Efficacy of Manual Therapy Techniques and Electrotherapy Modalities in Individuals With Non-specific Low Back Pain
Condition: Back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      Low back pain is the fifth most common reason for doctor visits, affecting about 60-80% of
      people in their lifetime. Despite this, there are not enough diagnostic and treatment methods
      in the literature to fully elucidate non-specific low back pain. In this case, the research
      showed that non-specific low back pain should be handled with a biopsychosocial approach, and
      its relationship with fascia and myofascial meridians should be investigated.
    

Detailed description: 
      According holistic that approach patients with non-specific low back pain. Instead of
      examining the problem of low back pain in the society only in the form of muscles, joints,
      ligaments, etc.; should evaluate low back pain over the fascia. It is seen that most studies
      in the literature only examine the painful area and tissue problems in its immediate
      vicinity, and therefore they approach low back pain with symptomatic treatment. In recent
      studies, however, the main problem is not limited to the painful area only; It has been
      determined that the tissue response caused by the problems in different parts of the body is
      transmitted to more distant regions via the fascia and myofascial meridians.
    

Intervention name(s): Manual therapy techniques; Electrophysical agents
Intervention type(s): Other; Other
Intervention description(s): Myofascial trigger points are determined and the physiotherapist applies a light and continuous local pressure on them with his/her finger, usually not more than 30 seconds, until the moment of muscle relaxation, and as a result, the pain is expected to decrease to 0 (zero) and he withdraws his finger. He can do 3-5 repetitions until he sees relaxation in the muscle and reduction/disappearance of the pain.
Spinal mobilization is defined as low-speed, non-trust, passive movement within or at the limit of joint range of motion. Mobilization is low-speed, non-trust, passive joint movement.
MUSCLE ENERGY TECHNIQUES The muscle energy technique is a treatment technique that includes alternating periods of resistant muscle contractions and active-assist stretching, mostly used by osteopaths, physiotherapists, and chiropractors.; TENS TENS is a low-frequency electrical current applied to the stimulation of sensory nerves, used for the inhibition of pain sensation. Pain inhibition of TENS is based on 3 basic mechanisms. These; gate control mechanism (segmental inhibition), release of endogenous opioids and reduction of excitability with repetitive stimulation (inhibition from pattern).
Ultrasound is an effective electrotherapy modality with a deep heating feature. In addition, it has been suggested that the analgesic effect of ultrasound occurs with the stimulation of sensory afferents and the activation of the gate control mechanism in the posterior horn of the spinal cord.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: manuel therapy