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Year 2025, Volume: 14 Issue: 1, 1 - 11, 30.04.2025

Fevzi Cansın , Havva Talay Çalış , Ayşe Atilabey Güç

https://doi.org/10.47493/abantmedj.1549595

Abstract

References

  • Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am. 1991;22(2):263-71.
  • Costa LdCM, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LOP, et al. The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012;184(11):E613-E24.
  • Chaparro LE, Furlan AD, Deshpande A, Mailis-Gagnon A, Atlas S, Turk DC, et al. Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review. Spine. 2014;39(7):556-63.
  • Cawston H, Davie A, Paget M-A, Skljarevski V, Happich M. Efficacy of duloxetine versus alternative oral therapies: an indirect comparison of randomised clinical trials in chronic low back pain. Eur Spine J. 2013;22:1996-2009.
  • Leemans L, Elma Ö, Nijs J, Wideman TH, Siffain C, den Bandt H, et al. Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial. Braz J Phys Ther. 2021;25(1):86-96.
  • Ebadi S, Henschke N, Forogh B, Ansari NN, van Tulder MW, Babaei-Ghazani A, et al. Therapeutic US for chronic low back pain. Cochrane Database Syst Rev. 2020(7).
  • Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):s192.
  • Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low‐back pain. Cochrane Database Syst Rev. 2008(4).
  • Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29(12), 1155-1167
  • Coutaux A. Non-pharmacological treatments for pain relief: TENS and acupuncture. Joint Bone Spine. 2017;84(6), 657-661.
  • Palmer E, Matlick D, Council RO, Richman S. (2021). Hot packs. Cinahl Inf Syst. Available from: https://www.ebsco.com/sites/g/files/nabnos191/files/acquiadam-assets/Rehabilitation-Reference-Center-Clinical-Review-Hot-Packs.pdf
  • Smallcomb M, Khandare S, Vidt ME, Simon JC. Therapeutic ultrasound and shockwave therapy for tendinopathy: A narrative review. Am J Phys Med Rehabil. 2022;101(8), 801-807.
  • Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12), 2545-2550.
  • Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-5.
  • Fairbank JC, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940-53.
  • Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kıvırcık B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:1-8.
  • Framework IC. The MOS 36-item short-form health survey (SF-36). Med Care, 1992;30(6), 473-83.
  • Jagdish RK, Bhatnagar MK. Systemic approach to Low Back Pain and Spondyloarthritis (SpA). Santosh Univ J Health Sci. 2016;2(2):73-87.
  • Perret C, Poiraudeau S, Fermanian J, Colau MML, Benhamou MAM, Revel M. Validity, reliability, and responsiveness of the fingertip-to-floor test. Arch Phys Med Rehabil. 2001;82(11), 1566-1570.).
  • Paley CA, Wittkopf PG, Jones G, Johnson MI. Does TENS reduce the intensity of acute and chronic pain? A comprehensive appraisal of the characteristics and outcomes of 169 reviews and 49 meta-analyses. Medicina. 2021;57(10):1060.
  • He P, Fu W, Shao H, Zhang M, Xie Z, Xiao J, et al. The effect of therapeutic physical modalities on pain, function, and quality of life in patients with myofascial pain syndrome: a systematic review. BMC Musculoskelet Disord. 2023;24(1):376.
  • Marris D, Theophanous K, Cabezon P, Dunlap Z, Donaldson M. The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials. Physiother Theory Pract. 2021;37(4):461-72.
  • Şahin N, Karahan AY, Albayrak İ. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized-controlled trial. Turk J Phys Med Rehabil. 2017;64(1), 52.
  • Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20:19-39.
  • Facci LM, Nowotny JP, Tormem F, Trevisani VFM. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo Med J. 2011;129:206-16.
  • Ebadi S, Ansari NN, Naghdi S, Jalaei S, Sadat M, Bagheri H et al. The effect of continuous US on chronic non-specific low back pain: a single blind placebo-controlled randomized trial. BMC Musculoskelet Disord. 2012;13:1-10.
  • Noori SA, Rasheed A, Aiyer R, Jung B, Bansal N, Chang KV, et al. Therapeutic US for pain management in chronic low back pain and chronic neck pain: a systematic review. Pain Med. 2020;21(7):1482-93.
  • Brosseau L, Milne S, Robinson V, Marchand S, Shea B, Wells G, et al. Efficacy of the transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: a meta-analysis. Spine. 2002;27(6):596-603.
  • Ariel E, Levkovitz Y, Goor-Aryeh I, Motti R. The effects of TENS, interferential stimulation, and combined interferential stimulation and pulsed US on patients with disc herniation-induced radicular pain. J Back Musculoskelet Rehabil. 2022;35(2):363-71.
  • Ozen S, Guzel S, Senlikci HB, Cosar SNS, Selcuk ES. Efficacy of US versus short wave diathermy in the treatment of chronic low back pain in patients with lumbar disk herniation: a prospective randomized control study. BMC Sports Sci Med Rehabil. 2023;15(1):157.
  • Romano CL, Romano D, Lacerenza M. Antineuropathic and antinociceptive drugs combination in patients with chronic low back pain: a systematic review. Pain Res Treat. 2012;2012.
  • Chung J, Zeng Y, Wong T. Drug therapy for the treatment of chronic nonspecific low back pain: systematic review and meta-analysis. Pain physician. 2013;16(6):E685.

