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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
CHRONIC DISEASE AND PHYSICAL ACTIVITY


SURVEY EFFECTS OF THREE DIFFERENT METHODS MODALITIES ON THE PATIENTS REHABILITATION OF LOW BACK PAIN

Ahanjan Shahram
Kermanshah Azad University of Iran


The aim of present research is to determine the effects of three different treatment methods on rehabilitation of patient with low back pain. In this research, 120 patients with chronic low back pain (having at least 3-m history of low back pain) were selected as statistical sample and treated after passing the stages of screening with x-ray, MRI and medical examination. The level of patient's pain (by using Quebec Back Pain Disability Scale) as well as the range of motion on lumbar area measure during pre-test period. Then patients were randomly placed in one of treatment groups: selected treatment method (group 1; n=40); Williams exercise (group 2; n=40); McKenzie exercise (group 3; n=40). 10 weeks were considered as therapeutic course for all three groups. Post-test was performed at the end and 1-m after of treatment period. Following collection of primary information and determination of different variables, findings were analyzed statistically using tests of variance analysis (ANOVA), toky test, two dependent groups test (t-test), mann-whitney u, and kruskal-wallis H. Research finding show that some statistically significant differences in mitigating the level of pain and range of lumbar motion were observed with in three groups (p≤0.01).
Indicating that selected treatment method (group1) has better effects on mitigating the level of pain and increasing range of lumbar motion; so remaining treatment positive effects in this group (group 1) after 1- m was more than another groups (p≤0.01). Gender has no statistically significant effect on rehabilitating programs for patients with low back pain.
The conclusion of this research indicates that the complex treatment method: especial exercises, hydrokinesiotherapy, massage therapy and physiotherapy has effective for treatment of low back pain patient. 
Key words: chronic low back pain, exercise therapy, hydrokinesiotherapy, physiotherapy, Williams exercise, McKenzie exercise, rehabilitation.






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