Abstract

BACKGROUND
Low back pain (LBP) has multi-factorial origin and its treatment varies considerably. Multidisciplinary pain programs have shown their effectiveness in the management of LBP but it is not documented whether subjects with difference in chronicity (duration) of pain will respond differently to these regimes. Dynamic muscular stabilization technique (DMST) is an active approach of stabilizing training for lumbar area which involves the training for the co-contraction of the transverse abdominis and multifidus muscles.
AIM
This study determines the efficacy of Dynamic Muscular Stabilization Technique (DMST) in LBP of different durations.
DESIGN
Follow-up, comparative study.
SETTING
Physical medicine and rehabilitation department (PMR) of university.
METHODS
Total 72 patients were categorized in 5 groups on the basis of duration (chronicity) of their low back pain. The documentation of chronicity was done on the basis of subjective questionnaire. All subjects were treated with DMST. Pain was the primary outcome measure while physical strength (back pressure change: BPC, abdominal pressure changes: APC), physical ability (walking, stair climbing, stand ups) and quality of life (QOL) were the secondary. Variables were assessed at baseline (day 0), 3 months (day 90) and at the end of the follow up (day 180).
RESULTS
Variables (Pain, BPC, APC, Walking, Stair climbing, Stand ups and QOL) significantly improved on 90th and 180th day while compared to the baseline. Therefore irrespective of the chronicity of pain, all chronic pain patients will respond positively to the DMST treatment.
CONCLUSIONS
This study concludes that DMST intervention is an effective rehabilitation technique for all chronic low back pain patients irrespective of the duration (chronicity) of their pain.

Links

Publisher Full Text

Authors

Kumar S, Sharma VP, Aggarwal A, Shukla R, Dev R

Institution

Department of Physical Medicine and Rehabilitation, Chatrapati Sahuji Maharaj Medical University, Lucknow, India. surajdr2001@yahoo.com

Source

Journal of back and musculoskeletal rehabilitation 25:2 2012 pg 73-9

MeSH

Activities of Daily Living
Adult
Follow-Up Studies
Humans
Low Back Pain
Muscle Strength
Muscle, Skeletal
Outcome Assessment (Health Care)
Pain Management
Physical Therapy Modalities
Quality of Life
Questionnaires
Time Factors
Treatment Outcome

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22684197