Dr. Rafiq Ahmed, BSPT, PG student of PP-DPT, Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.
Dr. Syed Shakil-ur-Rehman, BSPT, MS-MSKPT, PP-DPT, PhD Scholar, Assistant Professor, Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.
Pak J Med Sci. 2014 Jan;30(1):157-60. doi: 10.12669/pjms.301.4424.
To Compare the Specific Lumber Mobilization (SLM) techniques and Core-Stability (CS) Exercises with Core-Stability Exercises Alone in Mechanical low back pain (MLP) Methods: A 6 month pretest-posttest design, quasi experimental study was conducted at department of physiotherapy Khyber Teaching Hospital (KTH) Peshawar, Pakistan. We conveniently selected a sample 40 patients and placed into two groups. The SLM techniques with CS exercises was applied in group A and CS exercises alone in group B for 6 weeks. The Oswestry Disability Index (ODI) and Visual analog scale (VAS) for mechanical low back pain were assessment tools assessed for all patients before and after 6 weeks of physical therapy intervention. Data was analyzed by SPSS and statistical test were applied at 95% level of significance determine the efficacy of both the treatments regimes and compared with each other.
After comparison between two groups, the group A treated with specific lumber mobilization techniques shows better results in improving pain (p=0.008) and reducing physical disability (p=0.004) as compared to the group B treated with specific lumber mobilization techniques alone (pain intensity: p= 0.172 and physical disability: p=0.201).
It is concluded that patients with mechanical low back pain will show more improvement in pain and function while treated by specific lumber mobilization and core stability exercises as compared to those patients who will be treated by specific joint mobilization techniques.
比较特定腰椎松动术(SLM)技术与单纯核心稳定性(CS)练习在机械性下腰痛(MLP)中的应用。方法:在巴基斯坦白沙瓦的凯伯尔教学医院(KTH)物理治疗系进行了 6 个月的预测试后测试准实验研究。我们方便地选择了 40 名患者,并将其分为两组。在 A 组中应用 SLM 技术与 CS 练习,在 B 组中仅应用 CS 练习,为期 6 周。在物理治疗干预前和 6 周后,使用 Oswestry 残疾指数(ODI)和机械性下腰痛视觉模拟量表(VAS)对所有患者进行评估。使用 SPSS 进行数据分析,并应用 95%置信水平的统计检验来确定两种治疗方案的疗效,并进行相互比较。
两组比较后,接受特定腰椎松动术治疗的 A 组在改善疼痛(p=0.008)和减轻身体残疾(p=0.004)方面的效果优于接受单纯特定腰椎松动术治疗的 B 组(疼痛强度:p=0.172,身体残疾:p=0.201)。
患有机械性下腰痛的患者在接受特定腰椎松动术和核心稳定性练习治疗时,疼痛和功能的改善程度将优于接受特定关节松动术治疗的患者。