The Effect of High-Intensity Laser Therapy Compared with Core Stabilization Exercises in the Treatment of Patients with Chronic Low Back Pain- A Pilot Study
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Paper ID : 1562-12THCONG
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1Department of Physical Education and Sport Sciences, Faculty of Human Sciences,Shams Education Institute of Science and Technology, Tabriz, Iran
2Department of Physical Education and Sport Sciences, Faculty of Human Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
Low back pain is a disease that frequently occurs in daily life. Apart from headache, it is the most common pain experienced by humans. It is recognized not only as a health problem, but also as a social problem, because it is the most frequent cause of absenteeism among office workers. Chronic low back pain (CLBP) is defined as pain in the lumbosacral area of the spine, of more than 12 weeks' duration. CLBP is generally considered a result of mechanical causes and not related to an underlying condition such as infection, neoplasm, or fracture. The causes may stem from nociceptive, neuropathic, or psychological processes, or a combination of these. The aim of this pilot study was to compare the effect of high-intensity laser therapy (HILT), compared with core stabilization exercises, in the treatment of chronic low back pain (CLBP).
A total of 13 female patients participated in this study, with a mean (SD) age of 32.23 (7.85) years. Patients were randomly assigned into two groups and treated with HLT (HLT group, n=7), and core stabilization exercises (CSE group, n=6). The outcomes measured were pain level by visual analog scale (VAS), functional disability by both the Roland Disability Questionnaire (RDQ), and the Modified Oswestry Disability Questionnaire (MODQ). Statistical analyses were performed to compare within and between group differences.
VAS, RDQ, and MODQ results did not show any significant between group differences (P>0.05). Although MODQ results showed significant improve after 4 week treatment in both groups, VAS and RDQ results demonstrated improve just in HPL group.
Although both treatments were effective in the treatment of CLBP, the HLT appears to be more effective than CSE.