Research on the management of low back pain through physiotherapy and exercise

Research on the management of low back pain through physiotherapy and exercise

Mihăilă Ion

Breha Alexandru-Mihai

In the present study, 55 patients with low back pain were included, who underwent a combined treatment: physiotherapy procedures together with therapeutic physical exercise. The program was individualized according to the needs of the patients.

Both before the start of the treatment and after its completion, the following parameters were evaluated: pain (through VAS scale), flexibility of the lumbar spine (Schober test and finger-ground index) and quality of life (questionnaire QOL-BREF).

The final results showed significant improvements for each of the previously listed parameters, which proves the effectiveness of the treatment applied for 15 days.

1. Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Annals of Internal Medicine, 166(7), 514-530. https://doi.org/10.7326/M16-2367.

2. Kjaer, P., Kongsted, A., Ris, I., Abbott, A., Rasmussen, C. D., Roos, E. M., … & Hartvigsen, J. (2021). Can structural, functional, and clinical parameters at age 45 years explain low back pain in the general population a cohort study with 17-year follow-up. Pain. Advance online publication. https://doi.org/10.1097/j.pain.0000000000002246.

3. Di Filippo, F., Catananti, C., Sarchielli, P., Calabro, R. S., Palazzo, C., & Bagavoli, G. (2019). Efficacy of Capacitive and Resistive Electric Transfer (TECAR) Therapy in Chronic Low Back Pain: A Preliminary Study. Medicina, 55(6), 315. https://doi.org/10.3390/medicina55060315.

4. Fuentes, J. P., Armijo-Olivo, S., Funabashi, M., Miciak, M., Dick, B., Warren, S., … & Magee, D. J. (2018). Enhanced Therapeutic Alliance Modulates Pain Intensity and Muscle Pain Sensitivity in Patients With Chronic Low Back Pain: An Experimental Controlled Study. Physical Therapy, 98(5), 365-372. DOI: 10.1093/ptj/pzy022.

5. Johnson, M. I., Paley, C. A., Howe, T. E., & Sluka, K. A. (2015). Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database of Systematic Reviews, 6(6), CD006142. https://doi.org/10.1002/14651858.CD006142.pub3.

6. Carbonell-Baeza, A., & Aparicio, V. A. (2011). Ultrasound therapy and exercise in the treatment of low back pain: a single-blind randomized controlled trial. The Clinical Journal of Pain, 27(3), 194-201. https://doi.org/10.1097/AJP.0b013e3181f0ae8a.

7. Notarnicola, A., Maccagnano, G., Tafuri, S., Pesce, V., Fiore, A., Moretti, L., & Moretti, B. (2014). Effect of multiple diode laser in the treatment of chronic low back pain: A randomized controlled trial. Lasers in Medical Science, 29(3), 1065-1073. https://doi.org/10.1007/s10103-014-1561-0.

8. Chow, R. T., Johnson, M. I., Lopes-Martins, R. A., & Bjordal, J. M. (2009). Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. The Lancet, 374(9705), 1897-1908. https://doi.org/10.1016/S0140-6736(09)61522-1.

9. Marcu V., Dan Mirela, 2010, Manual de kinetoterapie, Editura Universității din Oradea.

10. Kiss J., 2007, Fizio-kinetoterapia și recuperarea medicală în afecțiunile aparatului locomotor, Editura Medicală, București.

11. Cordun Mariana, 1999, Kinetologie medicală, Editura AXA, București.

12. Chou, R. (2021). Low Back Pain. Annals of Internal Medicine, 174(8), ITC113-ITC128. https://doi.org/10.7326/AITC202108170.

13. Becker, B. A., & Childress, M. A. (2019). Nonspecific Low Back Pain and Return To Work. American Family Physician, 100(11), 697-703.

14. García-Moreno, J. M., Calvo-Muñoz, I., Gómez-Conesa, A., & López-López, J. A. (2022). Effectiveness of physiotherapy interventions for back care and the prevention of non-specific low back pain in children and adolescents: a systematic review and meta-analysis. BMC Musculoskeletal Disorders, 23(1), 314. https://doi.org/10.1186/s12891-022-05270-4

15. van Dieën, J. H., Flor, H., & Hodges, P. W. (2017). Low-Back Pain Patients Learn to Adapt Motor Behavior With Adverse Secondary Consequences. Exercise and Sport Sciences Reviews, 45(4), 223-229. https://doi.org/10.1249/JES.0000000000000121.

16. Breha, R. M., & Breha, A. M. (2020). The Efficiency of Kinesiotherapy in the Rehabilitation of Patients with Low Back Pain. Volume XIII, 1, 160-170. https://doi.org/10.4316/SAM.2020.0122