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Assessment of dynamic muscular stabilization in the non operative treatment of lumbar pain syndrome: a single blind control study.

The low back pain (LBP) is a multifactorial and its treatment varies considerably. It includes meditation, physical therapy modalities and exercise therapy with each having several interventions. The present study was undertaken to determine the effect of lumbar stabilization technique on pain, functional capacity, evaluate the pressure changes of back muscle (M) and abdominal muscle (T.A.), quality of life and recurrence rate.

A total of 141 patients (20-40 years of age), with sub-acute or chronic LBP included in the study were randomized in two groups and treated either by conventional treatment--a combination of two electro therapy (ultrasound and short wave diathermy) and one exercise therapy (lumbar strengthening exercises) and dynamic muscular stabilization techniques (DMST)--An active approach of stabilizing training. It was observed that pain, physical strength (BPC, APC) functional ability (walking, stairs climbing, stand-ups), quality of life and rate of recurrence improved significantly more in subjects treated with DMST than those treated with conventional method. The effect of DMST on pain severity, BPC, APC, walking, stairs climbing, stand-ups and quality of life was 27.5% (1.4 fold), 56.7%(2.3 fold), 48.6% (1.9 fold), 50.3% (2.0 fold), 50.7% (2.0 fold), 44.4% (1.8 fold) and 56.6% (2.3 fold) higher respectively than the conventional method. Similarly, the recurrence in subjects of DMST group lowered by 49.8% (0.5 fold) as compared to subjects of conventional method.

The study concluded that both treatments are effective in the management of LBP but recommends DMST intervention in their daily clinical practices. This reduces the pain significantly as well as enhances the average capacity of functional status to a greater extent and reduces recurrence rate.

Publications

1. Kumar, S., Negi, M.PS. and Sharma V.P Efficacy of dynamic muscular stabilization technique (DMST) over conventional technique in rehabilitation of chronic low back pain. J Strength Cond Res 23: 2651, 2009.

2. Kumar, S., Sharma, V.P., Tripathi, H.H., Negi, M.P.S. and Vendhan, V. Efficacy of dynamic muscular stabilization techniques (DMST) over conventional techniques in patients with chronic low back pain. Indian J Physiother Occup The 3:47, 2009.

3. Kumar, S., Sharma, V.P., Dev, R. and Negi, M.P.S. Diagnosis and prognosis by functional strength and ability in patients with low back pain. Indian Physiother Occup Ther. 3: 44, 2009.

4. Kumar, S., Negi, M.P.S., Sharma, V.P., Shukla, R., Dev, R. and Mishra, U.K. Efficacy of two multimodal treatments on physical strength of occupationally sub grouped male with low back pain. Back Musculoskeletal Rehab 22:179, 2009.

5. Kumar, S., Sharma, V.P., Negi, M.P.S., Shukla, R. and Dev, R. Comparative efficacy of two multimodal treatments on male and female sub group with pain. Back Musculoskeletal Rehab. 22:9, 2009.

6. Kumar, S., Sharma, V.P., Shukla, R., Ravi, D. and Negi, M.P.S. Back and abdominal pressure, Sexual frequency and quality of life in subject with and without low back pain", Int J. Ther Rehab 16:615, 2009.

Suraj Kumar

Prof. V.P. Sharma

Department of Physical Medicine and Rehabilitation

C.S.M. Medical University, Lucknow

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Title Annotation:ABSTRACTS: Some Research Projects Completed Recently
Author:Kumar, Suraj
Publication:ICMR Bulletin
Article Type:Report
Date:May 1, 2010
Words:528
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