Tag: low back pain

Low back pain-related misbeliefs: across-sectional study in Kingdom of Saudi Arabia

Abdullah F Alhumayani, Abdulaziz A Alzaidani, Ahmed Abdelmoniem Ibrahim, Hisham Mohamed Hussein, Ibrahim M. Dewir, Mostafa Sayed

Abdullah F Alhumayani, Abdulaziz A Alzaidani, Ahmed Abdelmoniem Ibrahim, Hisham Mohamed Hussein, Ibrahim M. Dewir, Mostafa Sayed – Low back pain-related misbeliefs: across-sectional study in Kingdom of Saudi Arabia –  Fizjoterapia Polska 2024; 24(5); 259-266

DOI: https://doi.org/10.56984/8ZG020CU1SF

Abstract
Introduction. Pain in the lower back has gained considerable attention within the medical community because of its major socioeconomic impact. Misconceptions and myths are widespread in many communities, especially in developing countries, which affects the prognosis of LBP. Aim of the study. The major goal of this study was to investigate the current LBP-related beliefs among the Saudi Arabian adult population. Methods. A cross-sectional, self-administered survey design was used to investigate the current beliefs related to LBP among 519 Saudi Arabian adults in different areas of Saudi Arabia (East, West, North, South, and Middle regions), conducted by Taif University from January 2023 to August 2023. The survey, including the LBP Beliefs Questionnaire (LBPBQ), demographic questions, and inquiries about LBP history, was made available online on a digital platform. Results. The most prevalent disbeliefs are “Back pain indicates the presence of organic injury or serious disease” (31.2% disagreed), “Back pain means one should refrain from physical activity” (36.61% disagreed), “Bed rest is the mainstay of therapy” (25.05% disagreed), “Remaining physically active is the best remedy against back pain” (38.4% rather agreed on this reversed-score question), “Someone with back pain can do things himself to ease recovery” (45.09% agreed on this reversed-score question), “Psychological factors such as thoughts and feelings can influence pain intensity” (38.73% rather agreed on this reversed-score question). Conclusion. Several misbeliefs related to LBP are still extant in the adult population in Saudi Arabia, particularly regarding physical activity, lack of self-control, pain medication, and the need for surgery.
Key words misbelief, low back pain, attitude, knowledge
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The efficacy of treatment with the use of Tergumed 700 system in a group of males with low back pain (LBP)

Jacek Wilczyński, Piotr Sobolewski, Rafał Zieliński, Alicja Kasprzak, Jakub Bąk, Marta Mierzwa Molenda

Jacek Wilczyński, Piotr Sobolewski, Rafał Zieliński, Alicja Kasprzak, Jakub Bąk, Marta Mierzwa Molenda – The efficacy of treatment with the use of Tergumed 700 system in a group of males with low back pain (LBP) –  Fizjoterapia Polska 2024; 24(5); 147-154

DOI: https://doi.org/10.56984/8ZG020C1F2S

Abstract The aim of the study was to evaluate the efficacy of treatment with the use of the Tergumed 700 system in a group of males with low back pain (LBP) syndrome based on the dynamics of changes in the isometric strength of the lumbar spine muscles and the imbalances thereof. Thirty-six males were examined, 19 in the study group (A) and 17 in the control group (B). Magnetic resonance imaging (MRI) of the lumbar spine was applied to assess the degree of degenerative changes. The isometric strength and imbalance of the lumbar spine muscles were tested using the Tergumed 700 system. In the study group (A), traditional Richardson’s core stabilization exercises and therapy with the Tergumed 700 system were performed. In the control group (B), only Richardson’s core stabilization exercises were conducted. The therapy lasted 6 weeks. The examination was performed four times: before the therapy, and after 2, 4, and 6 weeks following the therapy commencement. After six weeks, in the test group (A), the lumbar extensor muscle strength (p = 0.006), left-sided rotator muscle strength (p = 0.015), and right-sided rotator muscle strength (p = 0.001) improved. However, in the control group (B), significant improvement after the same period was found only in the lumbar extensor muscle strength (p = 0.042). As a result of the programmed treatment based on the patient’s current condition test, the lumbar back pain syndrome therapy using the Tergumed 700 system combined with central stabilization exercises according to Richardson was found to be most effective.
Key words low back pain, Tergumed 700 system, isometric muscle strength, muscle imbalance
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Mediators of pain neuroscience education on disability of patients with nonspecific chronic low back pain

