Efficacy of ultrasound versus short wave diathermy in the treatment of chronic low back pain in patients with lumbar disk herniation: a prospective randomized control study

BackgroundLumbar disk herniation (LDH) is a cause of chronic low back pain (CLBP) treated using physical therapy (PT), including exercise and physical modalities such as ultrasound (US) and short wave diathermy (SWD). Despite the use of US and SWD, there is inconclusive evidence on their efficacy. T...

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Published in:BMC sports science, medicine & rehabilitation medicine & rehabilitation, 2023-11, Vol.15 (1), p.1-157, Article 157
Main Authors: Ozen, Selin, Guzel, Sukran, Senlikci, Huma Boluk, Cosar, Sacide Nur Saracgil, Selcuk, Ebru Selin
Format: Article
Language:English
Subjects:
Activities of daily living
Back pain
Diathermy
Low back pain
Mental health
Physical therapy modalities
Physical therapy specialty
Transcutaneous electrical nerve stimulation-TENS
Ultrasonic imaging
Ultrasonography
Well being
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Summary:BackgroundLumbar disk herniation (LDH) is a cause of chronic low back pain (CLBP) treated using physical therapy (PT), including exercise and physical modalities such as ultrasound (US) and short wave diathermy (SWD). Despite the use of US and SWD, there is inconclusive evidence on their efficacy. The aim of this study was to investigate the efficacy of US and SWD in the treatment of CLBP in patients with LDH.MethodsA prospective randomized control clinical study. Individuals with radicular CLBP and LDH on magnetic resonance imaging, presenting to the Physical and Rehabilitation Medicine Department were randomized into 3 treatment groups. All participants received 10 sessions of hotpack, transcutaneous nerve stimulation (TENS) and therapeutic exercises. In addition, Group 1 received 10 sessions of therapeutic US (1 MHz, 1.5W/cm2, 10 min), Group 2 SWD (27.12 MHz, wavelength 11.06 m, induction technique, 20 min) to the lower back. Group 3 (control group) received hotpack, TENS and therapeutic exercises alone. Visual analogue scale (VAS) for LBP, Modified Oswestry Disability Index (MODI) and Short Form 36 (SF-36) were evaluated pre and post treatment and at one and three months follow up.ResultsIn all groups, VAS for LBP and MODI improved with treatment and at the one and three month follow up (p 
ISSN:2052-1847
2052-1847
DOI:10.1186/s13102-023-00769-2