Chronic Non Specific Low Back Pain Clinical Trial
Official title:
Study of Spinal Manipulation(SM) Decrease Postural Instability and Improve Quality of Life in Patients With Chronic Non Specific Low Back Pain
This study will give a new insight to the physiotherapy fraternity in the effects of spinal manipulation in as clinical practice, as well as the patient's community in quick re-establishment of functional ability, pain decrease, and improvement of quality of life for economic reasons. In this high opinion, application of short-term intensive spinal manipulation for non specific chronic low back pain treatment is desirable.
The protocol for group A included High velocity low amplitude thrust (HVLA) to the lumbar
region of the spine between L1 and L5 vertebrae.The HVLA thrust will be performed with the
patient side lying in a neutral.52 They take part in 12 treatment visits, 10 to 20 minutes
sessions of SM over 2 weeks. Light soft tissue techniques (i.e., active and passive muscle
stretching, and ischemic compression of tender points) may be used as needed to facilitate
the manual therapy.
The protocol for group B included sets of exercise therapy. There are three components to the
exercise therapy (ET) program: self education, supervised exercise visits, and home exercise.
The overall objectives are to help patient's manage their LBP and prevent future LBP
recurrences. Total number of visits 12 (e.g., ability to perform exercises independently).
Outcome:
Patient self-report outcomes will be collected at first baseline visit and its base on the
pain intensity and quality of life will be assessed by using numerical pain rating scale and
EuroQol questionnaire. Objective outcome measures will be collected at the first baseline
visit and its base on postural instability and pressure pain threshold will be assessed by
using Win track platform and digital algometer.
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