Physical therapy group (PTG) received physical therapy modalities in addition to medical and exercise therapy, while the control group (CG) was treated with medical and exercise therapy alone. The study was conducted in accordance with the principles of the Declaration of Helsinki.Īll patients were divided into two groups: physical therapy group (n=52) and control group (n=52). A written informed consent was obtained from each patient. The study protocol was approved by the local Ethics Committee. All patients were evaluated by a single physician. BMI: Body mass index CG: Control group PTG: Physiotherapy group VAS: Visual Analog Scale ODI: Oswestry Disability Index ILBP: Istanbul Low Back Pain Disability Index.Ī detailed history of each patient was obtained and clinical examination was performed including neurological and physical examination of the lumbar region with inspection and palpation, lumbar mobility measurements, and lumbar range of motion measurements. In the present study, we aimed to evaluate the effectiveness of physical treatment modalities for pain relief and functional status improvement in patients with CLBP.įlow diagram. However, the efficacy of a combined approach with physical therapy and medical treatment for CLBP has not yet been sufficiently demonstrated. Additionally, medical treatment has been shown to be an effective method for symptomatic improvement of CLBP. Previous studies have demonstrated that physiotherapy modalities such as hot packs, ice massages, diathermy, ultrasound therapy, and transcutaneous electrical nerve stimulation (TENS) reduce inf lammation, relieve musculoskeletal symptoms and joint stiffness, thereby, providing symptomatic relief. Exercising is one of the main treatments used for CLBP and has been shown to reduce the duration and frequency of back pain. These techniques are intended to increase mobilization, decrease pain, and improve functional and psychological status. Due to the multiple negative effects associated with CLBP, it has been argued that a single technique for low back pain treatment would be ineffective and treatment should include a multidisciplinary approach.Ī variety of conservative treatment modalities, such as exercise, physical therapy, and medication are applied in the treatment of CLBP. It has a negative impact on functional, socioeconomic, and occupational activities and on the psychological status. In 85% of patients with low back pain, the symptoms and signs are non-specific without a clear diagnosis, prognosis, or treatment protocol.Ĭhronic low back pain (CLBP) is back pain lasting longer than 12 weeks. ![]() Low back pain is one of the major health problems during life time with a prevalence of 80%, which causes functional loss and reduced productivity.
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