Background:Low back pain is a very common phenomenon in computer users. More than 80% people using computers for more than 4 h complain of back pain.Objective:To compare the effectiveness of multidisciplinary treatment approach and conventional treatment approach amongst computer users.Materials and Methods:A prospective interventional study was carried out at a private spine clinic amongst the computer users with the complaint of low back pain. The study participants were randomly distributed in two groups. The first group comprised the study participants treated by conventional approach and the second group was treated by multidisciplinary approach. Primary outcomes analyzed were pain intensity, sick leave availed, and quality of life. Statistical analysis was done using proportions, unpaired “t” test, and Wilcoxon signed-rank test.Results:Totally 44 study participants were randomly assigned to groups I and II, and each group had 22 study participants. Intensity of pain was reduced significantly in the group treated by multidisciplinary approach (t = 5.718; P = 0.0001). Similarly only 4 (19.19%) of the study participants of the group treated by multidisciplinary approach availed sick leave due to low back pain, while 14 (63.63%) study participants availed sick leave in the other group (P = 0.02). The quality of life amongst the study participants treated by multidisciplinary approach was significantly improved compared to the group treated by conventional approach (t = 7.037; P = 0.0001).Conclusion and Recommendation:The multidisciplinary treatment approach was better than the conventional treatment approach in low back pain cases when some factors like pain and quality of life were assessed. The multidisciplinary approach for treatment of low back pain should be promoted over conventional approach. Larger studies are required to confirm the findings in different settings.
Introduction: Many individuals experience pain in foot, heel, low back as well as pressure symptoms in knee joint due to fallen arch. Objective: To determine effectiveness of medial arch support on footwear to reduce pain in foot & heel and pressure in knee joint. Material & Methods: The randomly selected patients who were reported either with foot pain, heel pain, and low back pain or with pressure symptoms along with fallen arch, which was based on the foot evaluation irrespective of gender, were included in the study. Medial arch support on footwear was provided and follow up was taken after one month and then after six months by using Foot and Ankle Ability Measure of Activities of Daily Living Sub-scale. Statistical analysis: Mean, standard deviation was used for descriptive data. Repeated measure ANOVA was used as test of significance. Results: Total 30 patients were included in the study out of which 16 (53.33%) were males and 14 were females (46.67%). There was statistically significant improvement in the reduction of foot pain, heel pain, low back pain and pressure symptoms in knee joint on follow up measurements taken on repeated occasions that before intervention, one months after the intervention and six months after the intervention (F=60.862; p= 0.0001). Conclusion: This study concluded that use of medial arch support is effective in reducing foot pain, heel pain, low back pain and pressure symptoms knee joint.
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