 1998;23:228-234.
  3. Zeevir D, Keating J. Trunk Extension Effort in Patients with Chronic Low Back Dysfunction. In Spine. 2003;(28)7:685-686.
  4. Campell C, Muncer S. The causes at low back pain: A network analysis. Social science and medicine. 2005;60(2):409-410.
  5. Chou R, Qaseem A, Snow V, Owens K, Casey Donald, Cross J, Shekelle Paul. Clinical Efficacy Assessment Subcommittee of the American College of Physicians, American Pain Society Low Back Pain Guidelines Panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478-491.
  6. Nadler SF, Steiner DJ, Detty SR, Erasala GN, Henge DA, Weig KW. Over height use of continuous low level heat wrap therapy for relief of low back pain Arch Phys Med Rehabil. 2003;84(3):335-342.
  7. Michlovitz SL. Thermal agent in rehabilitation second, Philadelphia. F. A. Davis: 1990;144-140.
  8. Jari PA, Taru V, Markkuk, ölavi A. Activation at lumbar parsapinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch of Phy. Med. and Rehab. 2004;85(5):823-823.
  9. D’Ambrogio K J, Roth GB. Positional Release Therapy: assessment and treatment of musculoskeletal dysfunction. St Louis, Missouri, USA: Mosby, 1997.
  10. Weiselfish, Giammatteo S. Integrative Manual Therapy for the Autonomic Nervous System and Related Disorders: Utilizing Advanced Strain and Counter Strain Technique; Vol. One. Berkeley, California, USA: North Atlantic Books, 1997.
  11. Wynne M M, Burns JM, Eland D, Conatser RR, Howell J N. Effect of Counter strain on Stretch Reflexes, Hoffmann Reflexes, and Clinical Outcomes in Subjects with Plantar Fasciitis. J Am Osteopath Assoc. 2006;106(9):547-556.
  12. Meseguer AA, Fernández-de-las-Peňas C, Navarro-Poza JL, Rodrìguez-Blanco C, Gandia JJB. Immediate effects of the strain-counterstrain technique in local pain evoked by tender points in the upper trapezius muscle. Clin Chiropr. 2006;9(3): 112-118.
  13. Marc H. Ilio-Sacral Diagnosis and Treatment, Part Three: Gluteus Medius, Piriformis and Pubic Symphysis – Positional Release and Rehabilitation Exercises. 2003;21(09).
  14. Fair bank J, Roland M. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine. 2000;25:3115–24.
  15. Jackson C Tan, Jung H, Matthew N. Practical manual of physical medicine and rehabilitation. 2006;52-53.
  16. Kitchen S, Partidge C. Infrared therapy. Physiotherapy. 1991;77(2):93-100.
  17. Draper D, Schulthies S, Sorrito P and Hautala A. Temperature changes in deep muscles of humans during ice and ultrasound study. JOSPT 1995;21:151-157.
  18. Barian V, Ashikage T, Bradan CF, Nancy JZ. “The effect of ultrasound and stretch on Knee Ligament Extensibility” JOSPT. 2000;30(6):341-347.
  19. Philadelphia Panel. Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain. Phys Ther. 2001;81(10):1641-74.
  20. Wittink H, Michel H. Chronic pain management for physical therapist. Butterworth Heinemann, 2nd ed. 2002; 50-51.
  21. Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works? Pain. 2004;107(1-2):176-90.
  22. Kankaanpaa M, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability. Spine. 1999;24(10):1034-42.
  23. Handa N, Yamamoto H, Tani T, Kawakami T, Takemasa R. The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain. J Orthop Sci. 2000;5(3):210-6.
  24. Deutsch FE. Isolated lumbar strengthening in the rehabilitation of chronic low back pain. J Manipulative Physiol Ther. 1996;19(2):124-33.
  25. Magnusson ML, Bishop JB, Hasselquist L, Spratt KF, Pope MH. Range of motion and motion pattern in patients with low back pain before and after rehabilitation. Spine. 1998;(23):2631-2639.
  26. Sullivan MS, Saraf LD, Riddle DL. The relationship lumbar flexion to disability in patents with low back pain physical therapy 2000;80(3):240- 250.
  27. Johannson F, Remvig L, Kryger P, Back P, Warming S. Exercises for chronic low back pain: a clinical trial. JOSPT. 1995;22(2):52-59.
  28. Hides JA, Stroke MJ, Saide M, Jull GA, Cooper DH. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/sub-acute low back pain. Spine. 1994;19(2):165-172.
  29. Lewis C, Flynn T. The use of strain-counter strain in the treatment of patients with low back pain. J Man Manipulative There. 2001;9(2):92-98.
  30. A kumaresan G, Vaiyapuri Anandh, S Prathap. Effectiveness of positional release therapy in treatment of trapezitis. International journal of Pharmaceutical science and health care. 2012;1(2).
  31. Bhojan Kannabiran, J Divya J Pawani, Ramaswamy Nagarani. A Comparative Study of the Effectiveness of Two Manual Therapy Techniques on Pain and Lumbar Range of Motion in Individuals with Mechanical Low Back Ache. 2015;2 (1).
  32. Wong CK. Strain counter strain: Current concept & clinical evidence. Manual Therapy. 2012;17:2-8.
  33. Michael R Gay. The Effect of Strain-Counter Strain Therapy on Delayed Onset Muscle Soreness, 2001.

Cite this article: Emad Eldin Mohamed Abd Elatief Ibraheem. CONVENTIONAL THERAPY VERSUS POSITIONAL RELEASE TECHNIQUE IN THE TREATMENT OF CHRONIC LOW BACK DYSFUNCTION. Int J Physiother Res 2017;5(5):2325-2331. DOI: 10.16965/ijpr.2017.201
Post Views: 0