Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial

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AZADINIA FATEMEH; EBRAHIMI TAKAMJANI ISMAEIL; KAMYAB MOJTABA; PARNIANPOUR MOHAMAD; ASGARI MORTEZA

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Journal Paper

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Journal: Medical Journal of The Islamic Republic of Iran Year:2017 | Volume:31 | Issue:1 Page(s): 0-0

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Title

Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial

Author(s)

Keywords

Low Back Pain

Orthoses

Postural Control

Center of Pressure

Pain

Functional Disability.

Abstract

Background: Poor balance performance and impaired Postural Control have been frequently reported in patients with Pain/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Low Back Pain. However, Postural Control is rarely monitored during the course of treatment even though poor Postural Control may contribute to chronicity and recurrence of symptoms. Therefore, the present study aimed at investigating the effect of a nonextensible lumbosacral orthosis (LSO) versus routine physical therapy on postural stability of patients with nonspecific chronic Pain/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Low Back Pain. Methods: This was a randomized controlled trial conducted between November 2015 and May 2016 at the outpatient physical therapy clinic of the School of Rehabilitation Sciences. Patients with nonspecific chronic Pain/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">Low Back Pain aged 20 to 55 years were randomly allocated to the intervention and control groups. Both groups received 8 sessions of physical therapy twice weekly for 4 weeks. The intervention group received nonextensible LSO in addition to routine physical therapy. Pain intensity, Functional Disability. fear of movement/ (re)injury, and postural stability in 3 levels of postural difficulty were measured before and after 4 weeks of intervention. A 2×2×3 mixed model of analysis of variance (ANOVA) was used to determine the main and interactive effects of the 3 factors including group, time, and postural difficulty conditions for each variable of postural stability. Results: The LSO and control groups displayed significant improvement in postural stability at the most difficult postural task conditions (P-value for 95% area ellipse was 0. 003; and for phase plane, the mean total velocity and standard deviation of velocity was <0. 001). Both groups exhibited a decrease in Pain intensity, Oswestry Disability Index, and Tampa Scale of Kinesiophobia after 4 weeks of intervention. A significant difference between groups was found only for Functional Disability. with greater improvement in the orthosis group (t = 3. 60, P<0. 001). Conclusion: Both routine physical therapy and LSO significantly improved clinical and postural stability outcomes immediately after 4 weeks of intervention. The orthosis group did not display superior outcomes, except for Functional Disability.

Cites

Immediate Effects of Lumbosacral Orthosis on Postural Stability in Patients with Low Back Pain: A Preliminary Study

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APA: Copy

AZADINIA, FATEMEH, EBRAHIMI TAKAMJANI, ISMAEIL, KAMYAB, MOJTABA, PARNIANPOUR, MOHAMAD, & ASGARI, MORTEZA. (2017). Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), 31(1), 0-0. SID. https://sid.ir/paper/294767/en

Vancouver: Copy

AZADINIA FATEMEH, EBRAHIMI TAKAMJANI ISMAEIL, KAMYAB MOJTABA, PARNIANPOUR MOHAMAD, ASGARI MORTEZA. Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial. MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)[Internet]. 2017;31(1):0-0. Available from: https://sid.ir/paper/294767/en

IEEE: Copy

FATEMEH AZADINIA, ISMAEIL EBRAHIMI TAKAMJANI, MOJTABA KAMYAB, MOHAMAD PARNIANPOUR, and MORTEZA ASGARI, “Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial,” MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI), vol. 31, no. 1, pp. 0–0, 2017, [Online]. Available: https://sid.ir/paper/294767/en

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