Comparison of Effectiveness Levels of Manuel Therapy and Home Exercise Program in Women with Chronic Low Back Pain

Authors : Alev BAŞARAN, Ali CEYLAN

Pages : 1-9

Doi:10.47493/abantmedj.1011403

View : 18 | Download : 7

Publication Date : 2023-04-28

Article Type : Research Paper

Abstract :Objective: Lumbago insert ignore into journalissuearticles values(Low Back Pain); is one of the health problems that is very common in developing countries and causes mental and psychological problems. This study aims to find out and compare the levels of effectiveness of manual therapy and home-based exercise programs on female patients diagnosed with Chronic Low Back Pain. Materials and Methods: Sixty female patients between the ages of 18-65 who were diagnosed with chronic low back pain as a result of clinical and radiological examinations were included in the study. The patients were divided into two groups in a randomized controlled way. While the first group was administered manual therapy and electrotherapy modalities, the second group was administered home-based exercise program and electrotherapy modalities during ten sessions by a physiotherapist. The first assessments were made at the beginning of the treatment, and the second assessments were made after the 2-week treatment was completed. Visual Analogue Scale insert ignore into journalissuearticles values(VAS); was used for pain level and Pittsburgh Sleep Quality Index insert ignore into journalissuearticles values(PSQI); was used for sleep quality level. Results: In both groups, a significant difference was found statistically in terms of the severity of pain and sleep quality insert ignore into journalissuearticles values(in manual therapy group p<0.001 and p<0.001, respectively; home exercise group p<0.021 and p<0.001, respectively);. The improvement in pain level and sleep quality were found to be higher in the manual therapy group compared to the home exercise group with the patients followed up for ten sessions. Difference between VAS in home exercise group before and after treatment was 2.91 ± 1.78 cm and in manual therapy group before and after treatment was 4.68 ± 1.44 cm. Difference between PSQI in home exercise group between pre-treatment and post-treatment was 2.16 ± 2.29 cm and in manual treatment group was 4.10 ± 1.97. Conclusion: Manual therapy applications were found to be superior to home exercise programs in reducing the general pain level and creating a positive effect on the sleep quality of the patients. For this reason, manual therapy applications should be widespread in the physical therapy and rehabilitation process.
Keywords : Manuel Terapi, Myofasyal Germe, Ev Egzersizi, Bel Ağrısı, Elektroterapi