| ObjectivesLow back pain is considered as a general disease of the spine,and can be one of the main causes of chronic pain.Previous work proved that acupuncture can effectively reduce low back pain.Core stability exercise treats low back pain by training deep torso muscles.However,the difference in efficacy between core stability exercise and core stability exercise combined with acupuncture therapy is not well understood.This study is to compare the effect of core stability exercise with core stability exercise combined with acupuncture therapy on Low back pain patient.We hypothesized that core stability exercise combined with acupuncture therapy method will reduce and subside the pain more than that only core stability exercise method and more effective in treating non-specific chronic low back pain patients.MethodA randomized clinical observation performed at private Clinic in Ghom,Iran,from June 2018 to November 2018.Low back pain patients meeting the inclusion criteriae randomly divided into two groups:Exercise group and Exercise+Acupuncture group.27 people took part and completed this study(14 in Exercise and 13 in Exercise+Acupuncture group),The patients in Exercise group performed the core stability training program three times a week for every other day.Each treatment includes 3 sessions,each session exercises 30 minutes.The exercise protocol based on the applications to sports conditioning programs,including knee to chest,hamstring stretch,knee twist,crunches,bridge,bicycle crunch,cat and pelvic tilt.The patients in Exercise + Acupuncture group performed the core stability exercise program + Acupuncture three times a week.Acupoints were including BL-25(Guanyuanshu),BL-26(Dachangshu)and EX-B2(Huatuojiaji L3-L5),BL-40(Weizhong),BL-60(Kunlun)followed by tiger-dragon needling method.The needles were kept for 30 minute and twisted every 10 minute.We use visual analogue scale(VAS)and McGill Pain Questionnaire(SF-MPQ)method to evaluate low back pain.ResultsThere was no significant difference in VAS score between the two groups before treatment(P>0.05).VAS score in the exercise group was 5.93±1.54 and 7.00±2.04 in the Exercise+Acupuncture group before treatment.Compared the VAS before treatment,VAS had significant difference after the first(Id,P<0.05),second(3d,P<0.01)and third treatment(5d,P<0.01)in two groups.But,there was no significant different between two groups after treatment(P>0.05).After the first session(Id),the VAS decreased 30%in exercise group,28%in exercise+acupuncture group.After the second session(3d),the VAS decreased 39%in exercise group,38%in exercise+acupuncture group.Finally after third session(5d),the VAS reduction in exercise group were 48%,but in exercise+acupuncture group were 52%.VAS core in exercise +acupuncture group was 4%higher than that in the exercise group.There was no significant difference in score between the two groups before treatment(P>0.05).Before treatment,SF-MPQ score in the exercise group was 60.14±32.49,and 67.46± 39.65 in the Exercise + Acupuncture group.Compared with SF-MPQ before treatment,SF-MPQ reduced significantly after third session(5d)in two groups(P<0.01).But,there was no significant different between two groups after treatment(P>0.05).After third session(5d),the SF-MPQ reduction in exercise group was 56%,but in exercise+acupuncture group was 76%.SF-MPQ core reduction in exercise+acupuncture group was 20%higher than that in the exercise group.Conclusion1.Core stability exercise and core stability exercise combined with acupuncture therapy are both efficient treatment modality in the management of chronic low back pain.2.Core stability exercise combined with acupuncture therapy can reduce VAS and SF-MPQ score in l ow back pain patients.3.There was no statistically significant difference between core stability exercise and core stability exercise combined with acupuncture therapy.There was a slight tendency that core stability exercise combined with acupuncture was slightly better than the core stability exercise method after 3 sessions(5d). |
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