Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2009
  • Volume: 3
  • Issue: 2

Efficacy of dynamic muscular stabilization techniques (DMST) over conventional techniques in patients with chronic low back pain

  • Author:
  • Suraj Kumar1,, Vijai P. Sharma1, H K Tripathi1, Mahendra P.S. Negi2, G. Venu Vendhan3
  • Total Page Count: 7
  • Page Number: 47 to 53

1Department of Physical Medicine and Rehabilitation, Chatrapati Shahuji Maharaj Medical University, U.P., Lucknow, 226018, India.

2Biometry & Statistics Division, Central Drug Research Institute, Lucknow- 226001, India.

3Department of Physiotherapy, CSJM University, Kanpur, India.

*Correspondence Author: Suraj Kumar (Ph.D. Scholar) Senior Research Fellow (ICMR), Deptt of Physical Medicine and Rehabilitation, Chatrapati Shahuji Maharaj Medical University, U.P., Lucknow, India. Phone: +91-522-2611055, Fax: +91-522-2329408, E-mail: surajdr2001@yahoo.com (Suraj Kumar)

Abstract

The low back pain (LBP) is a multifactorial, its treatment varies considerably. It includes medication, physical therapy modalities and exercise therapy with each having several interventions. In spite of their effectiveness, their head-to-head comparisons are limited. This study was aimed for one such comparison.

A total of 77 patients, 20–40 years of age, with sub-acute or chronic LBP were randomized in two groups and treated either by Conventional treatment a combination of two electro therapy (ultrasound and short wave diathermy) and one exercise therapy (lumbar strengthening exercises) and dynamic muscular stabilization techniques (DMST) an active approach of stabilizing training.

The average demographic characteristics such as Age, Weight, Height, Waist circumference, Hip circumference, Body mass index, Blood pressure systolic, Blood pressure diastolic, Duration and Rest due to LBP at baseline of two groups were found to be similar (P>0.05). The average level of pain, back pressure changes, abdominal pressure changes, walking, stair climbing, stand ups and quality of life improved more (P<0.01) in DMST than CONV. The DMST also improved sexual frequency (14.97%) and decreased recurrence (55.12%) more than conventional.

Study concluded that both treatments are effective in the management of LBP but recommends DMST intervention in their daily clinical practices.

Keywords

Back pain, Abdominal Muscle pressure, Physiotherapy, Stabilization, Strengthening Exercises