The analgesic action of Aussie current in women with non-specific chronic lumbar pain

2019 ◽  
Vol 26 (7) ◽  
pp. 1-10
Author(s):  
Ana Claudia Aparecida Pelegrini ◽  
Eduardo Gasoto ◽  
Jean Marcos Bussolaro ◽  
Gabriel Segatti ◽  
Carlos Eduardo de Albuquerque ◽  
...  

Background/aimsDespite electrostimulation being a common adjuvant therapy for non-specific low back pain, the use of Aussie current for muscle contraction is still underreported in the literature. The present study aimed to assess the use of Aussie current in the treatment of chronic, non-specific lumbar pain.MethodsTwenty-four young women with chronic non-specific low back pain were randomly assigned to the Aussie current group or control group. Pain (visual analogue scale and McGill Pain Questionnaire), function (Oswestry Disability Index), trunk muscle resistance (the time the participant remained in a predefined static position) and multifidus muscle thickness (ultrasound images) were analysed bilaterally before, at the end of and 30 days after completing the treatment protocol. The treatment group received 12 sessions of Aussie current over a period of 4 weeks. The electrodes were arranged laterally and bilaterally to the spinous processes of the first and fifth lumbar vertebrae.ResultsThere was a reduction in the pain profile for the Aussie group, as measured by a visual analogue scale and the McGill Pain Questionnaire. There was an increase in trunk muscle resistance and in muscle thickness in the Aussie group when compared to the control group. There were no changes in the Oswestry Disability Index in either group.ConclusionsAussie current resulted in significant improvements in pain, endurance and muscle thickness in women with chronic, non-specific low back pain.

2020 ◽  
Vol 4 (2) ◽  
pp. 44-57
Author(s):  
Lucky Anggiat ◽  
Indra Juni Fransisko ◽  
Soeparman SSt.Ft

Pada lansia dapat terjadi gangguan gerak dan nyeri pada beberapa bagian tubuh seperti leher, bahu, leher, punggung bawah, lutut dan kaki dengan prevalensi terbesar adalah nyeri punggung bawah. Beberapa faktor yang dapat mempengaruhi timbulnya nyeri punggung bawah atau Low Back Pain (LBP) pada lansia dapat disebabkan kebiasaan duduk lama, mudah lelah, atau akibat penyakit tertentu seperti jatuh terduduk yang menyebabkan hernia nukleus pulposus (HNP) di daerah tulang lumbal. Fisioterapi berperan penting dalam kondisi tersebut. Penelitian ini adalah penelitian studi kasus pada seorang lansia dengan LBP karena HNP. Pemeriksaan dilakukan adalah pemeriksaan nyeri dengan Visual Analogue Scale (VAS) dan kemampuan fungsional dengan Oswestry Disability Index (ODI). Tindakan fisioterapi yang diberikan pada lansia menggunakan intervensi konvensional seperti Ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS) dan latihan metode McKenzie. Dengan tindakan fisioterapi konvensional dan metode McKenize memberikan hasil yang baik pada penurunan nyeri dan peningkatan kemampuan fungsional. Dari penelitian ini dapat disimpulkan pelaksanaan terapi konvensional dan metode McKenzie dapat memberikan pengaruh yang baik pada lansia dengan LBP karena HNP


Author(s):  
Vilma Dudonienė ◽  
Jurgita Radzevičiūtė

Low back pain is one of the biggest problems in modern world. Different physiotherapy programs are used for its treatment. Lumbar traction, has been used since the time of Hippocrates, but it is still the object of discussion. The purpose of this study was to determine the impact of traditional physiotherapy (control group), and traction therapy with TherapiMaster equipment (research group) on treatment of low back pain. Subjects: 40 patients from 34 to 62 years of age with low back pain participated in the study. Methods: static and dynamic trunk muscle endurance, low back pain intensity (according to Numeric Rating Scale, and McGill pain questionnaire), and functional state (according to Roland-Morris questionnaire, and Oswestry disability index) of patients were evaluated. Patients of control group received 14 procedures of traditional physiotherapy. The patients in the research group received 14 procedures of lumbar traction with TerapiMaster equipment and exercises. Conclusions: Physiotherapy procedures improved static and dynamic trunk muscle endurance in both control and research groups (p < 0.01), reduced low back pain (p < 0.01), and improved the patients’ functional state in both groups (p < 0.01). The physiotherapy program with lumbar traction had better effect only relieving back pain assessed by McGill pain questionnaire compared to traditional physiotherapy (p < 0.05).Keywords: low back pain, lumbar traction, physiotherapy, Roland-Morris and McGill questionnaires, Oswestry disability index.


