scholarly journals A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Walid Kamal Abdelbasset ◽  
Gopal Nambi ◽  
Saud F. Alsubaie ◽  
Ahmed M. Abodonya ◽  
Ayman K. Saleh ◽  
...  

Objectives. Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP. This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods. The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled in this study between May and November 2019. All participants were clinically diagnosed with chronic nsLBP. They were assigned randomly into three groups, 20 in each group. The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention. Results. Both LLLT and HILT groups showed a significant improvement of the Oswestry Disability Index (ODI), visual analogue scale (VAS), lumbar range of motion (ROM), and European Quality of Life (EuroQol) scores ( p > 0.05 ), while the control group did not show significant changes ( p > 0.05 ). Comparison among the three study groups postintervention showed significant differences in the outcome measures ( p > 0.05 ), while comparison between the LLLT and HILT groups showed nonsignificant differences ( p > 0.05 ). Conclusion. There are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 237
Author(s):  
U-Hyeok Seo ◽  
Jung-Hee Kim ◽  
Byoung-Hee Lee

This study aimed to determine the combined treatment effects of Mulligan sustained natural apophyseal glides (SNAGs) and low-level laser therapy (LLLT) on function, pain, and range of motion (ROM) in patients with chronic low back pain. A total of 49 adults participated in this study and were randomly divided into three groups (SNAGs with LLLT group, SNAGs group, and control group). The participants in the SNAGs with LLLT group received SNAGs for 10 min, LLLT for 10 min, and electrotherapy for 10 min. The SNAGs group received SNAGs for 10 min and electrotherapy for 20 min. The control group received electrotherapy for 30 min. All participants received the assigned treatment for 30 min a day, 3 times a week, for 4 weeks. We used the visual analogue scale (VAS) to measure pain, the modified-modified Schober test (MMST) to measure ROM, and the Roland Morris disability questionnaire (RMDQ) to measure physical disability. Compared to the pre-intervention values, the VAS and MMST scores significantly increased after the intervention in the SNAGs with LLLT group (p = 0.000) and the SNAGs group (p = 0.000). The RMDQ score significantly improved in the SNAGs with LLLT (p = 0.000), SNAGs (p = 0.000) and control (p = 0.025) group after the intervention. The inter-group differences were greater for the SNAGs with LLLT and SNAGs groups than for the control group (p = 0.001), and the difference was greater for the SNAGs with LLLT than for the SNAGs (p = 0.001) with respect to the VAS, MMST, and RMDQ scores. These results indicate that significant improvement in pain, function, and ROM may be achieved by a combination of SNAGs and LLLT to treat chronic low back pain.


2021 ◽  
Vol 38 (1) ◽  
pp. 28-35
Author(s):  
AC Kanitz ◽  
B Machado ◽  
D Rodrigues ◽  
G Zambelli ◽  
A Ivaniski ◽  
...  

Objective: The present study aimed to verify the influence of training intensity in the aquatic environment on pain, disability, physical capacity, and quality of life in patients with chronic low back pain. Design/Setting: A randomized clinical trial. Subjects: Twenty-two patients with chronic low back pain of both sexes (13 women and 9 men) participated in the study. Material and method: One group performed deep-water walking/running training at moderate intensity (MIT) and a second group performed deep-water walking/running training at high intensity (HIT). Pain, disability, peak oxygen uptake (VO2peak), and quality of life were assessed before and after an intervention. Results: Decreases in pain and disability were observed within both groups, without differences in these parameters between training groups. VO2peak did not change in either group after the training intervention. The results of the HIT group showed more significant improvements in quality of life than that of the MIT group, highlighting the social domain, psychological domain, and general quality of life. Both groups presented significant improvements in the physical and environmental domains of quality of life. Conclusions: Deep-water aerobic exercise training seems to be effective for improving pain symptoms and reducing the disability of people with chronic low back pain. These improvements seem to be independent of the intensity at which the training is performed. In addition, improving pain and disability does not directly reflect all areas of quality of life. In this case, the group that performed the intervention at high intensity achieved more significant improvements in quality of life.


2016 ◽  
Vol 30 (4) ◽  
pp. 17-28
Author(s):  
Hanna Krześniak ◽  
Aleksandra Truszczyńska-Baszak

Abstract Introduction: Back pain is a serious social problem which frequently affects women. So far, the effectiveness and safety of physical activities recommended to them have not been confirmed scientifically. The aim of the work was to determine the influence of circuit resistance training on the quality of life and disability of women with back pain. Materials and methods: The study included 25 women (mean age 52.81 ± 13.83 years) with back pain in the course of degenerative changes in the lumbar spine. Circuit resistance training was done on the machines with hydraulic resistance. Prior to the training, each participant was diagnosed on the basis of the McKenzie functional assessment. The quality of life was evaluated with the use of SF-36 survey, while pain intensity was assessed with visual analogue scale (VAS). The level of disability was examined with Roland-Morris disability questionnaire (RMDQ). The examinations were repeated after a three-month period of training and compared with a control group including 31 women (mean age 43.43 ± 14.64 years) who did not take up any physical activity in this period. Results: In the research group, 73.68% of the subjects improved their quality of life assessed with SF-36 survey, mainly in the category of physical functioning (p=0.006). Moreover, their disability decreased significantly (p=0.01) and pain subsided (p=0.003) compared to the control group. Conclusions: Circuit resistance training decreased low back pain, reduced disability and improved the quality of life of the subjects. This type of training may be recommended to individuals with non-specific low back pain.


2011 ◽  
Vol 5 (S1) ◽  
pp. 61-61 ◽  
Author(s):  
L. Konstantinovic ◽  
M. Lazovic ◽  
N. Milovanovic ◽  
Z. Kanjuh

2020 ◽  
Author(s):  
Xuesong Hu ◽  
Shaoxing Dong ◽  
Bing Zhang ◽  
Xuan Wang ◽  
Yanwei Yin ◽  
...  

Abstract Background: Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.Methods: In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low frequency measurement (InLF) and the natural logarithms of high frequency measurement (InHF) of heart rate variability (HRV) were recorded.Results: In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).Conclusions: SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registration: This work has registered in the Chinese Clinical Trial Registry (No. ChiCTR-OOC-17013237; Date: 2017.11.09).


2018 ◽  
Vol 86 (12) ◽  
pp. 4125-4135
Author(s):  
MOHAMED A. AWAD, Ph.D.; ASMAA M.A. EL-BANDRAWY, Ph.D. ◽  
ABD EL-HAMID A. ATTA ALLAH, M.D.; MINA N. SOLIMAN, M.Sc.

Author(s):  
R Yousefi Nooraie ◽  
E Schonstein ◽  
A Rashidian ◽  
K Heidari ◽  
B Shakiba ◽  
...  

2010 ◽  
Vol 29 (8) ◽  
pp. 905-910 ◽  
Author(s):  
Saime Ay ◽  
Şebnem Koldaş Doğan ◽  
Deniz Evcik

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