study on mechanical low back pain effect of therapeutic exercises on subacute mechanical low back pain

ABSTRACT

Low back pain is a socioeconomic problem of tremendous impact, producing major costs, suffering and in a minority of patients chronic disability. Low back pain is one of the most common and costly medical condition in Egypt. It causes periods of absence from work. The aim of this study was to evaluate the importance of back exercises in treatment of subacute mechanical low back pain. 48 patients suffering from subacute mechanical low back pain [24 lumbar spondylosis and 24 herniated disc]. Comprised the material of this work. They were divided into 2 groups Group I and group II Each group contains 12 patients with lumbar spondylosis and 12 patients with herniated disc both groups receive medical treatment. NSAIDs Analgesics Muscle relaxant for two months In addition to medical treatment patients in group I teached strengthening and stretching exercises for back muscles to be done 3 times per day for two months. In group I The statistical difference of pain grades before and after treatment was very highly significant [p < 0.001]. In group II - The statistical difference of pain grades before and after treatment was very highly significant [p < 0.001]. - The statistical difference in comparing pain grades in group I and group II after treatment was very highly significant [p <0.001]. in comparison of improvement in pain grades in groups I and group II was highly significant [p < 0.01]. Finally we can conclude Strengthing and stretching exercises of back muscles are very effective in treatment of cases of mechanical low back pain