Skip to main content

Spinal Manipulation on Segmental Instability, Pain Sensitivity and Health- related Quality of Life in Chronic Non-specific Low Back Pain | Chapter 04 | Current Trends in Medicine and Medical Research Vol. 5

Purpose: Chronic non-specific low back pain (cNSLBP) is quite common as seen every day in clinics. Therefore, we assessed the effectiveness of spinal manipulation (High-Velocity Low-Amplitude Thrust) on segmental instability, pain sensitivity and quality of life among patients with chronic non-specific low back pain.

Subjects and Methods: This study is a randomized clinical trial with 100 patients aged between 18 and 60 years suffering from non-specific low back pain for at least 3 months of duration. 50 subjects were randomly assigned to group a received spinal manipulation and 50 subjects to group B received core stability exercises. After 15 days, scores were measured for segmental instability (centre of foot pressure) by win track platform, pain sensitivity (pain pressure threshold) by digital algometer and health-related quality of life by EuroQol questionnaire.

Results: After treatment, spinal manipulation and core stability exercises had improved segmental instability, increased pressure threshold and enhanced health-related quality of life. However, significantly better improvement noticed in segmental instability, pressure pain threshold, and quality of life by spinal manipulation compared to core stability exercises.

Conclusion: The present study indicates that spinal manipulation is more effective than core stability exercises in chronic non-specific low back pain.

Author(s) Details

Dr. Jasobanta Sethi [MPT, PhD, FIAP]
Amity Institute of Physiotherapy, Amity University, UP, Noida, India.

Dr. Kanchan Kumar Sarker [MPT]
Department of Physiotherapy, Lovely Professional University, Punjab, India.

Umasankar Mohanty
Manual Therapy Foundation of India, Mangalore, Karnataka, India.

View Volume: http://bp.bookpi.org/index.php/bpi/catalog/book/135
Labels:

Comments

Post a Comment

Popular posts from this blog

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter 09 | New Horizons in Medicine and Medical Research Vol. 8

 Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this. A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map)
Post a Comment
Read more

A Brief Study of Middleware Technologies: Programming Applications and Management Systems | Chapter 15 | Novel Research Aspects in Mathematical and Computer Science Vol. 1

  Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system
Post a Comment
Read more

Patients’ Perspective of Acute Post-operative Pain Management: A Multicentre Survey of Tertiary Hospitals in Maharashtra, India | Chapter 08 | New Horizons in Medicine and Medical Research Vol. 8

 When postoperative pain is adequately controlled, patients' satisfaction and patient-related outcomes (PROs) increase. Understanding the patients' perspective is crucial since it supports in the formulation of improvement strategies. Because wrong attitudes and assumptions might block pain alleviation, patients' attitudes and beliefs are critical. As a result, a multicenter study of patients' attitudes, beliefs, experiences, and satisfaction levels with acute postoperative pain management was done in Maharashtra's tertiary hospitals. In addition, the responses were examined to evaluate if the Acute Pain Service (APS) resulted in improved patient outcomes and satisfaction. A 13-item questionnaire adapted from previous studies was used to capture patients' experiences with postoperative pain treatment. The responses of 179 patients are included in the study. The findings revealed that 91.6 percent of patients experienced postoperative pain, with 75.5 percent
Post a Comment
Read more