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Title: A Comparative Study of Current Manual Ttherapy Practice in Management of Low Back Pain
Authors: Mehdi Kazmi, Syed Abid
Keywords: Biological & Medical Sciences
Physical Thrapy
Issue Date: 2020
Publisher: Zia-ud-Din Medical University, Karachi.
Abstract: Objectives: To compare the effectiveness of current individual practices along with a genesis of new combined technique (SAM PROTOCOL) for the management of nonspecific low back pain. Background: Globally, Non-specific Low back pain is a highly prevalent musculoskeletal problem. Various researches have been conducted to find an effective and long lasting technique for the management of non-specific low back pain: however, the results of these studies have been inconsistent. This study was not only analyzing the effectiveness of established technique but in addition developed a new method (SAM PROTOCOL) to manage non-specific low back pain. Methodology: A two phase study was designed in which 100 patients were recruited and randomly allocated into four equal group. First phase was comprises of 75 participants divided into three groups that were group A, group B and group C. In second phase 25 new participants were recruited and allocated into group D. The interventional strategy for Group A was Mobilization, Group B was Myofascial release and Group C was Core Stability exercises. In phase II MFR & Core stability technique was combine as an interventional strategy for 25 participants being recruited in Group D. Interventions: Mobilization, Myofascial release, Core stability and the combination of Core stability and Myofascial therapy was used for the management of non-specific low back pain. Outcome Measures: Oswestry Disability Index (ODI), Numeric Pain Rating Scale (NPRS) and Rehabilitative Ultrasound Imaging (RUSI) were used for the collection of data. Result: A total of 100 participants with mean age was 52.24±5.13 years, in which 41.7% were male and 58.3% were female. The paired t test was used to analyze the pre-intervention reading of the baseline treatment and post intervention reading of 12 sessions. The study was divided into two phases in such a way that in phase I, the participants were divided into three groups in which Group A was treated with Mobilization, Group B with Myofascial release and Group C with Core stability exercises, xix then in phase II the two most significant groups were merged together into Group D (MFR & Core stability exercises) classified as SAM PROTOCOL. The analysis showed that Group D was more effective in improving muscular thickness (p-<0.000), functional ADLS and intensity of pain (p-<0.000) than other research groups of phase I. Conclusion: It was concluded that as compared to individual treatment regimens combined therapy (SAM PROTOCOL) is a beneficial and suitable protocol for the individuals suffering with non-specific low Back Pain.
Gov't Doc #: 20235
Appears in Collections:PhD Thesis of All Public / Private Sector Universities / DAIs.

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