Author(s):  
Ecenur Atli ◽  
Dilber Karagozoglu Coskunsu ◽  
Zeynep Turan ◽  
Ozden Ozyemisci Taskiran

Abstract Objective To examine the effect of neuromuscular electrical stimulation (NMES) combined with core stabilization exercises (CSE) in patients with chronic low back pain (CLBP). Methods Thirty-six patients (mean age 33.6±12.6 years) with CLBP were randomly assigned to 4 weeks (12 sessions) of NMES group (NMES combined with CSE) (n=18) vs. Control group (sham NMES and CSE) (n=18). After the 4 weeks, same exercises were given as home exercise program without NMES. The outcome measures were Oswestry Disability Index (ODI), Visual Analog Scale (VAS), Nottingham Health Profile (NHP) and ultrasonography. Ultrasonography was used for measuring transversus abdominis (TrA), internal oblique (IO), external oblique (EO) muscles thickness and lumbar multifidus muscle thickness and area. Assessments were performed at baseline and 4th week and eighth week follow-up. Results In both groups, the change of ODI, VAS and NHP values of the first measurement according to the values of the 4th week and the eighth week were found statistically significant (p=0.001; p<0.01). There were no statistically significant differences in ODI, VAS and NHP scores between the 4th week and the eighth week in both groups (p>0.05). None of NMES and control group measurements with US showed a statistically significant increase in the TrA, IO, EO thickness and multifidus thickness and area (p>0.05). Conclusions It was shown that NMES can be tolerated by patients with CLBP, but the addition of simultaneus NMES to CSE had no contribution to the clinical outcome measures.


Spine ◽  
2015 ◽  
Vol 40 (1) ◽  
pp. E29-E34 ◽  
Author(s):  
Shiro Sugiura ◽  
Yasuchika Aoki ◽  
Takeshi Toyooka ◽  
Tetsuo Shiga ◽  
Kazumi Otsuki ◽  
...  

2010 ◽  
Vol 15 (3) ◽  
pp. 169-178 ◽  
Author(s):  
Allan Gordon ◽  
Saifudin Rashiq ◽  
Dwight E Moulin ◽  
Alexander J Clark ◽  
André D Beaulieu ◽  
...  

OBJECTIVE: The present randomized, double-blinded, crossover study compared the efficacy and safety of a seven-day buprenorphine transdermal system (BTDS) and placebo in patients with low back pain of moderate or greater severity for at least six weeks.METHODS: Prestudy analgesics were discontinued the evening before random assignment to 5 μg/h BTDS or placebo, with acetaminophen 300 mg/codeine 30 mg, one to two tablets every 4 h to 6 h as needed, for rescue analgesia. The dose was titrated to effect weekly, if tolerated, to 10 μg/h and 20 μg/h BTDS. Each treatment phase was four weeks.RESULTS: Fifty-three patients (28 men, 25 women, mean [± SD] age 54.5±12.7 years) were evaluable for efficacy (completed two weeks or more in each phase). Baseline pain was 62.1±15.5 mm (100 mm visual analogue scale) and 2.5±0.6 (five-point ordinal scale). BTDS resulted in lower mean daily pain scores than in the placebo group (37.6±20.7 mm versus 43.6±21.2 mm on a visual analogue scale, P=0.0487; and 1.7±0.6 versus 2.0±0.7 on the ordinal scale, P=0.0358). Most patients titrated to the highest dose of BTDS (59% 20 μg/h, 31% 10 μg/h and 10% 5 μg/h). There were improvements from baseline in pain and disability (Pain Disability Index), Pain and Sleep (visual analogue scale), Quebec Back Pain Disability Scale and Short-Form 36 Health Survey scores for both BTDS and placebo groups, without significant differences between treatments. While there were more opioid-related side effects with BTDS treatment than with placebo, there were no serious adverse events. A total of 82% of patients chose to continue BTDS in a long-term open-label evaluation, in whom improvements in pain intensity, functionality and quality of life were sustained for up to six months without analgesic tolerance.CONCLUSION: BTDS (5 μg/h to 20 μg/h) represents a new treatment option for initial opioid therapy in patients with chronic low back pain.


Author(s):  
Devadhason Malarvizhi ◽  
Sai Kishore Varma ◽  
Sivakumar Vpr

OBJECTIVE: The objective of the study was to measure the anterior pelvic tilt for both males and females of low back pain patients.  STUDY DESIGN:  Observational type. PROCEDURE: 120 subjects were approached. In that 70 male and 50 females . Using i@handy application in mobile anterior pelvic tilt was calculated among low back pain patients.RESULTS: Anterior pelvic tilt was increased in low back pain patients . In that correlation between males and Visual analogue scale was not significant. But there was a significant correlation found in female anterior pelvic tilt and Visual analogue scale.CONCLUSION:  This study concluded that there was increase in anterior pelvic tilt among low back pain patients. Anterior pelvic tilt and Visual analogue scale was highly correlated in females not in males.KEYWORDS: i@handy, Anterior pelvic tilt, low back pain.


Sign in / Sign up

Export Citation Format

Share Document