The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain

Year 2025, Volume: 14 Issue: 1, 1 - 11, 30.04.2025

Fevzi Cansın , Havva Talay Çalış , Ayşe Atilabey Güç

https://doi.org/10.47493/abantmedj.1549595

Abstract

Objectives: To evaluate whether physical therapy agents given in addition to medical treatment contribute to pain, functionality and quality of life in patients with chronic low back pain.
Materials and Methods: Demographic data of patients diagnosed with chronic low back pain and planned for medical treatment (n:30) and physical therapy in addition to medical treatment (n:30) were evaluated, as well as before and after treatment; Visual analogue scale, Oswestry disability index and short form 36 (SF-36) quality of life scale, lumbar range of motion, straight leg raising test (SLR) and finger-floor distance were evaluated. Hot pack, transcutaneous electrical nerve stimulation and ultrasound were given as physical therapy agents.
Result: In both groups, a statistically significant improvement was achieved in all parameters, except the change in SLR and SF-36 general health perception score, compared to the pre-treatment period. However, SLR and SF-36 general health perception score changes improved significantly only in group 2. More improvement was achieved in all parameters in the group with physical therapy than in the group with only medical treatment.
Conclusion: As a result, in our study; It has been shown that combined physical therapy agents added to medical treatment in chronic low back pain contribute to examination tests, general health perception and quality of life.

Keywords

Physical therapy Oswestry disability index Short form-36 quality of life questionnaire Chronic mechanical low back pain.

References

  • Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am. 1991;22(2):263-71.
  • Costa LdCM, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LOP, et al. The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012;184(11):E613-E24.
  • Chaparro LE, Furlan AD, Deshpande A, Mailis-Gagnon A, Atlas S, Turk DC, et al. Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review. Spine. 2014;39(7):556-63.
  • Cawston H, Davie A, Paget M-A, Skljarevski V, Happich M. Efficacy of duloxetine versus alternative oral therapies: an indirect comparison of randomised clinical trials in chronic low back pain. Eur Spine J. 2013;22:1996-2009.
  • Leemans L, Elma Ö, Nijs J, Wideman TH, Siffain C, den Bandt H, et al. Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial. Braz J Phys Ther. 2021;25(1):86-96.
  • Ebadi S, Henschke N, Forogh B, Ansari NN, van Tulder MW, Babaei-Ghazani A, et al. Therapeutic US for chronic low back pain. Cochrane Database Syst Rev. 2020(7).
  • Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):s192.
  • Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low‐back pain. Cochrane Database Syst Rev. 2008(4).
  • Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29(12), 1155-1167
  • Coutaux A. Non-pharmacological treatments for pain relief: TENS and acupuncture. Joint Bone Spine. 2017;84(6), 657-661.
  • Palmer E, Matlick D, Council RO, Richman S. (2021). Hot packs. Cinahl Inf Syst. Available from: https://www.ebsco.com/sites/g/files/nabnos191/files/acquiadam-assets/Rehabilitation-Reference-Center-Clinical-Review-Hot-Packs.pdf
  • Smallcomb M, Khandare S, Vidt ME, Simon JC. Therapeutic ultrasound and shockwave therapy for tendinopathy: A narrative review. Am J Phys Med Rehabil. 2022;101(8), 801-807.
  • Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155(12), 2545-2550.
  • Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29(5):581-5.
  • Fairbank JC, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940-53.
  • Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kıvırcık B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:1-8.
  • Framework IC. The MOS 36-item short-form health survey (SF-36). Med Care, 1992;30(6), 473-83.
  • Jagdish RK, Bhatnagar MK. Systemic approach to Low Back Pain and Spondyloarthritis (SpA). Santosh Univ J Health Sci. 2016;2(2):73-87.
  • Perret C, Poiraudeau S, Fermanian J, Colau MML, Benhamou MAM, Revel M. Validity, reliability, and responsiveness of the fingertip-to-floor test. Arch Phys Med Rehabil. 2001;82(11), 1566-1570.).
  • Paley CA, Wittkopf PG, Jones G, Johnson MI. Does TENS reduce the intensity of acute and chronic pain? A comprehensive appraisal of the characteristics and outcomes of 169 reviews and 49 meta-analyses. Medicina. 2021;57(10):1060.
  • He P, Fu W, Shao H, Zhang M, Xie Z, Xiao J, et al. The effect of therapeutic physical modalities on pain, function, and quality of life in patients with myofascial pain syndrome: a systematic review. BMC Musculoskelet Disord. 2023;24(1):376.
  • Marris D, Theophanous K, Cabezon P, Dunlap Z, Donaldson M. The impact of combining pain education strategies with physical therapy interventions for patients with chronic pain: A systematic review and meta-analysis of randomized controlled trials. Physiother Theory Pract. 2021;37(4):461-72.
  • Şahin N, Karahan AY, Albayrak İ. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized-controlled trial. Turk J Phys Med Rehabil. 2017;64(1), 52.
  • Van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20:19-39.
  • Facci LM, Nowotny JP, Tormem F, Trevisani VFM. Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial. Sao Paulo Med J. 2011;129:206-16.
  • Ebadi S, Ansari NN, Naghdi S, Jalaei S, Sadat M, Bagheri H et al. The effect of continuous US on chronic non-specific low back pain: a single blind placebo-controlled randomized trial. BMC Musculoskelet Disord. 2012;13:1-10.
  • Noori SA, Rasheed A, Aiyer R, Jung B, Bansal N, Chang KV, et al. Therapeutic US for pain management in chronic low back pain and chronic neck pain: a systematic review. Pain Med. 2020;21(7):1482-93.
  • Brosseau L, Milne S, Robinson V, Marchand S, Shea B, Wells G, et al. Efficacy of the transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: a meta-analysis. Spine. 2002;27(6):596-603.
  • Ariel E, Levkovitz Y, Goor-Aryeh I, Motti R. The effects of TENS, interferential stimulation, and combined interferential stimulation and pulsed US on patients with disc herniation-induced radicular pain. J Back Musculoskelet Rehabil. 2022;35(2):363-71.
  • Ozen S, Guzel S, Senlikci HB, Cosar SNS, Selcuk ES. Efficacy of US versus short wave diathermy in the treatment of chronic low back pain in patients with lumbar disk herniation: a prospective randomized control study. BMC Sports Sci Med Rehabil. 2023;15(1):157.
  • Romano CL, Romano D, Lacerenza M. Antineuropathic and antinociceptive drugs combination in patients with chronic low back pain: a systematic review. Pain Res Treat. 2012;2012.
  • Chung J, Zeng Y, Wong T. Drug therapy for the treatment of chronic nonspecific low back pain: systematic review and meta-analysis. Pain physician. 2013;16(6):E685.
There are 32 citations in total.

