Comparison of spinal manipulation and short-wave diathermy on patients with chronic postural low back pain, in department of physical medicine at teaching hospital, Kandy, Sri Lanka
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20213376Keywords:
CPLBP, SWD, SM, Pain reductionAbstract
Background: Chronic postural low back pain (CPLBP) is one of the common health problems worldwide. The aim of the study was to compare the spinal manipulation (SM) and short-wave diathermy (SWD) in patients with CPLBP in department of physical medicine at teaching hospital, Kandy, Sri Lanka.
Methods: Observational study was conducted. Patients diagnosed as CPLBP, who referred to the department of physical medicine (DPM), teaching hospital Kandy, were observed in the study (n=140). Seventy (70) patients were allocated for SWD and 70 for SM by the consultant. Two physiotherapists were routinely appointed for the treatments and SWD treatment by group 1 and SM was carried out by group 2. The two treatment sessions were continued once a week through four weeks. Outcomes were measured by numerical pain scale to compare with initial pain.
Results: Group 1, SM consisted 39 females and 31 males, group 2, SWD 40 females and 30 males. After 4 sessions, the mean value of pain reduction from initial pain was significantly high (p<0.001) in SM group than the short-wave diathermy group in both genders. (Female: 6.410 (SM) and 4.625 (SWD), Male:6.710 (SM) and 4.333 (SWD). Further the mean values showed that there was a significant pain reduction during the initial treatment session than 2nd, 3rdand final sessions in both treatment groups.
Conclusions: Pain reduction was more pronounced in the first treatment session in both methods. SM is more effective for the treatment of CPLBP irrespectively the age and gender when compare to the SWD in the study population. Therefore, SM could apply on CPLBP patients with higher effective treatment.
References
Anderson GBJ. The Epidimiology of spinal disorder. The Adult Spine: Principles and Practice. edition. Philadelphia: Lippincott-Raven. 1997.
Rodrigo M, Anaclaudia F, Neice F. Prevalence of Chronic Low Back Pain: Systematic Review. Rev Saude Publica. 2015;49:1.
Ehrlich GE. Low Back Pain. Bulletin of the World Health Organization. 2003;81(9):671-5.
Taimela S, Kujala UM, Salminen JJ, Viljanen T. The prevalence of low back pain among children and adolescents.A nationwide, cohort-based questionnaire survey in Finland. The spine. 1997;22(4):1132-6.
Ehrlich GE. Low Back Pain. Bulletin of the World Health Organization. 2003;81(9):671-5.
Croft P. The prevalence and characteristics of chronic widespread pain in the general population. J Rheumatol. 1993;20(3):710.
Guo HR, Tanaka S, Halperin WE, Cameron LL. Back pain prevalence in US industry and estimates of lost workdays. Am J Public Health. 1999;89(7):1029-35.
Mater H. Orthopaedic manual therapy. Vishvaleka Publications; Ratmalana, Sri Lanka. 2014.
Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults; United States. National Health Stat Rep. 2015;79:1-16.
Foster NE, Thompson KA, Baxter GD, Allen JM. Management of nonspecific low back pain by physiotherapists in Britain and Ireland. A descriptive questionnaire of current clinical practice. Spine. 1999;24(13):1332-42.
Foster A, Palastanga N. Clayton’s electrotherapy 9th edition. Delhi: AITBS. 2005.
Sri Lanka labour demand survey. Department of, Census and Statistics, Ministry of National Policies and Economic Affairs. 2017. Available at: http://repo.statistics.gov.lk/handle/1/756. Accessed on 10 Jan 2021.
Sri Lanka labour force survey. Department of, Census and Statistics, Ministry of National Policies and Economic Affairs. 2016;5.
Schneider M, Haas M, Glick R, Stevans J, Landsittel D. Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial. The spine. 2017;40(4):209-17.
Senna MK. Machaly SA. Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome. Spine. 2011;36(18):1427-37.
Ahmed S, Shakoor A, Khan A. Evaluation of the effects of shortwave diathermy in patients with chronic low back pain. Bangladesh med res council bull. 2011;35:18-20.
Kerem M, Yigiter K. Effects of continuous and pulsed short-wave diathermy in low back pain. Pain clinic. 2002;14(1):55-9.
Ferreira ML, Ferreira PH, Latimer J, Herbert R, Maher CG. Efficacy of spinal manipulation. J manipulative and physiological therapeutics. 2003;26(9):593-601.
Rubinstein SM, Van Middelkoop M, Assendelft WJ, De Boer MR, Van Tulder MW. Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Spine. 2011;36(13):825-46.
Tennakoon T, Zoysa P. Patient satisfaction with physiotherapy services in an Asian country: Areport from Sri Lanka. Hong Kong Physiotherapy J. 2014;32:2.
Oliva-Pascual-Vaca A, Rodriguez-Blanco C, Heredia-Rizo AM, Ricard F, Almazán-Campos G. Short-term effect of spinal manipulation on pain perception, spinal mobility, and full height recovery in male subjects with degenerative disk disease: a randomized controlled trial. Arch physical med rehabilitation. 2014;95(9):1613-9.
Gibson T, Harkness J, Blagrave P, Grahame R, Woo P, Hills R. Controlled comparison of Short-Wave Diathermy Treatment with Osteopathic treatment in non-specific low back pain. Lancet, 1987;325(1):1258-61.
