Lumbopelvic Manipulation Effects on Fatigue in Chronic Low Back Pain Patients
Condition: Chronic Low Back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      The aim of the study is determine the effects of lumbopelvic manipulation on fatigue, pain
      and disability in chronic low back pain patients. In this randomised clinical trial,
      lumbopelvic manipulation group was compared with conventional therapy group. Tools used in
      the study are numeric pain rating scale ,oswestry low back pain index and rating of fatigue
      scale.
    

Detailed description: 
      Low back pain is an extremely common problem which causes morbidity in adults. It is more
      likely to occur in individuals around the age 20 to 60, this is partly due to the changes
      that occurs with aging. It can be acute (less than 12 weeks) or chronic (more than 12 weeks).
      There are many causes of low back pain one of the most common is the lumber disc herniation.
      Some of the most serious causes of low back pain include (infection, malignancy, vertebral
      fracture, cauda equina syndrome and inflammatory disorders such as axial spondyloarthritis).
      Mostly low backpain can be a result of injury such as muscle strain or sprains due to sudden
      movements or poor body mechanics while lifting heavy loads. Pain in low back can be the
      result of infection effecting the bony lumber spine, ligaments around the spine, the spinal
      cord, nerves and muscles of the spine, internal organs and skin around the spine.

      Treatment for low back pain falls into three broad categories, multidisciplinary therapy is
      based on intensive exercises that improves physical function and has modest effects on pain
      physiotherapy treatment of low back pain includes laser, massage, multidisciplinary
      rehabilitation and spinal manipulation. Spinal manipulation is a high velocity thrust to a
      joint beyond its restricted range of movement. Spinal manipulation to lumber spine is a
      common intervention administered for patients with low back pain.

      There is limited use of the technique in our society especially finding its effects on
      fatigue in chronic low back pain.
    

Intervention name(s): lumbopelvic manipulation and conventional therapy; conventional therapy
Intervention type(s): Other; Other
Intervention description(s): Lumbopelvic manipulation was given along with conventional physical therapy
Transcutaneous Electrical Nerve Stimulation was applies for 15 minutes. 3 alternate days per week.
Static stretching exercises for targeted muscles Erector spinae, hamstrings and calfs) - 4 repetations X 2 sets with 30 seconds hold and 1 minute of resting interval. On 03 alternate days per week.
Strengthening exercises for traverses abdomminis and lumber multipedus muscles - 15 repetitions X 3 sets. On 03 alternate days per week.
Total 12 session were given, each consisting of 45 minutes.; Transcutaneous Electrical Nerve Stimulation was applies for 15 minutes. 3 alternate days per week.
Static stretching exercises for targeted muscles Erector spinae, hamstrings and calfs) - 4 repetations X 2 sets with 30 seconds hold and 1 minute of resting interval. On 03 alternate days per week.
Strengthening exercises for traverses abdomminis and lumber multipedus muscles - 15 repetitions X 3 sets. On 03 alternate days per week.
Total 12 session were given, each consisting of 45 minutes.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: parallel assignment
Masking: Single (Participant)
Primary purpose: Treatment