A Comparison of Physical Therapy Intervention Efficacy Between Ultrasound Therapy and Electrical Stimulation Interferential Current in Low Back Pain Patients at Chaiyaphum Hospital

Authors

  • Pichai Lapkerd Department of Physical Therapy, Rehabilitation Medicine, Chaiyaphum Hospital, Chaiyaphum

Keywords:

Ultrasound, interferential current, Low back pain

Abstract

The incidence of low back pain patients at the department of physical therapy, Chiyaphum hospital in 2017 is around 3,801 (33.4% of total patients).  Normally, physical therapy therapeutic methods of low back pain are ultrasound therapy and/or interferential current stimulation. However, the comparison between these methods related to the efficacy for pain reduction and the enhancement of lumbar ROM is not established. 

Objectives : This study is aimed to investigate and compare the efficacy of physical therapy treatments between ultrasound therapy and electrical stimulation interferential currents for pain reduction and the enhancement of lumbar ROM in low back pain patients.

Methods : Sixty patients who have low back pain from myalgia were randomly divided into two groups to receive either ultrasound therapy or electrical stimulation interferential currents, for 5 times within 2 weeks.  Pain scale at the lower back was measured by visual analogue scale (VAS) and lumbar movements in all directions were investigated after each treatment.

Results : Age, sex, body weight, height and body mass index (BMI) were not significantly different between groups.  Baseline measurements of pain in ultrasound therapy groups (6.5±1.7) and electrical stimulation by interferential currents groups (6.3±1.8) were not significantly different (p<0.05).  Moreover, ROM of lumbar was not different between groups in all directions (p<0.05).  At the end of treatment, ultrasound therapy and electrical stimulation by interferential currents had a similar efficacy in pain reduction (2.9±1.4 and 3.0±1.6 respectively) and lumbar ROM enhancement in all directions (p<0.05).

Conclusion : Ultrasound therapy and electrical stimulation by interferential currents have a similar efficacy for improving pain and lumbar ROM in all directions in lower back pain patients.

References

Koes BW, Van Tulder MW, Thomas S. (2006). Diagnosis and treatment of low back pain. BMJ. 332(7555):1430-4.

Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van Tulder MW. (2014). Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev. (3):CD009169.

Fuentes JP, Armijo Olivo S, Magee DJ, Gross DP. (2010). Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and meta-analysis. Phys Ther. 90(9):1219-38.

Grabiańska E, Leśniewicz J, Pieszyński I, Kostka J. (2015). Comparison of the analgesic effect of interferential current (IFC) and TENS in patients with low back pain. Wiad Lek. 68(1):13-9.

กันยา ปาละวิวัธน์. (2556). การรักษาด้วยเครื่องไฟฟ้าทางกายภาพบำบัด. นครปฐม : มหาวิทยาลัยมหิดล คณะกายภาพบำบัด.

Kamali F, Panahi F, Ebrahimi S, Abbasi L. (2014). Comparison between massage and routine physical therapy in women with sub-acute and chronic nonspecific low back pain. J Back Musculoskelet Rehabil. 27(4):475-80.

Published

2021-08-26

Issue

Section

Original Article