Efficacy of Muscle Energy Technique alone and in combination with Interferential Therapy for the Treatment of Non-specific Low Back Pain
Treatment of Non-specific Low Back Pain
DOI:
https://doi.org/10.54393/pjhs.v4i10.1122Keywords:
Non-Specific Back Pain, Quality of Life, Muscle Energy Technique, Interferential TherapyAbstract
Non-specific back pain is one of the prevalent musculoskeletal disorders in general population worldwide and also a major contributor of days lost from the work. It is considered one of the major causes of financial burden on the healthcare. Objective: To compare the effectiveness of muscle energy technique alone and in combination with interferential therapy in the management of non-specific back pain. Methods: After getting the review ethical committee approval from The Neurocounsel Clinics, current RCT was initiated from 21 May, 2023 to 20 September 2023 and registered at ClinicalTrails.gov under NCT06098053. Sample size was calculated by Epitool which came 30. Simple random sampling technique was used to randomize participants into two equal groups. Group A was given muscle energy technique and group B was given muscle energy technique plus interferential therapy. 2 sessions/week for 4 & half weeks. Evaluation was done at pain numeric scale & EQ-5D-5L (QoL). Pre and post-test analysis was done by use of SPSS version 21 and level of significance was kept p<0.05. Results: The mean age in group A was 31.40±10.91 whereas in group B it was 26.93±11.69. Mann Whitney U test showed significant difference (p<0.05) between groups on the basis of PNS and insignificant difference (p>0.05) between groups on the basis of QoL. Conclusions: It was concluded from the results of this study that MET and IFT are more effective in alleviating patient’s pain but are equally effective in improving quality of life in patients suffering from non-specific back pain.
References
Overstreet DS, Strath LJ, Jordan M, Jordan IA, Hobson JM, Owens MA, et al. A Brief Overview: Sex Differences in Prevalent Chronic Musculoskeletal Conditions. International Journal of Environmental Research and Public Health. 2023 Mar; 20(5): 4521. doi: 10.3390/ijerph20054521. DOI: https://doi.org/10.3390/ijerph20054521
Jackson T, Thomas S, Stabile V, Shotwell M, Han X, McQueen K. A systematic review and meta-analysis of the global burden of chronic pain without clear etiology in low-and middle-income countries: trends in heterogeneous data and a proposal for new assessment methods. Anesthesia & Analgesia. 2016 Sep; 123(3): 739-48. doi: 10.1213/ANE.0000000000001389. DOI: https://doi.org/10.1213/ANE.0000000000001389
March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best Practice & Research Clinical Rheumatology. 2014 Jun; 28(3): 353-66. doi: 10.1016/j.berh.2014.08.002. DOI: https://doi.org/10.1016/j.berh.2014.08.002
Smith E, Hoy DG, Cross M, Vos T, Naghavi M, Buchbinder R, et al. The global burden of other musculoskeletal disorders: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases. 2014 Aug; 73(8): 1462-9. doi: 10.1136/annrheumdis-2013-204680. DOI: https://doi.org/10.1136/annrheumdis-2013-204680
Hoiriis KT, Pfleger B, McDuffie FC, Cotsonis G, Elsangak O, Hinson R, et al. A randomized clinical trial comparing chiropractic adjustments to muscle relaxants for subacute low back pain. Journal of Manipulative and Physiological Therapeutics. 2004 Jul; 27(6): 388-98. doi: 10.1016/j.jmpt.2004.05.003. DOI: https://doi.org/10.1016/j.jmpt.2004.05.003
Panjabi MM. A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction. European Spine Journal. 2006 May; 15: 668-76. doi: 10.1007/s00586-005-0925-3. DOI: https://doi.org/10.1007/s00586-005-0925-3
