ORIGINAL
PAPER – abstract
Treatment
of Chronic Low Back Pain by Two Combined Rehabilitation Programs:
Comparison of Phonophoresis and Ultrasound Ummuhan
Bas Aslan1, Ayşe Nur Oymak2,
Nesrin Yagci1, Ugur Cavlak
1
1School
of Physical Therapy and Rehabilitation, Pamukkale University, 2Physical
Therapy Clinic, Private TEKDEN Hospital, 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
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