Therapeutic ultrasound for chronic low back pain

Ebadi, Safoora; Forogh, Bijan; Ansari, Noureddin Nakhostin; Tulder, Maurits W. van; Babaei-Ghazani, Arash; Fallah, Ehsan

doi:10.1002/14651858.cd009169.pub3

Cited by 47 publications

(39 citation statements)

References 59 publications

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“…However, further study is needed because previous results as to their effectiveness have been contradictory in patients with chronic low back pain [15]. Evidence of its effectiveness has come mainly from clinical parameters in pain studies [21,22].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

Rubira

et al. 2019

Adv Rheumatol

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Objective: To compare the short-term effects of pulsed laser and pulsed and continuous ultrasound on pain and functional disability in women with chronic non-specific low back pain. Methods: The sample was composed of 100 volunteers randomly allocated into four groups: The Pulsed Laser Group (n = 26) was treated with 3 J/cm 2 ; the Pulsed Ultrasound Group (n = 24; 3 MHz) was treated with 1 W/cm 2 ; the Continuous Ultrasound Group (n = 26; 1 MHz) was treated with 1 W/cm 2 ; and a Control Group (n = 24), where the patients were still waiting for treatment. Before and after 10 sessions of treatment, the intensity of pain was assessed using the visual analogue scale (VAS), the quality of pain was evaluated using the McGill pain questionnaire and functional disability was investigated using the Roland-Morris questionnaire. Results: The three treated groups exhibited a decrease in pain (p < 0.001); the Pulsed Laser Group showed the greater relative gain (91.2%), Meanwhile, the Control Group exhibited a worsening of − 5.8%. The three treated groups demonstrated improvement in the quality of pain (McGill) in the total, sensory and affective dimensions (p < 0.005; p < 0.002; p < 0.013, respectively). All treated groups showed a decrease in functional disability (p < 0.001), but the Pulsed Ultrasound Group showed the highest relative gain (83.3%). Conclusions: The three modalities have significant effects to decreasing low back pain and improving functional disability in women with non-specific chronic low back pain, but the pulsed low-level laser had the best results on pain while the pulsed ultrasound had the best results on improve the functional disability.

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Section: Introductionmentioning

confidence: 99%

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

Rubira

et al. 2019

Adv Rheumatol

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“…This musculoskeletal problem appears with lifetime prevalence around 50-70%, with 80% of patients classified as non-specific LBP [2]. As the etiology is still unknown [3], most treatments for patients with LBP are not that effective [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Effects of whole body vibration on spinal proprioception in healthy individuals

Chow

Lee

Pope

2018

WOR

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BACKGROUND: Low back pain (LBP) is a common health problem with high reoccurrence rate. As patients with LBP are often found to be proprioception impaired, new proprioception exercises should be explored. Whole body vibration (WBV) has been proven to improve muscle function and proprioception. OBJECTIVE: The aim of this study was to determine the effects of WBV on spinal proprioception when WBV was administered in standing and seated postures. METHODS: Twenty healthy male individuals (mean age: 23.2 ± 1.2 years) were recruited and randomly assigned to two WBV groups: WBV in standing or WBV in seated posture. Their body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination during dynamic motion in flexion and extension were assessed before, immediately after, 30 minutes after and 1 hour after 5 minutes of WBV (18 Hz, 6 mm amplitude) exposure. A Mixed ANOVA was used to analyze the effects of group and time factors on these four outcome measures. RESULTS: There were no significant interaction (group and time) and group effects on all outcome measures. Participants were found to have significant different time effect on body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination. CONCLUSIONS: WBV could significantly improve spinal proprioception including body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination in healthy individuals. WBV protocol is recommended to confirm its clinical application for improving spinal proprioception and its effects on patients with LBP is warranted.

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“…Considerando os resultados aqui encontrados, isto é, o músculo em disfunção crônica apresenta-se com atividade muscular em repouso aumentada, e, por consequência, com temperatura cutânea reduzida e maior susceptibilidade à fadiga, nós sugerimos que as intervenções clínicas direcionadas para pacientes com disfunção muscular crônica empreguem recursos que promovam relaxamento muscular e ou incrementem o fluxo sanguíneo, tais como estimulação elétrica de alta voltagem (Almeida et al, 2009), massagem (Bakar et al, 2014), ultrassom terapêutico (Ebadi et al, 2014) e fototerapia com laser de baixa intensidade (Herpich et al, 2015).…”

Section: Discussão Do Estudo Complementarunclassified

“…No entanto, em termos de respaldo científico, revisão sistemática de van der Windt et al (1999) aponta que existe pouca evidência que respalde o emprego do ultrassom no tratamento das lesões musculoesqueléticas. Com resultado semelhante, revisão sistemática que aborda as lombalgias crônicas conclui que nenhuma evidência de alta qualidade respalda o uso do ultrassom para melhorar a dor e qualidade de vida(Ebadi et al, 2014). No entanto, revisões sistemáticas em cervicalgia e dor miofascial ainda não foram devidamente conduzidas.Com relação aos ensaios clínicos investigando os efeitos do ultrassom sobre a cervicalgia,Costello et al (2014) comparam os efeitos da mobilização dos tecidos moles e do ultrassom na região MHz, por 5 minutos), e um segundo grupo recebeu a mesmo programa de tratamento, no entanto, o ultrassom estava desligado (sham).…”

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Eficácia de recursos fisioterapêuticos no tratamento dos pontos gatilhos miofasciais em indivíduos com cervicalgia: ensaio clínico randomizado cego

Filho¹,

Vieira²

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Therapeutic ultrasound for chronic low back pain

Cited by 47 publications

References 59 publications

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial

Effects of whole body vibration on spinal proprioception in healthy individuals

Eficácia de recursos fisioterapêuticos no tratamento dos pontos gatilhos miofasciais em indivíduos com cervicalgia: ensaio clínico randomizado cego

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