Pain and functional outcomes after outpatient physiotherapy in patients with low back pain
| Autor: | Martin Alfuth, Dieter W. Welsink |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Evidence-based practice Adolescent Sports medicine medicine.medical_treatment Treatment outcome Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation health services administration Activities of Daily Living Ambulatory Care medicine Humans Orthopedics and Sports Medicine In patient Muscle Strength Range of Motion Articular Physical Therapy Modalities Aged Pain Measurement Rehabilitation business.industry Middle Aged Low back pain Outcome and Process Assessment Health Care Orthopedic surgery Physical therapy population characteristics Female medicine.symptom 0305 other medical science business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Der Orthopäde. 46:522-529 |
| ISSN: | 1433-0431 0085-4530 |
| Popis: | Physiotherapy treatment programs are recommended in the rehabilitation of low back pain (LBP). Rehabilitation institutions are increasingly asked to demonstrate the outcomes of their intensive physiotherapy services.To describe pain and functional outcome measures following a 6-month outpatient physiotherapy treatment program in patients with LBP.A total of 85 patients were analysed after being treated with a combination of physiotherapeutic treatment modalities 2-3 days weekly. Pain and disability were measured before, 3 and 6 months after the onset of treatment. Isometric trunk muscle strength for flexion and extension and flexibility of dorsal trunk and thigh structures were measured before and 6 months after treatment.After 6 months, pain at rest decreased from a median of 4.0 to 0.0 (p 0.01) and pain during activity from a median of 5.5 to 2.0 on the numeric rating scale (p 0.001). The Roland-Morris Disability (RMDQ) score decreased from a median of 7.0 to 3.0 (p 0.001). Mean trunk muscle flexion strength increased from 133.7 to 156.0 Nm and for extension from 235.5 to 278.3 Nm (p 0.001). Flexibility was improved from a mean of -5.9 to -1.4 cm (p 0.001). A moderate correlation between pain at rest and RMDQ score was found after 3 (r = 0.532, p 0.01) and 6 months (r = 0.508, p 0.01).Patients with LBP who were treated with the physiotherapeutic treatment program showed a clinically relevant reduction of pain and disability with improved trunk muscle strength and flexibility. Reductions in pain and disability do not seem to correlate with increased trunk muscle strength and flexibility. No conclusions can be declared about long-term changes after the intervention. |
| Databáze: | OpenAIRE |
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