Comparison the Effectiveness of Manual Therapy, Electrotherapy and Core Stability Exercise vs Electrotherapy, Traction and Traditional Exercise for Acute Low Back Pain

Abstract

Background: Worldwide most adult population would suffer acute low back pain with some disabilities at some stage of life almost without specific cause but it is essential to manage pain to prevent transition to chronic pain which presents a significant individual, social and economic burden. Objective: To compare effectiveness of manual therapy, electrotherapy and core stability exercise vs electrotherapy, traction and traditional exercise for acute low back pain. Methodology: It was a double blind study in which 52 subjects of 46 year mean age were randomized in control and intervention groups. All the subjects were selected from different occupation through assessment, interview, who was suffering central, unilateral or bilateral low back pain less than three months. Subjects of both groups were agreed to receive the allocated treatment for continuous four weeks and follow up the instructions. To measure the effectiveness of this study numerical point box scale for pain, modified Schober method for flexion, extension range and Quebec Back Pain Disability Scale was used. Result: From the measurement, the intervention group showed better improvement and performance in all aspects than the control group. The measurements showed the difference of deviation pain reduction box scale 2.99, flexion 0.28, extension 0.82, disability scale 14.21 was in control group and pain reduction 5.20, flexion 1.47, extension 1.30; disability scale 22.83 was in intervention group. Conclusion: Manual therapy, core stability exercises with other treatments can be effective for acute low back pain but further research should be done in this respect.