IJPR.2016.202

Type of Article:  Original Research

Volume 5; Issue 2 (April 2017)

Page No.: 1906-1911

DOI: https://dx.doi.org/10.16965/ijpr.2016.202

TO COMPARE THE EFFECTS OF INTERNAL ROTATION MOBILIZATION OF HIP WITH CONVENTIONAL PHYSIOTHERAPY TREATMENT IN PATIENTS WITH LOW BACK PAIN: RANDOMIZED CLINICAL TRAIL

Pavan Kumar 1, Hrishikesh Yadav. K *2.

1 Associate Professor, Srinivas College of Physiotherapy and Research Center, Mangalore, Karnataka, India.

*2 Assistant Professor, Srinivas College of Physiotherapy and Research Center, Mangalore, Karnataka, India.

Corresponding Author: Dr. Hrishikesh Yadav. K, Lecturer, Srinivas College of Physiotherapy and Research Center, Mangalore, Karnataka, India.

E-Mail: hrishi.yadav99@gmail.com

ABSTRACT

Background: Much research is done on the association between the hip internal rotation and low back pain, but there is no retrievable clinical trial done on the treatment of the hip internal rotation deficit and its effect on low back pain making it necessary to establish the hypothesis by a randomized clinical trial.

Material and Methods: 52 subjects who met the inclusion criteria were randomized into either control group or experimental group. Control group was given conventional treatment alone which included moist heat and TENS whereas Experimental group was given hip internal rotation mobilization and the same conventional treatment for six consecutive days. Outcome measures were Visual Analogue Scale, Oswestry Disability Index and Internal Rotation Range of Motion were recorded.

Results: The results showed no statistically significant change between the experimental and control group except in Internal Rotation Range which improved significantly in experimental group than control group(P < 0.001), but not in Visual Analogue Scale(P= 0.564) and  Oswestry Disability Index(P = 0.516).

Conclusion:  Experimental group and control group showed significant improvements in both pain and disability.

Key words: Low Back Pain, Hip Internal Rotation Mobilization, TENS, Visual Analogue Scale, Oswestry Disability Index, Internal Rotation Range of Motion

REFERENCES

  1. Frymoyer JW. Back pain and sciatica. N Engl J Med 1988;318:291-300.
  2. Tasleem RA, Buth BA, Koul PA, Kadri SM, Chronic low back pain- comparative analysis of treatment response to drugs and different physical modalities. Jk-practitioner 2003;10:201-204.
  3. Shum GLK, Crosbie J, Lee RYW. Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects. Eur spine J 2007;16:749-758.
  4. White AA, Gordon SL. Synopsis; Workshop on idiopathic low back pain. Spine 1982;7:141-9.
  5. Murphy DR, Hurwitz EL. A theoretical model for the development of a diagnosis-based clinical decision rule for the management of patients with spinal pain. BMC Musc dis 2007;8:75.
  6. Van Dillen LR, Bloom NJ, Gombatta SP, Surco TM. Hip rotation of motion in people with and without low back pain who participate in rotation-related sports. Phys Ther Sports 2008;9:72-81.
  7. Sembrano JN, Polly DW. How often is low back pain not coming from back?. Spine 2009;1(34):27-32.
  8. Cibulka MT. The treatment of the sacroiliac component to low back pain: a case report. Phys Ther 1992;72:917-922.
  9. Warren PH. Management of a patient with sacroiliac joint dysfunction: a correlation of hip range of motion asymmetry with sitting and standing postural habits. J Man Manip Ther 2003;11:153-159.
  10. Cibulka   Low back pain and its relation to the hip and foot. J Orthop Sports Phys Ther 1999;29:595-601.
  11. Koes BW, Van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ 2006;332:1430-4.
  12. Hancock MJ, Maher CG, Latimer J, Spindler MF, McAuley JH, Laslett M. Systemic review of tests to identify the disc, SI joint or facet joint as the source of low back pain. Eur Spine J 2007;1539-50.
  13. Apeldoom AT, Bosselaar H, Luberti TB, Twisk JWE, Lankhorst GJ. The reliability of nonorganic sign- testing and the Waddell score in patients with chronic low back pain. Spine 2008;33:821-826.
  14. Low J, Reed A. 3 rd Electrotherapy explained Principles and practice. Melbourne, Butterworth Heinemann 2000; p. 247.
  15. Cameron MH. Physical agents in rehabilitation- From research to practice. 3rd Philadelphia: Elsevier; 2003;387-390.
  16. Lehmann TR, Russell DW, Spratt KF, Colby H, Liu YK Fairchild ML et al, Efficacy of electroacupuncture and TENS in the rehabilitation of chronic low back pain patients. Pain 1986;26:277-290.
  17. Kendall FP, Mccreary EK, Provance PG. Muscle testing and functioning with posture and pain. 5th ed. Philadelphia, Williams and Wilkins; 2001;177-234.
  18. Lindsay DM, Maitland ME, Lowe RC, Kane TI. Comparison of isokinetic internal and external hip rotation torques using different testing positions. J Orthop Sports Phys Ther 1992;16:43-50.
  19. Kisner C, Colby LA. Therapeutic exercise foundations and techniques. New Delhi. Jaypee; 2002:657-658.
  20. Boonstra AM, Schiphorst PHR, Reneman MF, Posthumus JB, Stewert RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 2008;31:165-69.
  21. Fairbank JC,Pynsent PB . The Oswestry Disability Index. Spine 2000;25:2940-52.
  22. Gajdosik RL, Bohannon R: Clinical measurement of range of motion; revieuw of goniometry emphasizing reliability and validity. Phys Ther. 1987;67(12):1867-1872.
  23. Portney LG, Vatkins MP. Foundation for clinical research. 2nd New Jersey. 2005;475-78.
  24. Daniel WW. Biostatistics a foundation for analysis in the health sciences 8th New York. Wiley; 2005:680-762.
  25. Bohannon RW, Vigneault J, Rizzo J, Hamilton N. Hip external and internal rotation strength: Consistency over time and between sides. Isokinetics and Exercise Science. 2008;16:107–111.
  26. Indahl A, Velund L, Reikeraas O. Good Prognosis for Low Back Pain When Left Untampered: A Randomized clinical trial. Spine 1995;20(4):25-30.
  27. Reiman MP, Weisbach PC, Glynn PE. The hips influence on low back pain: a distal link to a proximal problem. J Sport Rehabil 2009;18:24-32.
  28. Vad VB, Bhat AL, Basrai D, et al. Low back pain in professional golfers: the role of associated hip and low back range of motion deficits. Am J Sports Med 2004;32:494-497.
  29. Hayes MH, Sahrmann SA, Van Dillen LR, Relationship between the hip and low back pain in the atheletes who participate in relation – relation sports. J Sports Rehabil 2009;18:60-75.
  30. Harman K, Fenety A, Hoens A, Crouse J, Padfield B. Physiotherapy and low back pain in the injured worker: An examination of current practice during the subacute phase of healing. Physiother Can. 2009;61:88-106.

Cite this article: Pavan Kumar, Hrishikesh Yadav. K. TO COMPARE THE EFFECTS OF INTERNAL ROTATION MOBILIZATION OF HIP WITH CONVENTIONAL PHYSIOTHERAPY TREATMENT IN PATIENTS WITH LOW BACK PAIN: RANDOMIZED CLINICAL TRAIL. Int J Physiother Res 2017;5(2):1906-1911. DOI: 10.16965/ijpr.2016.202
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