The effect of continuous ultrasound on chronic non-specific low back pain: a single blind placebo-controlled randomized trialReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:192

First Online: 02 October 2012Received: 15 December 2011Accepted: 26 September 2012

Abstract

BackgroundNon-specific chronic low back pain NSCLBP is one of the most common musculoskeletal disorders around the world including Iran. One of the most widely used modalities in the field of physiotherapy is therapeutic ultrasound US. Despite its common use, there is still inconclusive evidence to support its effectiveness in patients with NSCLBP. The objective of this study was to evaluate the effect of continuous US compared with placebo US additional to exercise therapy for patients with NSCLBP.

MethodsIn this single blind placebo controlled study, 50 patients with NSCLBP were randomized into two treatment groups: 1 continuous US 1 MHz and1.5 W-cm plus exercise 2 placebo US plus exercise. Patients received treatments for 4 weeks, 10 treatment sessions, 3 times per week, every other day. Treatment effects were assessed in terms of primary outcome measures: 1 functional disability, measured by Functional Rating Index, and 2 global pain, measured by a visual analog scale. Secondary outcome measures were lumbar flexion and extension range of motion ROM, endurance time and rate of decline in median frequency of electromyography spectrum during a Biering Sorensen test. All outcome variables were measured before, after treatment, and after one-month follow-up. An intention to treat analysis was performed. Main effects of Time and Group as well as their interaction effect on outcome measures were investigated using repeated measure ANOVA.

ResultsAnalysis showed that both groups had improved regarding function FRI and global pain VAS P < .001. Lumbar ROM as well as holding time during the Sorensen test and median frequency slope of all measured paravertebral muscles did not change significantly in either group P > .05. Improvement in function and lumbar ROM as well as endurance time were significantly greater in the group receiving continuous US P < .05.

ConclusionsThe study showed that adding continuous US to a semi supervised exercise program significantly improved function, lumbar ROM and endurance time. Further studies including a third group of only exercise and no US can establish the possible effects of placebo US.

Trial registrationNTR2251

KeywordsLow back pain Ultrasound Functional disability Pain Muscle endurance Range of motion Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-192 contains supplementary material, which is available to authorized users.

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Author: Safoora Ebadi - Noureddin Nakhostin Ansari - Soofia Naghdi - Shohre Jalaei - Mirmostafa Sadat - Hosein Bagheri - Maurits W

Source: https://link.springer.com/







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