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Short-term Effects of Manual Therapy Plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-specific Low Back Pain: A Randomized Clinical Trial Study
Kasimis, K.; Iakovidis, P.; Lytras, D.; Kaoutras, G.; Chatziprodromidou, I.P.; Fetlis, A.; Ntinou, S.R.; Keklikoglou, N.-M.; Samiotaki, A.; Chasapis, G.; Tarfali, G.; Apostolou, T. Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study. Medicina2023, 59, 1275.
Kasimis, K.; Iakovidis, P.; Lytras, D.; Kaoutras, G.; Chatziprodromidou, I.P.; Fetlis, A.; Ntinou, S.R.; Keklikoglou, N.-M.; Samiotaki, A.; Chasapis, G.; Tarfali, G.; Apostolou, T. Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study. Medicina 2023, 59, 1275.
Kasimis, K.; Iakovidis, P.; Lytras, D.; Kaoutras, G.; Chatziprodromidou, I.P.; Fetlis, A.; Ntinou, S.R.; Keklikoglou, N.-M.; Samiotaki, A.; Chasapis, G.; Tarfali, G.; Apostolou, T. Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study. Medicina2023, 59, 1275.
Kasimis, K.; Iakovidis, P.; Lytras, D.; Kaoutras, G.; Chatziprodromidou, I.P.; Fetlis, A.; Ntinou, S.R.; Keklikoglou, N.-M.; Samiotaki, A.; Chasapis, G.; Tarfali, G.; Apostolou, T. Short-Term Effects of Manual Therapy plus Capacitive and Resistive Electric Transfer Therapy in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study. Medicina 2023, 59, 1275.
Abstract
Background: Chronic non-specific low back pain (CNSLBP) is defined as back pain that lasts longer than 12 weeks.
Objectives: To investigate the efficacy of manual therapy (MT) program combined with Capacitive and Resistive Electric Transfer (TECAR) therapy in individuals with CNSLBP.
Method: Sixty adults with CNSLBP were randomly equally divided into three groups. The first group followed an MT protocol in the lumbar region (MT group), the second group followed the same MT protocol combined with TECAR therapy (MT + TECAR group) using a conventional capacitive electrode as well as a special resistive electrode bracelet and the third group (Control group) received no treatment. Both intervention programs included six treatments over two weeks. Pain in the last 24 hours with the Numeric Pain Rating Scale (NPRS), functional ability with the Roland-Morris Disability Questionnaire (RMDQ), Pressure Pain Threshold (PPT) in the lumbar region with pressure algometry, and mobility of the lumbo-pelvic region through fingertip-to-floor distance (FFD) test were evaluated before and after the intervention period with a one-month follow-up. Analysis of variance with repeated measures was applied.
Results: In the NPRS score, both intervention groups showed statistically significant differences compared to the control group both in the second week as well as in the one-month follow-up (p < .001). Between-groups differences were also noticed between the two intervention groups in the second week (p < .05). Differences in the RMDQ score in the second week and on the one-month follow-up were detected between the intervention groups and the control group (p < .001), while differences between the two intervention groups were only detected in the one-month follow-up (p < .001). Regarding the PPT values, differences were found mainly between the MT + TECAR and the control group and between the MT + TECAR and the MT group (p < .05), with the MT + TECAR group in most cases showing the greatest improvement compared to the other two groups, which remained statistically significant in the one-month follow-up (p < .05). Finally, both intervention groups improved the mobility of the lumbo-pelvic region in both time points compared to the control group without, however, statistically significant differences between them (p> .05).
Conclusion: The application of an MT protocol with TECAR therapy appeared more effective than conventional MT as well as compared to the control group in reducing pain and disability and improving PPT in individuals with CNSLBP. No further improvement was noted in mobility of the lumbo-pelvic region by adding TECAR to the MT intervention.
Keywords
Keywords: Chronic Low back pain; Manual therapy; Capacitive and Resistive Electric Transfer Therapy
Subject
Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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