Effects of Progressive Physiotherapy Along with or Without Active Bed Rest at Hospital for the Management of Chronic Low Back Pain (LBP) Patients in Bangladesh
Journal Title: Journal of Clinical Medical Research - Year 2023, Vol 4, Issue 3
Abstract
Background: Low Back Pain (LBP) is a significant health condition globally suffered by the middle and older aged population due to its impact on work disability, absenteeism and costs. Physiotherapy with active rest and therapeutic intervention, including mobilization, manipulation, exercise therapy and electrotherapy, is the choice of treatment as conservative management, whereas surgery is required in case of advanced neurological involvement. Specific level-induced spinal mobilization has a greater impact on correcting the faulty biomechanics of the spinal column if considered active rest at an early stage, whereas generalized spinal physiotherapy without rest is also effective for managing mechanical spinal pain. Objective: To determine the effects of physiotherapy with or without active rest for chronic low back pain. Method: Experimental research design with simple random sampling was used in this study to find out the effects of Progressive Physiotherapy along with or without active rest at the hospital for the management of patients with chronic Low Back Pain (LBP) in Bangladesh of 20-55 years of aged peoples with pre and posttest basis. Results: The study showed that physiotherapy with or without active rest effectively reduces pain and back disability for low back pain patients, whereas physiotherapy with active rest is more effective than physiotherapy without active rest for back pain patients. Comparison of within-group and between-group results showed that the P<0.05. The comorbidities were about 40% diabetic, 33% spinal deformity and 6.67% spinal and other surgical conditions which influence LBP. The experimental group reduced 64% pain and the control group reduced 24% pain. Conclusion and Recommendations: Physiotherapy with active rest is more effective than physiotherapy without active rest for LBP patients, whereas both treatment groups are significantly effective individually. RCT study can proceed for further evaluation.
Authors and Affiliations
Sonjit Kumar Chakrovorty1, Md Shafiullah Prodhania2, Altaf Hossain Sarker1, Razu Ahmed1, Md Mohiuddin1, Md Kabir Hossain3, Sharmila Jahan3, Md Zahid Hossain3, KM Amran Hossain3, Ehsanur Rahman3, Tofajjal Hossain3, Ruksana Akter4, Shameem Ahammad5, Sumaiya Ferdousy Chaity3, Rabeya Sultana Mim3, Suraiya Yesmin Sharna3, Mst Sumya Akter3, Azharul Islam3, Md Sakib Ahammad3, Ahamadullah Hil Galeb3, Md Feroz Kabir3*
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