Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain
Background: Low-back pain (LBP) remained a problem for human beings throughout history and is globally linked with huge costs. There are a huge number of trials about the management of low back pain but no consensus about the best treatment approach among all these studies. Core stability and Maitla...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Rehabilitation & Allied health sciences, Riphah International University
2020-07-01
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| Series: | Journal Riphah College of Rehabilitation Sciences |
| Subjects: | |
| Online Access: | https://journals.riphah.edu.pk/index.php/jrcrs/article/view/307 |
| _version_ | 1828531048124776448 |
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| author | Fayaz Ahmed Mujeeb Ur Rahman Keramat Ullah Abdul Haseeb Bhutta |
| author_facet | Fayaz Ahmed Mujeeb Ur Rahman Keramat Ullah Abdul Haseeb Bhutta |
| author_sort | Fayaz Ahmed |
| collection | DOAJ |
| description | Background: Low-back pain (LBP) remained a problem for human beings throughout history and is globally linked with huge costs. There are a huge number of trials about the management of low back pain but no consensus about the best treatment approach among all these studies. Core stability and Maitland mobilization are considered frequently for the management of the LBP. However, the combination of the two is not studied. Objective: To evaluate the effectiveness of Core stability exercises coupled with Maitland Manual Therapy versus conventional physical therapy about disability in patients with chronic low back pain (CLBP). Materials and Methods: This double-blinded Randomized control trial was conducted at the Helping Hand Institute of rehabilitation sciences Mansehra from July 2019 to December 2019. The inclusion criteria were both male and female participants with chronic LBP and Age between 18 - 60 years. After screening the participants a simple lottery method randomization technique was used and a total of 70 participants were recruited and allocated into two equally matched groups, Maitland manual therapy combined with core stability exercise (MC) group and Conventional Physical therapy group (CT). The disability score was collected through Roland Moris Disability Index (RMDI) before the first treatment session and after 5 weeks. Results: The mean age of the MC group's participants was 41.34 ± 10.77 years while the mean age of the CT group's patient was 38.63 ± 12.52 years. There were n=17 females and n=18 males in MC group, while n=24 were males and n=11 were female in the CT group. The normality of the data was analyzed by using the Shapiro-wilk test which suggests data was parametric. RMDI score for MC group improved from 14 ± 1.97 to the 6.34 ± 2.19 with P = 0.001 similarly for the CT group the RMDI score improved from 13.51 ± 3.24 to the post score 9.91 ± 2.4 with the P= 0.001. Conclusion: Maitland manual therapy combine with core stability exercises is a better alternative to conventional physical therapy in terms of improvement in CLBP related disability. |
| first_indexed | 2024-12-11T22:31:59Z |
| format | Article |
| id | doaj.art-725c7ce5a86142d19b3f288662a22fbd |
| institution | Directory Open Access Journal |
| issn | 2226-9215 2410-888X |
| language | English |
| last_indexed | 2024-12-11T22:31:59Z |
| publishDate | 2020-07-01 |
| publisher | Faculty of Rehabilitation & Allied health sciences, Riphah International University |
| record_format | Article |
| series | Journal Riphah College of Rehabilitation Sciences |
| spelling | doaj.art-725c7ce5a86142d19b3f288662a22fbd2022-12-22T00:48:05ZengFaculty of Rehabilitation & Allied health sciences, Riphah International UniversityJournal Riphah College of Rehabilitation Sciences2226-92152410-888X2020-07-01801S24S28244Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back PainFayaz Ahmed0Mujeeb Ur Rahman1Keramat Ullah2Abdul Haseeb Bhutta3Helping Hand Institute of Rehabilitation sciences MansehraIPMR, Khyber Medical UniversityHelping Hand Institute of Rehabilitation sciences MansehraHelping Hand Institute of Rehabilitation sciences MansehraBackground: Low-back pain (LBP) remained a problem for human beings throughout history and is globally linked with huge costs. There are a huge number of trials about the management of low back pain but no consensus about the best treatment approach among all these studies. Core stability and Maitland mobilization are considered frequently for the management of the LBP. However, the combination of the two is not studied. Objective: To evaluate the effectiveness of Core stability exercises coupled with Maitland Manual Therapy versus conventional physical therapy about disability in patients with chronic low back pain (CLBP). Materials and Methods: This double-blinded Randomized control trial was conducted at the Helping Hand Institute of rehabilitation sciences Mansehra from July 2019 to December 2019. The inclusion criteria were both male and female participants with chronic LBP and Age between 18 - 60 years. After screening the participants a simple lottery method randomization technique was used and a total of 70 participants were recruited and allocated into two equally matched groups, Maitland manual therapy combined with core stability exercise (MC) group and Conventional Physical therapy group (CT). The disability score was collected through Roland Moris Disability Index (RMDI) before the first treatment session and after 5 weeks. Results: The mean age of the MC group's participants was 41.34 ± 10.77 years while the mean age of the CT group's patient was 38.63 ± 12.52 years. There were n=17 females and n=18 males in MC group, while n=24 were males and n=11 were female in the CT group. The normality of the data was analyzed by using the Shapiro-wilk test which suggests data was parametric. RMDI score for MC group improved from 14 ± 1.97 to the 6.34 ± 2.19 with P = 0.001 similarly for the CT group the RMDI score improved from 13.51 ± 3.24 to the post score 9.91 ± 2.4 with the P= 0.001. Conclusion: Maitland manual therapy combine with core stability exercises is a better alternative to conventional physical therapy in terms of improvement in CLBP related disability.https://journals.riphah.edu.pk/index.php/jrcrs/article/view/307chronic low back pain, maitland manual therapy, core stability exercise, conventional physical therapy |
| spellingShingle | Fayaz Ahmed Mujeeb Ur Rahman Keramat Ullah Abdul Haseeb Bhutta Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain Journal Riphah College of Rehabilitation Sciences chronic low back pain, maitland manual therapy, core stability exercise, conventional physical therapy |
| title | Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain |
| title_full | Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain |
| title_fullStr | Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain |
| title_full_unstemmed | Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain |
| title_short | Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain |
| title_sort | combination of core stability exercises and maitland manual therapy is better alternative in the management of chronic low back pain |
| topic | chronic low back pain, maitland manual therapy, core stability exercise, conventional physical therapy |
| url | https://journals.riphah.edu.pk/index.php/jrcrs/article/view/307 |
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