Year: 2024 | Month: April | Volume: 14 | Issue: 4 | Pages: 23-34
DOI: https://doi.org/10.52403/ijhsr.20240405
Comparison of Lumbar Segmental Stabilisation and General Exercises on Pain, Functional Disability and Kinesiophobia in Patients with Low Back Pain: A Randomised Control Trial
Dr. Sanket Parekh1, Dr. Daxa Mishra2, Dr. Lata Purohit 3
1Assistant Professor, 2Professor, 3MPT;
K.M. Patel Institute of Physiotherapy, Bhaikaka University, Anand, Gujarat-India.
Corresponding Author: Dr. Lata Purohit
ABSTRACT
Background: Lumbar segment instability in mechanical low back is ordinary now a days because of recurrence or by weaken muscles that provide stability in the neutral zone. Segmental instability can cause low back pain and severe functional disability that leads to Kinesiophobia (fear of movement). There are no studies done to check Kinesiophobia in context with segmental instability in mechanical low back pain. So, this study aims to compare lumbar segmental stabilisation (LSS)and general exercises (GE)on pain, disability and kinesiophobia in participants with non-specific low back pain.
Methods: A total of 56 participants were recruited after fulfilling the eligibility criteria. They were randomly allocated into two groups: Group A received LSS; Group B received GE for two weeks. Outcome measures were taken in form of Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI) and Tampa Scale of Kinesiophobia (TSK). The outcome measure was assessed at baseline and post intervention.
Results: As compared to baseline, all participants present significant difference in pain, disability and kinesiophobia (P<0.05). No between group difference was evident when LSS compare to GE group. More severe the disability there are more chances of developing kinesiophobia.
Conclusion: By comparing conventional exercises vs Lumbar segmental stabilisation exercises both are equally effective to reduce kinesiophobia along with pain and disability by strengthening the core muscles individually in patients with non-specific LBP. GE can compete with LSS to reduce the pain, disability and kinesiophobia. If severity of disability is higher than individual are more prone to develop kinesiophobia.
Key words: Disability, kinesiophobia, LBP and Segmental stabilisation.