ORIGINAL
PAPERS – abstractTreatment
of Chronic Low Back Pain By Two
Combined Rehabilitation Programs:
Comparison Of Phonophoresis
And
Ultrasound
Ummuhan
Bas Aslan 1,
Ayşe Nur Oymak2,
Nesrin Yagci1,
Ugur
Cavlak3
1Assist.Prof.;
School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli,Turkey.
2Physiotherapist;
Physical Therapy Clinic, Private TEKDEN Hospital, Denizli, Turkey.
3Assoc.
Prof. School of Physical Therapy and Rehabilitation, Pamukkale
University,
Denizli,Turkey.
Abstract
Aim: The aim of this
study is to compare
the short time effectiveness of phonophoresis (PH) and therapeutic
ultrasound (US) within combined rehabilitation program in terms of
disability and pain scores in the patients with chronic low back pain
(LBP). Methods:The study is a randomised controlled trial. Forty-four
patients with chronic LBP enrolled in this study. Patients divided
randomly into two groups: US (n=22) and PH (n=22) groups.
Patients in both groups treated by same combined rehabilitation program
including thermotherapy, interferential current, therapeutic masssage
and therapeutic exercise for 14 sessions. Addiotionaly, continuous
therapeutic US was applied for the US group, whereas cream containing
5% lidocain was applied for the PH group. Treatment outcomes were
determined from scores on the Roland and Morris disability
questionnaire and pain intensity. Results: Mean total in Roland and
Morris disability questionnaire and pain scores were significantly
lower in both groups after the treatment program (p<0.05).
However,
the efficiacy of both treatment program was similar (p>0,05).
Conclusion: The results of our study show that combined rehabilitation
program including thermotherapy, interferential current, therapeutic
masssage, therapeutic exercise and US (or PH) was effective in reducing
LBP in terms of disability and pain intensity. However, lidocain PH was
not more effective treatment modalite than convantional US in patients
with chronic LBP.
Key
words:
low
back pain,
ultrasound, phonophoresis.