The effectiveness of segmental stabilization exercise with conventional therapy and only conventional therapy for chronic low back pain patients.

Abstract

Background: Pain and disability persisting for more than 3 months called chronic low back pain (CLBP), and it’s a major health problem with enormous economic and social costs. Generally, incidents of back pain most commonly occur in between ages 25 and 50 years and chronic low back pain over 70%-80% of adult population, the maximum prevalence being around the age of 55-65 years, with a 5-10% incidence at adult age. Objectives: To identify whether segmental stabilization exercise with conventional therapy program or only conventional therapy program is more effective for the treatment of chronic low back pain patients. Methodology: It was Randomized control Trail (RCT). 30 patients with chronic low back pain were randomly assigned into two groups from outdoor musculo-skeletal unit, CRP. Among them 15 patients were assigned into experimental group received segmental stabilization exercises with conventional therapy and another 15 into control group received only conventional therapy. Total treatment sessions were twelve comprising of 3 sessions per week for 4 weeks. Double blinding procedure was used during data collection. Outcome measurement tools: Dallas Pain Quessnaire with Visual analogue Scale was used to measure pain, manual muscle testing to measure muscle strength and ODI to measure low back disability. Analysis of data: Between group analysis of muscle strength and back disability was calculated by Mann – Whitney U test and Pain (continuous data) by unpaired t test. Within group analysis of muscle strength and back disability was calculated by Wilcoxon test and pain (continuous data) by paired t test and test was done using SPSS version 16. Results: The main findings of this study is in case of pain intensity in different functional position in experimental group all variables come highly significant but in control group all the variables come significant except hurt when walking, and change work place come non-significant. So, we concluded that segmental stabilization exercise with conventional therapy is effective reducing pain in different functional position. In case of muscle strength within group comparison of flexor and extensor muscle strength come significant improvement in both experimental and control group but in experimental group come highly significant changes. In between group experimental and control mean difference is same that means in case of between group null hypotheses is accepted. In case of ODI quessnaire both experimental and control group come significant improvement but in experimental group come highly significant. The result of the study find out that segmental stabilization exercise with conventional therapy is more effective than only conventional therapy and the duration was total 4 weeks 12 sessions for chronic low back pain. Conclusion: This research showed that segmental stabilization exercises combined with conventional therapy was more effective than only conventional therapy for patients with chronic low back pain. Key words: Chronic low back pain,Segmental stabilization exercise and Conventional therapy.