Systematic Physiotherapy Intervention In non-specific low back pain: A case series.

Systematic Physiotherapy Intervention In non-specific low back pain

Abstract

Background and purpose: Low back pain is one of the major disorders affecting the young and middle aged adults. This affects their productivity both functionally and professionally. The interventions available in the literature aim to reduce signs and symptoms that are specific in nature. These treatment options appear to improve the condition up to a specific time period until the patient / individual return to his daily activities and job. Recurrence of signs and symptoms due to continual exposure to risk factors appear to cause chronicity of the condition and ultimately leads to early degenerative changes and pathologies. A systematic physiotherapy intervention protocol which includes electrotherapy, manual therapy, exercise and ergonomic advice would be beneficial to this population by reducing pain and improving function. Case description: Eight patients with low back pain completed a minimum of 3 weeks of intervention. Patient-reported outcomes of pain, function, and disability were assessed at baseline and the conclusion of treatment. The outcome measures were visual analogue scale(VAS), Patient Specific Functional Scale(PSFS), Modified Oswestry disability Questionnaire(MODQ), and Patient satisfaction scale(PSS). Lumbar range of motion was assessed using measuring tape and back and abdominal muscle strength was assessed according to MRC grading at baseline and post intervention. Outcomes: After treatment all patients reported significant reduction in pain on activity and except for patients two and eight, no pain at rest. All patients had an improvement in PSFS score. The Modified oswestry disability questionnaire showed significant reduction in disability in all patients. All patients had improvement in lumbar flexion and extension. 6 patients showed improvement in lumbar side flexion to either sides. The manual muscle testing of the back and abdominal muscles showed that all patients had improvement in the muscle strength. Discussion: The findings suggest that physical therapists can feasibly implement an intervention to improve outcomes in patients with low back pain