Ibrahim S. Aljulaymi, Anne Thackeray, Julie M. Fritz, John S. Magel, Pascal R. Deboeck, Mohammed A.Qasheesh, Faris A. Alodaibi, Rania N. Almeheyawi, Fahad H. Alshehri, Hatem H. Allam, Hosam Alzahrani,Ibrahim M. Dewir

Ibrahim S. Aljulaymi et al. – Mediators of pain neuroscience education on disability of patients with nonspecific chronic low back pain –  Fizjoterapia Polska 2024; 24(5); 136-146

DOI: https://doi.org/10.56984/8ZG020C6WFT

Abstract Objective. The objective of this study was to explore the mediators (pain self-efficacy, pain catastrophizing, back pain beliefs) of Pain Neuroscience Education (PNE) on disability for patients with chronic low back pain (LBP) in Saudi Arabia (SA). Methods. An observational multisite pre-post study design was utilized. This study was done at the Physical Therapy (PT) Clinics related to the Ministry of Health in SA, from December 2020 to December 2021. Chronic LBP patients were recruited into a 2-week PT program. Ten eligible physical therapists across six PT clinics were involved in the study who treat musculoskeletal and LBP patients. There were two groups (usual care of physical therapy “US-PT” vs. “PNE”). The mediators and disability were evaluated at the baseline (T0) and 2-week follow-up (T1). Results. A total of 249 patients met the selection criteria and consented to participate in the study. 131 patients received UC-PT only and 118 patients received PNE in addition to UC-PT. Baseline patient characteristics showed the mean age was 41.41 (SD = 12.03), and 144 of the participants (57.8%) were female. Increased pain self-efficacy (95% CI = −3.99, −1.15), decreased pain catastrophizing (95% CI = −3.42, −0.88), and decreased belief that they were disabled by pain (95% CI = −2.43, −0.33) fully mediated the PNE effect on disability at a 2-week interval. Conclusion. PNE participants showed greater improvement from baseline to 2 weeks on each cognitive factor hypothesized to mediate the effect of PNE on disability. The study results provided guidance on how to target treatment recommendations to gain the maximum benefits from PNE. Also, this study generated evidence that is useful for physical therapists and researchers to improve PNE to optimize chronic LBP patient outcomes.
Key words low back pain, pain neuroscience education, mediation analysis, pain self-efficacy, physical therapists
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Revelation of muscle energy technique and positional release technique in mitigating low back pain, disability, and hyperlordosis in patients with low back pain: A comprehensive review

Jency Thangasheela Gnanasigamani, VinodhKumar Ramalingam, Franklin Saju Madhavadian Kurusumuthu

Jency Thangasheela Gnanasigamani, VinodhKumar Ramalingam, Franklin Saju Madhavadian Kurusumuthu – Revelation of muscle energy technique and positional release technique in mitigating low back pain, disability, and hyperlordosis in patients with low back pain: A comprehensive review –  Fizjoterapia Polska 2024; 24(4); 271-281

