Efectivity Between Dry Needling And Laser Combinated With Core Stability Exercise For Pain Reduction On Complaints Of Myogenic Low Back Pain
Article Sidebar
Main Article Content
Abstract
Background: The majority of people who experience myogenic low back pain (LBP) do so while going about their normal lives. Compared to other physical therapy technology applications, the combination of laser and dry needling with core stability exercises for LBP myogenic pain has not been utilized as frequently in clinical practice.
Methods: Purposive sampling is used to select subjects. Subjects were those who fit the criteria of the study and reported experiencing myogenic LBP. The number of subjects in group I was 35 subjects and group II was 34 subjects. Experimental study with two groups participating in pre and post-testing. Phase I of the research was conducted in 2021 at the Sunafa physiotherapy practice, Colomadu, and Karanganyar. Phase II of the research was conducted there in 2022. After discovering that the research data was not normally distributed, a nonparametric test was conducted.
Results: The combination of core stability exercises and dry needling reduced myogenic LBP complaints (p = 0.000), using laser therapy along with core stability exercises significantly reduced the number of complaints of myogenic LBP (p = 0.000). Dry needle and core stability exercise, as well as laser and core stability exercise, both reduced pain in the same way as myogenic LBP complaints (p = 0.242).
Conclusion: Both laser therapy and dry needling combined with core stability exercises are useful in easing myogenic LBP complaints.
Downloads
Article Details
References
Chen, F. R., Manzi, J. E., Mehta, N., Gulati, A., & Jones, M. (2022). A Review of Laser Therapy and Low-Intensity Ultrasound for Chronic Pain States. Current Pain and Headache Reports, 26(1), 57–63. https://doi.org/10.1007/s11916-022-01003-3
Elvir-Lazo, O. L., Yumul, R., & White, P. F. (2020). Cold Laser Therapy for Acute and Chronic Pain Management. In Topics in Pain Management (Vol. 36, Issue 2, pp. 1–10). Lippincott Williams & Wilkins. https://doi.org/10.1097/01.TPM.0000696768.75244.e0
Enwemeka, C. S., Parker, J. C., Dowdy, D. S., Harkness, E. E., Sanford, L. E., & Woodruff, L. D. (2004). The Efficacy of Low-Power Lasers in Tissue Repair and Pain Control: A Meta-Analysis Study (pp. 323–329). Photomedicine and Laser Surgery. https://doi.org/10.1089/pho.2004.22.323
Fernández-De-Las-Peñas, C., & Nijs, J. (2019). Trigger point dry needling for the treatment of myofascial pain syndrome: Current perspectives within a pain neuroscience paradigm. Journal of Pain Research, 12, 1899–1911. https://doi.org/10.2147/JPR.S154728
Ge, L., Huang, H., Yu, Q., Li, Y., Li, X., Li, Z., Chen, X., Li, L., & Wang, C. (2022). Efectos del entrenamiento de estabilidad central en mujeres mayores con dolor lumbar: un ensayo controlado aleatorio. European Review of Aging and Physical Activity, 19(1), 1–9. https://doi.org/10.1186/s11556-022-00289-x
Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, R. J., Underwood, M., Buchbinder, R., Cherkin, D., Foster, N. E., Maher, C. G., van Tulder, M., Anema, J. R., Chou, R., … Woolf, A. (2018). What low back pain is and why we need to pay attention. The Lancet, 391(10137), 2356–2367. https://doi.org/10.1016/S0140-6736(18)30480-X
Ilayaraja, A., Shaju, M. F., Singh, S. S., Gerald, E. R., Sathyanarayana, D., & Hema, R. I. (2020). Effectiveness of Dry Needling and Low-Level Laser Therapy in Nonspecific Low Back Pain. Journal of Clinical and Diagnostic Research, 14(11), 5–7. https://doi.org/10.7860/jcdr/2020/44893.14250
Koppenhaver, S. L., Walker, M. J., Retting, C., Davis, J., Nelson, C., Su, J., Fernandez-de-las-Penas, C., & Hebert, J. J. (2017). The Association Between Dry Needling-Induces Twitch Response and Change in Pain and Muscle Function in Patients with Low Back Pain: A Quasi-Experimental Study. Physiotherapy, 103(2), 131–137. https://doi.org/10.1016/j.physio.2016.05.002
Martin-Corrales, C., Bautista, I. V., Mendez-Mera, J. E., Fernandez-Matias, R., Achalandabaso-Ochoa, A., Gallego-Izquierdo, T., Nunez-Nagy, S., & Pecos-Martin, D. (2020). Benefits of adding gluteal dry needling to a four-week physical exercise program in a chronic low back pain population. a randomized clinical trial. Pain Medicine (United States), 21(11), 2948–2957. https://doi.org/10.1093/PM/PNAA279
Rajfur, J., Rajfur, K., Kosowski, Ł., Walewicz, K., Dymarek, R., Ptaszkowski, K., & Taradaj, J. (2022). The effectiveness of dry needling in patients with chronic low back pain: a prospective, randomized, single-blinded study. Scientific Reports, 12(1), 1–11. https://doi.org/10.1038/s41598-022-19980-1
Roberson, R., Tucker, B., & Kerna, N. A. (2019). A safe “opioid” – is dry needling an efficacious alternative to opioids? International Journal of Complementary & Alternative Medicine, 12(1), 10–13. https://doi.org/10.15406/ijcam.2019.12.00440
Schindl, A., Merwald, H., Schindl, L., Kaun, C., & Wojta, J. (2003). Direct stimulatory effect of low-intensity 670 nm laser irradiation on human endothelial cell proliferation. British Journal of Dermatology, 148, 334–336.
Wall, J., Meehan III, W. P., Trompeter, K., Gissane, C., Mockler, D., Dyk, N. van, & Wilson, F. (2022). Incidence, prevalence and risk factors for low back pain in adolescent athletes: a systematic review and meta-analysis. BMJ Journal. https://doi.org/http://dx.doi.org/10.1136/bjsports-2021-104749
Wang, L., Ye, H., Li, Z., Lu, C., Ye, J., Liao, M., & Chen, X. (2022). Epidemiological trends of low back pain at the global, regional, and national levels. European Spine Journal, 31(4), 953–962. https://doi.org/10.1007/s00586-022-07133-x
Yang, H.-H., Chung, Y.-C., Szeto, P.-P., Yeh, M.-L., & Line, J.-G. (2022). No TitleLaser acupuncture combined with auricular acupressure improves low-back pain and quality of life in nurses: A randomized controlled trial. Journal of Integrative Medicine.
Zheng, F., Zheng, Y., Liu, S., Yang, J., Xiao, W., Xiao, W., Chen, L., Yang, W., Zhang, S., Yu, Q., Hao, Z., Wang, Y., & Wang, C. (2022). The Effect of M-Health-Based Core Stability Exercise Combined with Self-Compassion Training for Patients with Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study. Pain and Therapy, 11(2), 511–528. https://doi.org/10.1007/s40122-022-00358-0
Zuhri, S., & Rustanti, M. (2021). Different Effectiveness of Dry Needle with Laser After Myofascial Release Added on Complaints of Myogenous Back Pain. Jurnal Ilmu Dan Teknologi Kesehatan, 8(2), 174–181. https://doi.org/10.32668/jitek.v8i2.500