A comparison of mckenzie therapy with electrophysical agents for the treatment of work related low back pain: A randomized controlled trial

BACKGROUND AND OBJECTIVE

Chronic low back pain (LBP) is a major public health problem in industrialized countries and is one of the most common reasons for seeking healthcare. Although the McKenzie therapy is widely used for the treatment of low back pain, there is evidence for no improvement with exercise in short-, intermediate-, or long-term outcomes of pain relief or function. The aim of this study was to compare the effect of the McKenzie therapy with electrophysical agents (EPAs) in patients with chronic LBP.

MATERIAL AND METHOD

A randomized controlled comparative trial with a 3-month follow-up period was conducted between January 2009 and June 2012. 271 patients with chronic LBP, (more than three months duration of symptoms) were randomized into two groups: the McKenzie therapy group (n=134), and electrophysical agents group, (n=137). The treatment period of both groups was 4 weeks at an outpatient clinic. Clinical outcomes (pain intensity, trunk flexion range of motion, and disability) were obtained at follow-up appointments at the end of the treatment period, 2 and 3 months.

RESULTS

Significant improvement of spinal motion, reduction of pain and disability were demonstrated in both groups but the results show the greater improvement in the McKenzie group (p< 0.05).

CONCLUSION

McKenzie therapy reduces pain, and disability, among subjects with chronic LBP. This study revealed that the McKenzie therapy is more effective than EPAs group.

OUTCOME OF PHYSICAL THERAPY AND SPLINTING IN HAND BURNS INJURY. OUR LAST FOUR YEARS' EXPERIENCE

OBJECTIVE

Burn injuries in hands are much more complex and the appearance of contractures is a common complication. Hand burn injuries often result in limited functionality, flexion and extension of fingers and present a major hindrance in rehabilitation. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. The purpose of this study is to presents our experience of 38 children with hand burn injuries, admitted and treated at the Department of Plastic Surgery, UCCK-Pristina, Kosovo, during the years 2012-2015.

METHODS

Physical therapy is focused on active/passive range of motion in affected joints, management of cicatrix, strengthening exercise, coordination and use of splints for correction contractures. Patients were evaluated in three, six months and the definitive evaluation is done after 9 months of physical therapy and splinting.

RESULTS

We have improvement in range of motion (ROM), functionality, coordination, muscle force, decrease of keloids scars.

CONCLUSION

This study shows the importance of physical therapy and splinting, achieving good results in preventing contracture, improving range of motion, muscle force and good cosmetic results.

Low back pain and obesity

Introduction:

Low back pain poses a significant problem in clinics and public health. It presents one of the main problems with adults, since 70-80% of adults experience it at least once in their lifetime. Causes of the low back pain are numerous and often unknown.

Objectives:

The aim of the study is to find the most prevalent age group, pain localisation, and the frequency of physical therapy sessions in obese and non-obese subjects with LBP.

Materials and Methods:

The study has been conducted by the Physical Rehabilitation Service of the Occupational Medicine Institute, during one year period. The total number of patients studied was 101 and all were Kosovo Energy Corporation (KEC) employees. The study was retrospective.

Results:

Looking at the body weight index, out of 101 patients, 69.3% are classified as non-obese and 30.7% as obese. Using T-Test we have found a difference of high statistical significance between the average number of the physical therapy sessions applied in relation to the examined groups (T-Test=2.78, P=0.0065, so, P<0.01).

Conclusion:

Obesity and age have no direct influence in back pain, but they could prolong healing. Professional occupation and binding position are factors that affect back pain. Physical workload can cause the manifestation of sciatica; whereas psycho-social factors can prolong the overall healing process.

Physical therapy and splinting after flexor tendon repair in zone II

INTRODUCTION

Early physical therapy and splinting after flexor tendon repair in zone II is very important to improve tendon healing, increase tensile strength, decrease adhesion formation, early return of function and less stiffness and deformity. We conducted a study to observe and record the results of early active mobilization of repaired flexor tendons in zone II.

MATERIALS AND METHOD

This study reports the results of physical therapy and splinting which was applied to 75 patients with 76 digits after flexor tendon repair in zone II, treated at the Department of Plastic Surgery and Physical and Rehabilitation Medicine Clinic, Pristine-Kosovo. Physical therapy and splinting started the first day after surgery and have lasts until week 12. Patients were evaluated with regarding to the range of motion and grip strength. The assessments were done at the 8, 10, 12 weeks and the finale assessments were done after 6 months.

RESULTS

Range of motion after 6 months according to the Strickland Classification were excellent in 21.1%, good in 44.7, fair in 11.8% and poor in 22.4%. Grip strength was good in 63.8% of cases.

CONCLUSION

Results of this study shows that using a physical therapy and splinting achieve good results in range of motion, muscle force and early return of function of the hand.