The Role of Physical Therapy in low back pain

Abstract

Background: About 80% of people will experience low back pain (LBP) at some stages in their lives. Back pain constitutes a significant epidemiologic and economic problem, LBP are commonly reported to have decreases in spinal mobility and changes in the loading patterns of the spine.There are various physiotherapy interventions for treatment of prolapsed inter vertebral disc re available such as intermittent lumbar traction, interferential therapy, short wave diathermy, transcutaneous electrical nerve stimulation and manual therapy intervention. Aim:Is to review the literature about the use and effect physical therapy, in order to assess their roles in treating various types of LBP, and the indication of use for relive of pain .Methods: This study was done in Benghazi- Libya at department of physiotherapy and rehabilitation centers for three months in those centers in 2023 , history of each patients was taken of back pain due different reasons ,all the patients were examined before treatment sessions ,severity of pain personal care, lifting, walking, standing, sleeping, social life, and travel was measured for each patients at the beginning of treatments by using pre and post measurements , time of sessions attended was also recorded .The Wilcoxon test was used to test the hypothesis "Are there significant differences between the mean percentage of disability before and after treatment. The mean percentage and standard deviation of the total number of times an intervention was used pre and post sessions. A p value of 0.05 was considered statistically significant. Results: Significant result in pain sensation after different activity before and after sessions of physiotherapy P< 0.005), as noted improvement in time of treatment post sessions P < 0.004, and decrease in the average disability percentage P 0. 000. Conclusions: Much additional work is required to define the role of physical therapy .in conclusion, despite the technologically impressive appearance of many Electrotherapies, a standard Electrotherapy device probably remains the best type of stimulator for pain relief. Clinical evidence does suggest that a standard Electrotherapy device, if used appropriately, can provide pain relief. The findings of systematic reviews suggesting that Electrotherapy is not effective for postoperative and labor pain have recently been challenged. Health care professionals often turn to Electrotherapy devices when patients fail to respond to treatment with a standard TENS device.