1MSc in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
2Assistant Professor in Physical Education and Sport Sciences, Ferdowsi University, Mashhad, Iran
3Assistant Professor, Department of Orthopedic, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Background: Chronic low back pain due to disc herniation is one of the common diseases in the community. In addition to the pain caused by this problem, which is a major complication, decreased and defective physical performance in daily living are other major concerns. Aim: To investigate the effect of combined therapeutic protocol (therapeutic exercises and massage) on the pain and physical performance in the patients with chronic low back pain due to the lumbar disc herniation. Method: We conducted a quasi experimental study in two experimental and control groups, each composed of 15 male patients with chronic low back pain. Experimental group were undergone the combined protocol for eight weeks. Control group received no therapeutic protocol during the study period. Subjects’ physical performance was assessed through measuring the duration of five tests which have been modeled based on patients’ daily activities. Visual Analog Scale (VAS) was used to measure pain score. Wilcoxon and t student tests were used for data analysis. Results: The mean score of age, weight, height and Body Mass Index of the subjects were 41.61±4.99 years, 78.55±11.3 kg, 175.81±5.98 cm and 25.36±2.97 kg/m2, respectively. The experimental group showed a significant difference in terms of physical performance (31/41 ± 3/14, p=0/002) and pain score (2/85 ± 1/83, p=0/003). Conclusion: Based on the results, combined therapeutic protocol can be used to improve physical performance and to reduce pain in patients suffering from chronic low back pain due to disc herniation.
Hides JA, Richardson CA, Jull GA. Multifidus Muscle Recovery is not Automatic After Resolution of Acute, First-Episode Low Back Pain. Spine (Phila Pa 1976). 1996 Dec 1;21(23):2763-9.
Rissanen A, Kalimo H, Alaranta H. Effect of Intensive Training on The Isokinetic Strength and Structure of Lumbar Muscle in Patients with Chronic Low Back Pain. Spine (Phila Pa 1976). 1995 Feb 1;20(3):333-40.
Goats GC. Massage – The Scientific Basis of an Ancient Art: Part 2. Physiological and Therapeutic Effects. Br J Sports Med. 1994 Sep;28(3):153-6.
Frode O, Aure PT, Nilsen J. Manual Therapyand Exercise Therapy in Patients With Chronic Low Back Pain: A Randomized, Controlled Trial With 1-Year Follow-up. 2003;Spine 28(6):525-31.
Whiteny w. Lowe.Orthopedic Massage ,Theory and Technique. Second Edition. Mosby Elsevier.2009; p: 156-63.
2. Hart LG, deyo RA,Cherkin DC. Physician Office Visits for Low Back Pain. Frequency, Clinical Evaluation, and Treatment Patterns From a U.S. National Survey. Spine (Phila Pa 1976). 1995 Jan 1;20(1):11-9.
5. Gard G, Gille KA, Grahn B. Functional Activities and Psychosocial Factors in the Rehabilitation of Patients with Low Back Pain. Scand J Caring Sci 2000; 14(2): 75-81.