Efficacy of Physiotherapy for Postural Low Back Pain due to Ligament Stress and Strain in a Professional Group of Middle Aged Population

Abstract

The suffering and loss of working hours due to the disability caused by low back pain in develop and developing countries have been a constant stimulus for further research. It is a common problem and is increasing day by day in Bangladesh also and need to be studied. The underlying cause of back pain is usually undiagnosed and left untreated even though the diagnosis of ligament stress and strain can be made easily by clinical methods. The result of management of backache due to the ligament stress and strain treated conservatively by physiotherapy is now found to be satisfactory. Total 100 cases of ligament stress and strain in the lumber region were divided into three groups according to the variety of condition. Most of the cases were diagnosed on the basis of clinical assessment. X-ray of lumbar spine was done as a routine procedure of exclude other pathology. To evaluate the result, Physiotherapy management were carried out during the period of January 2014 to June 2014 in Islami Bank Central Hospital, Kakrail, Dhaka. There were 66 male and 34 female patients. Lowest age incidence was 30 years and highest was 55 years. The maximum number was in the age group of 35 to 45 years. 71 cases belong to manual working class and 29 belong to sedentary population. All the patients presented primarily with history of low backache with restricted movement and postural mal-alignment. The onset of pain was traumatic and was also lifting heavy objects. Physiotherapy treatment was carried out according to the severity of the condition. The method of physiotherapy treatment were rest in bed, posture care, cryo therapy, ultrasound therapy, wax pack therapy, intermittent lumber traction, mobilization, therapeutic exercise and home advice to reduce weight and overcome back pain. It was placed into three groups. Group- A: Acute, Group- B: Sub-Acute, Group- C: Chronic. In Group- A, we found 73% patient responded very well followed by Group- B, 61% patient responded satisfactory and in Group- C, 76% responded excellent.