Efficacy of motor control exercise along with conventional physiotherapy among patients with chronic non-specific low back pain

Abstract

Background: Chronic Non-specific low back pain is reported to be a major health and socioeconomic problem Motor control exercise (MCE) intervention focuses on the activation of the deep trunk muscles and targets the restoration of control and coordination of these muscles, progressing to more complex and functional tasks integrating the activation of deep and global trunk muscles. Objective: The objective of the study was to observe the effect of MCE along with conventional physiotherapy compared with only conventional physiotherapy for CLBP. Methodology: This dissertation describes a randomised clinical trial on the effects of motor control exercises along with conventional physiotherapy than only physiotherapy in the treatment of chronic low back pain. The study was conducted in the CRP outdoor Musculoskeletal Unit, Physiotherapy Department encompassed 20 participants with chronic non-specific low back pain .Intervention: Patients were randomly assigned to receive either motor control exercise along with physiotherapy or only conventional physiotherapy intervention. Patients in both groups received 12 sessions of individualized, supervised therapy. Results: The post intervention assessment showed significant differences in respect of pain (95%, confidence interval [CI] = -0.338 to 0.191; p=0.018) and disability level (95% confidence interval [CI] = -0.147 to 0.040; p = 0.023).Mann-Whitney U test for between group and for within group analysis Wilcoxon Signed Rank test is used at confidence level 95%,( p<0.05).This proposed intervention improved activity and but its effect on pain is still in doubt. Conclusion: Motor Control Exercise (MCE) along with conventional physiotherapy has the potential to improve therapeutic effects than only conventional approach in chronic non-specific low back pain. Motor Control exercise proved efficient when combined with conventional physiotherapy to improve disability level and prevent recurrence.

Keyword: Chronic Non-specific low back, Motor control exercise (MCE), Conventional physiotherapy