DOI: https://doi.org/10.56984/8ZG01A8M4N1

Abstract
Background. Low back pain, often known as LBP, is a complicated ailment that has many associated risks, including those related to age, gender, lifestyle, social and psychological background, physical demands of work, social support, pain perception, and much more. Its frequency steadily rises with age and is typically nonspecific or mechanical in nature, with axially abnormal loading that might cause ache in the lower lumbar region. Strain-counter strain (SCS) or positional release technique (PRT) and muscle energy technique (MET) are identified as eligible management for LBP; however, in which way both techniques help to control LBP is to be evaluated.
Objectives. To discuss the potential role of MET and PRT in reducing LBP and to find the space between previous and current practice of MET and PRT in correcting the lordosis angle in the lumbar region and disability in LBP patients.
Methods. English-language articles were searched online, using the PEDro, PubMed, and Google Scholar databases. Keywords were MET, PRT, LBP, and lumbar lordosis. The articles were published from 2001 to 2022, of which 100 were found to be relevant and 20 to meet the inclusion criteria. They included LBP-related articles with MET and PRT techniques of management, excluding those not related to lumbar lordosis or to those two techniques.
Conclusion. Based on the 20 articles reviewed, it was concluded that MET and PRT played a significant role in decreasing participants’ LBP pain, lordosis angle, and functional impairment.
Keywords
low back pain, muscle energy technique, positional release technique, lordosis angle, functional impairment
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Exploring physiotherapy interventions for chronic back pain: the role of shockwave therapy

Maram Maki, Shima A. Mohammad Zadeh, Tamer M. Shousha

Maram Maki, Shima A. Mohammad Zadeh, Tamer M. Shousha – Exploring physiotherapy interventions for chronic back pain: the role of shockwave therapy – Fizjoterapia Polska 2024; 24(2); 178-182

DOI: https://doi.org/10.56984/8ZG5608NP7

Abstract
Chronic nonspecific low back pain (LBP) poses a significant global health challenge, necessitating multifaceted interventions for effective management. Physiotherapy, with its integrated approach, plays a pivotal role in addressing the complexity of chronic LBP, employing diverse modalities such as exercise and movement therapy, manual therapies, and education combined with lifestyle modifications. Cognitive Functional Therapy (CFT) has emerged as a promising, patient-centered intervention, emphasizing the importance of a personalized approach. However, challenges persist in delivering efficient, individualized treatments, leading to potential excess or inadequacy of interventions. Extracorporeal Shockwave Therapy (ESWT) has garnered attention as an emerging therapeutic intervention for chronic back pain, employing high-energy shockwaves to stimulate healing processes and alleviate pain. While ESWT shows promise in treating musculoskeletal conditions and inducing favorable effects in various studies, its specific application for chronic low back pain lacks comprehensive randomized clinical trials, especially concerning radial ESWT. The current body of evidence, often falling short of the highest standards of Evidence-Based Physiotherapy, poses challenges in objectively assessing the clinical effectiveness of widely practiced ESWT procedures for chronic low back pain. In conclusion, while physiotherapy remains integral for managing chronic nonspecific low back pain, including diverse interventions, the specific role and effectiveness of shockwave therapy, particularly in the context of chronic back pain, necessitate further robust research and clinical investigations. This review highlights the need for comprehensive studies to ascertain the clinical efficacy and optimal application of shockwave therapy within physiotherapy protocols for long-term pain management.
Keywords
low back pain, shockwave therapy, physiotherapy
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Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries?

Liza, Bafirman, Masrun, Mikkey Anggara Suganda, Rubiyatno, Didi Suryadi, Muhamad Sazeli Rifki, Danang Dwi Purwanto, Ramli, Youssouf Haïdara, Y. Touvan Juni Samodra, Baharuddin Hasan, Ilham Surya Fallo

 

Liza, Bafirman, Masrun, Mikkey Anggara Suganda, Rubiyatno, Didi Suryadi, Muhamad Sazeli Rifki, Danang Dwi Purwanto, Ramli, Youssouf Haïdara, Y. Touvan Juni Samodra, Baharuddin Hasan, Ilham Surya Fallo – Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries? –  Fizjoterapia Polska 2024; 24(2); 70-76

