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Comparison of physiotherapy approaches in low back pain: a randomized controlled trial
Senbursa G, Pekyavas NO, Baltaci G
Korean Journal of Family Medicine 2020 May 22:Epub ahead of print
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: The purpose of this study was to compare the effectiveness of rehabilitation approaches in individuals with low back pain (LBP) on pain, spinal mobility, disability, and muscular strength. METHODS: Ninety volunteers were included and divided into four groups depending on the rehabilitation approach. Group 1, soft tissue mobilization techniques and stabilization exercises (n = 24; 11 females (F), 13 males (M); group 2, Kinesio Taping and stabilization exercises (n = 24; 12F, 12M); group 3, stabilization exercises (n = 22; 11F, 11M); and group 4, reflex therapy and stabilization exercises (n = 20; 10F, 10M). Visual analog scale for pain intensity, an isokinetic evaluation for strength at 60 degree/s and a side-plank position test for trunk stabilization were measured before and assessed at the beginning, after a 4-week treatment and during 4 weeks of follow-up. The functional status was evaluated with the Oswestry Disability Index. RESULTS: Individuals in all groups showed similar decrease in pain after the treatment and at 1-month follow-up, but there were no significant differences in pain levels between the groups (p < 0.05). CONCLUSION: All therapeutic approaches were found to be effective in diminishing pain and thus helpful in increasing strength and stabilization in patients with LBP.

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