Rheumatology Medical News about Low back pain, Ultrasound, Electrical stimulation

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Effects of therapeutic ultrasound and electrical stimulation program on pain, trunk muscle strength, disability, walking performance, quality of life, and depression in patients with low back pain: A randomized-controlled trial
Rheumatology International, 08/04/09

Durmus D et al. – Study reports that ultrasound (US) treatment and electrical stimulation (ES) treatment were effective in improving pain, isometric extensor muscle strength, and quality of life (QOL) in patients with chronic low back pain (CLBP).

Methods

Aim was to investigate and compare the effects of ES program and US therapy on:
- pain, disability, trunk muscle strength, walking performance,
- spinal mobility, QOL, and depression
  in pts with CLBP
59 pts with definite CLBP; were randomized into 3 groups:
- Group 1 (n=20) was given an ES program and exercises
- Group 2 (n=19) was given an US treatment and exercises
- Group 3 (n=20) was accepted as the control group and was given only exercises
All of the programs were performed 3 days a week, for 6 wks
Pts were evaluated according to pain, disability, walking performance, endurance, mobility, QOL, and depression
Trunk muscle strength was measured with a hand-held dynamometer

Results

All groups showed improvements in pain, disability, muscle strength, endurance, walking performance, mobility, sub-scores of SF 36, and depression vs initial status
The intergroup comparison showed significant difference in physical function, energy and social function sub-groups of SF-36, VAS pain, extensor muscle strength, between 3 groups
This difference was statistically significant in the groups 1 and 2 vs control group
No significant difference between the groups 1 and 2

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