Details

Primary Language English
Subjects Neurology and Neuromuscular Diseases
Journal Section Research Article
Authors

Fevzi Cansın 0000-0002-5197-1160

Havva Talay Çalış 0000-0002-8897-8921

Ayşe Atilabey Güç 0000-0003-2552-1403

Early Pub Date April 29, 2025
Publication Date April 30, 2025
Submission Date September 13, 2024
Acceptance Date March 6, 2025
Published in Issue Year 2025 Volume: 14 Issue: 1

Cite

APA Cansın, F., Talay Çalış, H., & Atilabey Güç, A. (2025). The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain. Abant Medical Journal, 14(1), 1-11. https://doi.org/10.47493/abantmedj.1549595
AMA Cansın F, Talay Çalış H, Atilabey Güç A. The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain. Abant Med J. April 2025;14(1):1-11. doi:10.47493/abantmedj.1549595
Chicago Cansın, Fevzi, Havva Talay Çalış, and Ayşe Atilabey Güç. “The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients With Chronic Low Back Pain”. Abant Medical Journal 14, no. 1 (April 2025): 1-11. https://doi.org/10.47493/abantmedj.1549595.
EndNote Cansın F, Talay Çalış H, Atilabey Güç A (April 1, 2025) The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain. Abant Medical Journal 14 1 1–11.
IEEE F. Cansın, H. Talay Çalış, and A. Atilabey Güç, “The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain”, Abant Med J, vol. 14, no. 1, pp. 1–11, 2025, doi: 10.47493/abantmedj.1549595.
ISNAD Cansın, Fevzi et al. “The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients With Chronic Low Back Pain”. Abant Medical Journal 14/1 (April 2025), 1-11. https://doi.org/10.47493/abantmedj.1549595.
JAMA Cansın F, Talay Çalış H, Atilabey Güç A. The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain. Abant Med J. 2025;14:1–11.
MLA Cansın, Fevzi et al. “The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients With Chronic Low Back Pain”. Abant Medical Journal, vol. 14, no. 1, 2025, pp. 1-11, doi:10.47493/abantmedj.1549595.
Vancouver Cansın F, Talay Çalış H, Atilabey Güç A. The Effect of Physiotherapy on Pain, Functionality and Quality of Life Scores in Patients with Chronic Low Back Pain. Abant Med J. 2025;14(1):1-11.
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