ABSTRACT
Background: Low back pain (LBP) is the fifth most common reason for physician visits, which affects nearly 60-80% of people throughout their lifetime. The lifetime prevalence of low back pain is reported to be as high as 84%. The most common type of low back pain is Mechanical low back pain. There are various risk factors for mechanical low back pain which are usually classified into physical, physiological and psychological factors. Heavy manual work and lifting weights constitute the physical work factors. Twisting, sitting for long hours, driving and whole body vibrations are also few physical causes. Low physical fitness and trunk muscle weakness are the physiological factors. The essential factors, which should always been taken into consideration in case of pain, are the psychosocial issues such as social influence, monotonous work, low job satisfaction, stress, anxiety, fear and depression. If left untreated or delay in the treatment may lead to degenerative changes. So, the aim of the study was to check the effectiveness of Lumbar Stabilization exercises with laser therapy In Patients with mechanical low back pain. Materials and methods: 60 patients were included in the study which was divided into two groups; Group A and Group B, 30 patients in each group. Subjects were randomly selected and assigned to each group. Pre-test measurements of the patient were done with the help of two measures - RolandMorris Low Back Pain and Disability Questionnaire for disability and Goniometer was used for range motion of lumbar spine movements for each group. The Subjects in Group-A were given Laser Sreenivasu Kotagiri, Neeti Mathur, Ashwin Kumar, Anup Kumar Song. Effectiveness of lumbar stabilization exercises with laser therapy in patients with mechanical low back pain. IAIM, 2019; 6(9): 117-126. Page 118 therapy for 10 minutes along with Kinesiotaping. The Subjects in Group-B were given Lumbar Stabilization exercises with laser therapy. Result analysis was done by Results: On comparing Group A and Group B for post-treatment RMQ score, results showed a significant difference (p=0.001). The overall study proved that Lumbar stabilization exercises along with laser therapy were more significant for Mechanical low back pain in improving Pain and decreasing the disability level. Conclusion: The analysis obtained indicated that Group B (Lumbar stabilization exercises along with laser therapy) showed more significant improvement when compared to Group A (Laser therapy along with Kinesiotaping).
ABSTRACT
Background: The skin is an organ of communication and plays an important role in socialization. Skin is an organ that reacts directly upon emotional stimuli. The relationship between the ‘skin’ and the ‘mind’ is complex and of clinical importance. Aims: Assessing cutaneous disorders in patients with primary psychiatric conditions. Methods: One hundred patients with a primary psychiatric condition who had cutaneous disease were entered into the study group. The patients were classified appropriately based on the classification of psychocutaneous disorders. The control group included 100 patients presenting with a skin disorder and without any known psychiatric complaint. Results: In our study group there were 49 males and 51 females, Most of the cases and control group were in 2nd to 5th decade. The primary psychiatric condition in our study were Major depressive Disorder (44%), schizophrenia (31%), Anxiety disorder (18%), Bipolar Disorder (7%). In our study group we found 34% of the patient had Dermatophyte infection followed by the Bacterial infection (27%). Acne vulgaris (12%), parasitic infection like scabies seen in 11% of the study group, eczemas seen in 5% of the patients followed by pigmentary disorder (5%), papulosquamous like psoriasis seen in 4% and Hansen’s in 2% of the patients. Conclusion: A statistically significant higher incidence of dermatophyte infections, Acne Vulgaris and Parasitic infections was seen in the study group.