DOI: https://doi.org/10.56984/8ZG5608CA7

Abstract
Background and Study Aim. Low Back Pain (LBP) is an abnormal condition in the lower back which is accompanied by a painful sensation so that it will experience limitations in moving.Therefore, the need for special treatment in dealing with Low Back Pain (LBP) in order to reduce pain. Material and Methods. This research is a pre-experimental research using the approach one group pretest and posttest design. In this study, the results of the initial test data (pretest) were measured in the form of low back pain results with VAS, Modified Schober Test, Fingertip to Floor, and ODI, then giving treatment by combining deep tissue massage with stretching. Therapy is given to patients 3 times a week for 3 weeks, then the final data measurement (Posttest) is carried out. The subjects of this study were patients at the LKP Rumah Sehat Mandiri clinic for the last 5 months who had experienced low back pain injuries. Sampling in this study used purposive sampling so that there were 20 people with an age range of 20-60 years. The analysis in this study uses the SPSS Version 26 application. Results. The results showed that the indicators of pain, flexion, extension, right flexion, left flexion and function had a significant effect using a combination of deep tissue massage and stretching with a significant value si showing 0.000 < 0.05. In the left flexion indicator, a significance value of 0.001 < 0.05 was obtained, so it can be concluded that there is a significant difference in the deep tissue massage combination of stretching treatment. Conclusions. The results of this study provide evidence that the combination of deep tissue massage and stretching provides a significant reduction in the healing of low back pain injuries in patients. That way a combination of deep tissue massage and stretching can be applied to treat low back pain injury healing.
Keywords
low back pain, deep tissue massage, stretching
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Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study

Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan


Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan – Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study. Fizjoterapia Polska 2022; 22(3); 116-121

Abstract
Background. Low back pain (LBP) is common after cesarean delivery. So, this study was conducted to assess and compare the intensity of subacute LBP and disability among women who underwent cesarean delivery with different anaesthetic types.
Methodology. This retrospective cohort study was conducted to 38 women “26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery, they were classified into: [epidural anaesthetic group (Group A) n = 6, spinal anaesthetic group (Group B) n = 13, general anaesthetic group (Group C) n = 7], they were either primiparous or multiparous who did not receive anaesthesia for at least one year prior to the last delivery, the other 12 women were the control group (Group D) who didn’t experience pregnancy or anaesthesia”.
Results. The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ± 1.67, 4.62 ± 1.12, 5.14 ± 1.21, and 2.17 ± 0.71, respectively. The ANOVA test revealed a significant difference in VAS (P = 0.0001; P < 0.05) among the four groups. while the post-hoc test revealed non-significant differences (P = 1.000; P > 0.05) between the three anaesthetic groups. Also, the mean values of Oswestry Disability Index (ODI) in the same four groups were 26.00 ± 16.68, 27.00 ± 11.72, 30.00 ± 6.87, and 25.00 ± 9.33, respectively. The ANOVA test revealed non-significant difference in ODI (P = 0.838; P < 0.05) among the four groups.
Conclusion. Epidural, spinal and general anaesthesia for cesarean delivery are associated with increased intensity of subacute LBP, but without significant differences between these anaesthetic types. However, they do not increase the disability.

Key words:
neuraxial anaesthesia, general anaesthesia, cesarean delivery, subacute period, low back pain

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Effect of visceral osteopathic manipulations on low back pain caused by visceral dysfunctions

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen

ALshimaa Mokhtar Darwesh, Zahra Mohamed Hassan Serry, Shawky Abd El-Hamid Fouad, Heba Ahmed Ali Abdeen – Effect of visceral osteopathic manipulations on low back pain caused by visceral dysfunctions. Fizjoterapia Polska 2021; 21(5); 44-49