Chou R. Pharmacological management of low back pain. Drugs. 2010 Mar; 70: 387-402. doi: 10.2165/11318690-000000000-00000. DOI: https://doi.org/10.2165/11318690-000000000-00000
Koes BW, Van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010 Dec; 19: 2075-94. doi: 10.1007/s00586-010-1502-y. DOI: https://doi.org/10.1007/s00586-010-1502-y
Peul WC, Bredenoord AL, Jacobs WC. Avoid surgery as first line treatment for non-specific low back pain. BMJ. 2014 Jul; 349: g4214. doi: 10.1136/bmj.g4214. DOI: https://doi.org/10.1136/bmj.g4214
Cashin AG, Lee H, Bagg MK, O'Hagan E, Traeger AC, Kamper SJ, et al. A systematic review highlights the need to improve the quality and applicability of trials of physical therapy interventions for low back pain. Journal of Clinical Epidemiology. 2020 Oct; 126: 106-15. doi: 10.1016/j.jclinepi.2020.06.025. DOI: https://doi.org/10.1016/j.jclinepi.2020.06.025
Moffett JK and Mannion AF. What is the value of physical therapies for back pain? Best Practice & Research Clinical Rheumatology. 2005 Aug; 19(4): 623-38. doi: 10.1016/j.berh.2005.03.005. DOI: https://doi.org/10.1016/j.berh.2005.03.005
Dowling DJ. Muscle Energy. In: An Osteopathic Approach to Diagnosis and Treatment. 2020 Mar: 13. doi: 10.33181/13054. DOI: https://doi.org/10.33181/13054
Franke H. The history of Muscle Energy Technique. In: Muscle Energy Techniques. 2013 May: 30.
Fryer G. Muscle energy technique: An evidence-informed approach. International Journal of Osteopathic Medicine. 2011 Mar; 14(1): 3-9. doi: 10.1016/j.ijosm.2010.04.004. DOI: https://doi.org/10.1016/j.ijosm.2010.04.004
Begum MR and Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. Journal of Medical Case Reports and Reviews. 2019 Nov; 2(11): 394-402.
Feng YS, Kohlmann T, Janssen MF, Buchholz I. Psychometric properties of the EQ-5D-5L: a systematic review of the literature. Quality of Life Research. 2021 Mar; 30: 647-73. doi: 10.1007/s11136-020-02688-y. DOI: https://doi.org/10.1007/s11136-020-02688-y
Naik Prashant P, Anand H, Khatri Subhash M. Comparison of muscle energy technique and positional release therapy in acute low back pain–RCT. Physiotherapy and Occupational Therapy. 2010 Apr; 4(2): 32-36.
Ahmed UA, Nadasan T, Van Oosterwijck J, Maharaj SS. The effect of muscles energy technique in the management of chronic mechanical low back pain: A scoping review. Journal of Back and Musculoskeletal Rehabilitation. 2021 Jan; 34(2): 179-93. doi: 10.3233/BMR-200011. DOI: https://doi.org/10.3233/BMR-200011
Franke H, Fryer G, Ostelo RW, Kamper SJ. Muscle energy technique for non-specific low-back pain. A Cochrane systematic review. International Journal of Osteopathic Medicine. 2016 Jun; 20: 41-52. doi: 10.1016/j.ijosm.2016.01.002. DOI: https://doi.org/10.1016/j.ijosm.2016.01.002
Akodu AK, Akinbo SR, Omootunde AS. Comparative effects of muscle energy technique and core stability exercise in the management of patients with non-specific chronic low back pain. Medicina Sportiva: Journal of Romanian Sports Medicine Society. 2017 Jan; 13(1): 2860-7.
Tantawy SA, Kamel DM, Abdelbasset WK, Nambi G. A randomized controlled trial investigating the impact of interferential therapy on pain, range of motion and quality of life in patients with chronic non-specific low back pain. Archives of Balkan Medical Union. 2020 Mar; 55(1): 47-54. doi: 10.31688/ABMU.2020.55.1.05. DOI: https://doi.org/10.31688/ABMU.2020.55.1.05
Hurley DA, McDonough SM, Dempster M, Moore AP, Baxter GD. A randomized clinical trial of manipulative therapy and interferential therapy for acute low back pain. Spine. 2004 Oct; 29(20): 2207-16. doi: 10.1097/01.brs.0000142234.15437.da. DOI: https://doi.org/10.1097/01.brs.0000142234.15437.da
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments