Manual Therapy Followed by Dynamic Strengthening Exercise Along With Conventional Physiotherapy Versus Manual Therapy Along With Conventional Physiotherapy on The Improvement of Pain and Functional Disability In Patients With Chronic Non-Specific Low Back Pain: A Randomized-Controlled Pilot Study

Objective: This study aims to evaluate the effectiveness of Dynamic Back Strengthening exercise along with conventional physiotherapy for chronic non-specific low back pain (LBP) patients over a conventional rehabilitation protocol for chronic non-specific LBP patients. Methods: Between October to December 2021 to a total of 8 patients with nonspecific LBP (5 males, 3 females; mean age: 41.12± years; ranged, 25 to 55 years) were included in this randomized - controlled pilot study. The patients were randomly assigned to experimental (n=4) and control (n=4) group. The treatment period was 3 days in a week for four consecutive weeks where pre & post assessment were done. Data were collected by using structured questionnaires related to CLBP and disability, socio-demographic data were collected through a semi-structured questionnaire including the Dallas Pain Questionnaire & Oswestry disability index (ODI). Results: In Mann Whitney 'U', the level of significance is greater than p = > 0.05, and there is no significant difference in between group analysis for all traits of the Dallas pain questionnaire and the Oswestry disability questionnaire. Conclusion: Effectiveness of Dynamic Strengthening Exercise along with conventional physiotherapy was the same in comparison to the conventional physiotherapy treatment for patients with CLBP. In these limited sessions, it has been found that the strengthening program could be started earlier but not for all kinds of patients. As the disability level has been improved by both groups, so it can be introduced earlier with the patients. A complete study should be done with a larger sample size to find out the effectiveness of the dynamic strengthening exercise along with the conventional physiotherapy treatment approach for CLBP patients.