Abstract
Purpose. To assess the efficacy of visceral osteopathy for low back pain (LBP) caused by visceral dysfunctions.
Methods. Randomized controlled trial. This research included forty participants ranged in age from 25 to 40 years old who were suffering from LBP due to visceral dysfunctions. They were split into two classes of the same size; Study group (A) received visceral osteopathic manipulations once a_week for three weeks and Control group (B) received analgesic drugs only for three weeks. Visual analogue scale (VAS), Owestry disability index (ODI) and Modified Schober’s test (MST) were evaluated for all participants in both groups before and after treatment.
Results: The comparison between both groups revealed significant decrease in VAS and ODI (p < 0.05) as well as significant increase in MST (p < 0.05) in favor of study group (A) post treatment.
Conclusion: Osteopathy is effective in pain management and functional status improvements in LBP patients.
Key words:
osteopathy, low back pain, visceral dysfunction, visual analogue scale, Owestry disability index, Schober’s test
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Comparative evaluation of the analgesic effectiveness of selected physiotherapeutic methods in the treatment of low back pain syndrome

Jolanta Kujawa, Iwona Pyszczek, Jan Talar, Mirosław Janiszewski

Jolanta Kujawa, Iwona Pyszczek, Jan Talar, Mirosław Janiszewski – Comparative evaluation of the analgesic effectiveness of selected physiotherapeutic methods in the treatment of low back pain syndrome. Fizjoterapia Polska 2001; 1(3); 271-279

Abstract

Background. Low back pain, especially lumbosacral syndrome, is the most frequently encountered pain syndrome in musculoskeletal diseases. In many countries the question of low back pain has become a social problem. The basic task of rehabilitation teams is to make the proper choice of effective physiotherapeutic method. The goal of this study was to evaluate the analgesic effectiveness of selected combined physiotherapeutic methods in patients with low back pain. The results were analyzed for statistically significant differences correlating with the application of particular physical methods.Material and methods. 450 randomly selected patients (319 females, 131 males), age 21-79 (average age 56,53 years +/- 15,34) treated for low back pain syndrome in the Department of Medical Rehabilitation at the Łódź-Śródmieście Municipal Clinic were surveyed. Patients were divided into two groups: Group A received laser biostimulation, while Group B received interferential current instead of laser therapy. All patients studied went through a uniform, typical program of therapeutic exercises.The effectiveness of this combined therapy was evaluated on the basis of subjective pain reported on the modified Laitinen pain questionnaire, taking into account intensity, frequency, use of analgesics and motor activity. A clinical examination was also performed. Results. The investigation indicated that both selected combined physiothearapeutic methods have a measurable analgesic effect in the treatment in low back pain. However, laser therapy applied in combination with therapeutic exercises proved to have greater therapeutic efficiency for such patients compared to interferential current with therapeutic exercises, and this difference was statistically significant.

Key words:
low power laser therapy, Low Back Pain, physiotherapy
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Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik

Aleksandra Rudzińska, Olga Nowotny-Czupryna, Henryk Knapik – Evaluating the manner of performing selected activities of daily living in the light of early prevention of low back pain. Fizjoterapia Polska 2001; 1(4); 381-384

Abstract
Background. Low back pain is both a medical and a social problem. One way to limit its dimensions is prevention, broadly understood. In our research we attempted to determine how activities of daily living that are particularly burdensome for the spine are performed. Material and methods. Our research involved 265 healthy subject (i.e. without spinal pain symptoms at the moment of testing), among whom 136 were manual laborers and 129 were white-collar workers. The subject were asked to perform 3 movement tasks: to change body position from lying to standing, to assume a sitting position on a chair, and to lift a weigh from the floor. Results. The results we obtained indicate a lack of proper movement habits, which are essential in the prevention of low back pain in the great majority of subjects. Conclusions. It would be advisable to conduct training in the area of preventing strain on the spine, as a result of which spinal pain symptoms can develop. The general public should be made aware of the importance of the problem, with particular emphasis on the consequences of the errors committed on a daily basis.

Key words:
Low Back Pain, prevention, back school

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