EFFECTIVENESS OF DIFFERENT PHYSICAL THERAPY EXERCISE TECHNIQUES IN CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY

Authors : Ayça AYTAR, Aslıcan ÇAĞLAR, Mustafa Agah TEKİNDAL, Oya ÜMİT YEMİŞÇİ, Aydan AYTAR

Pages : 141-147

Doi:10.21653/tjpr.1034741

View : 141 | Download : 115

Publication Date : 2023-04-20

Article Type : Research Paper

Abstract :Purpose: Exercise therapy is the most common conservative treatment for low back pain. Exercise has generally been associated pain and kinesiophobia. In this context, especially paraspinal muscles need to be focused on. For this reason, the aim of our study is to evaluate different types of exercises that will help increase neuromuscular facilitation and core stability in paraspinal muscles by considering patient satisfaction. Methods: A total of thirty-seven female patients with chronic low back pain were included in the study. The Oswestry Low Back Pain Questionnaire was used to assess functionality. Core stability was evaluated with a stabilizer. Pain intensity and satisfaction were measured with Visual Analog Scale. Patients\` kinesiophobia levels were assessed by using Tampa Kinesiophobia Scale. Patients were randomized into three groups according to the interventions as: Proprioceptive Neuromuscular Facilitation exercise group insert ignore into journalissuearticles values(n = 9);, core stability exercise group insert ignore into journalissuearticles values(n = 14); and control insert ignore into journalissuearticles values(n = 14); group. The duration of applications was 3 days per week with a total of 6 weeks. Results: There were group differences for core muscle strength insert ignore into journalissuearticles values(p = .045);, Oswestry scores insert ignore into journalissuearticles values(p = .001);, pain intensity score insert ignore into journalissuearticles values(p = .003); and Tampa score insert ignore into journalissuearticles values(p = .001);. There were significant gains for Core muscle strength and Oswestry scores for Proprioceptive Neuromuscular Facilitation and Core stability groups insert ignore into journalissuearticles values(p < .05);. Conclusion. Core stabilization exercises have additional effects to improve rehabilitation outcomes for patients. Besides that, the level of patient satisfaction was importantly different between all groups in favor to Core stability in chronic low back pain.
Keywords : core stabilizasyon, egzersiz, bel ağrısı, hasta memnuniyeti, Proprioseptif Nöromuskuler Fasilitasyon