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The Effectiveness of Functional Back School Concurrently Applied with Exercise and Physical Therapy Modalities in Patients with Chronic Mechanical Low Back Pain-Short Term Results

Author(s): İlknur Tuğcu | Mustafa Erkut Önder | Kamil Yazıcıoğlu | Haydar Möhür

Journal: Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
ISSN 1302-0234

Volume: 54;
Issue: 2;
Start page: 63;
Date: 2008;
Original page

Keywords: Chronic mechanical low back pain | functional back school

Objective: To evaluate the effectiveness of functional back school programme concurrently applied with an exercise and physical therapy modalities in patients with chronic mechanical low back pain (LBP) for a short time. Materials and Methods: Thirty seven patients diagnosed as chronic mechanical LBP were included in this study. A functional back schoolprogramme combined with physical therapy modalities and exercise programme was applied to patients for a period of 10 days. Lumbar Schober and finger-toe distance were used for the assessment of lumbar mobility. Lumbar flexion-extension and lateral lumbar flexions were measured by an inclinometer. Pain was assessed using the Visual Analogue Scale. For the assessment of functional disability; Modified Oswestry Disability Questionnaire, Rolland-Morris Functional Activities Questionnaire and Istanbul LBP Functional Scale were applied to the patients. Assessments were made before and after the treatment. Results: Only finger-toe distance of the mobility assessed parameters was determined to show a statistically significant difference (p=0.004). Furthermore, the pain score was decreased significantly (p=0.001) and all of the functional parameters showed significant improvement (Modified Oswestry Disability Questionnaire p=0.001, Rolland-Morris Functional Activities Questionnaire p=0.016 and Istanbul LBP Functional Scale p=0.014). Conclusion: In our study, we obtained a statistically significant decrease in pain sensation and functional disability in patients for a short time. Consequently, we believe that effective results can be obtained through the functional back school programme combined with other treatment modalities for patients with chronic mechanical LBP. Turk J Phys Med Rehab 2008;54:63-8
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