The Effect of Manual Therapy and Exercise in Patients With Chronic Low Back Pain

Study Overview
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Brief Summary
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Identification of the effects of spinal stabilization exercises and manual therapy methods on pain, function and quality of life in individuals with low back pain.

Detailed Description
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113 patients participating in the study were divided into two groups. The patients in the physiotherapy group were instructed to perform special spinal stabilization exercises, while the patients in the manual therapy group were instructed to perform soft tissue mobilizations, muscle-energy techniques, joint mobilizations and/or manipulation methods depending on the nature of their lower back pain problems. Both groups were offered stabilization, strengthening, stretching, balance and exercise trainings as well as recommendations as to the daily life activities in line with the requirements of each individual. The severity of the pain suffered by the individuals was evaluated through a Visual Analog Scale. Oswestry Disability Index and Short Form-36 (SF-36) Scale were made respectively with respect to the functional condition and life quality. Assessments were repeated before and after the treatment.

Official Title
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Bel-boyun ağrısı Nedeniyle başvuran Hastalarda farklı Fizyoterapi ve Manuel Terapi yöntemlerinin ağrı, Fonksiyon ve yaşam Kalitesi düzeyleri üzerin Etkisi

Conditions
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Chronic Low Back Pain

Intervention / Treatment
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* Other: manual technics
* Other: Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of chronic low back pain must have pain at least 3 or more according to Visual analog scale Exclusion Criteria: Clinical diagnosis of Rheumatoid Arthritis Clinical diagnosis of Alzheimer Clinical diagnosis of Peripheral Neuropathy Clinical diagnosis of Diabetes Mellitus

Ages Eligible for Study
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Minimum Age: 23 Years
Maximum Age: 74 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Manual technics<br>Manual technics was consisted of soft tissue technics, muscle energy technics, joint mobilization. | Other: manual technics<br>* soft tissue technics, joint mobilization and muscle energy technics were applied three sessions per week, totally six week.<br>|
| Active Comparator: Exercise<br>Spinal stabilization exercises were applied all the patients in this group accompanied by physiotherapist. | Other: Exercise<br>* spinal stabilization exercise applied three sessions per week, totally six week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| changes in pain severity | Visual Analog Scale:It is used in assessing the severity of pain. The scale is 10 cm long, which is labeled differently on each end (0= no pain, 10= the most severe pain) | change from baseline in pain severity at 6 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes of functional status | Oswestry Disability Index: Various daily living activities are assessed by 10 questions each having a score of 0 to 5; points scored between 0 to 4 are recorded as no disability. Total score summed. | change from baseline in back functions at 6 weeks. | 
| Changes in Quality of life | SF-36 Quality of Life: this scale consists 36 item which assess pain, functional-emotional status, sleep, general health, mental health, social status and energy levels. | change form baseline in life quality levels at 6 weeks. |