@sgtuniversity.ac.in
Associate Professor and Faculty of Physiotherapy
Shree Guru Gobind Singh Tricentenary University
Physical Therapy, Sports Therapy and Rehabilitation, General Health Professions
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Reeta Sharma, Priyanka Rishi, Anushree Rai, and Saurabh Kumar
Suranaree University of Technology
Background: Low back pain is a major health concern in India, with studies reporting a lifetime prevalence ranging from 48% to 59%. This condition significantly impacts a large segment of the population, affecting quality of life by disrupting sleep, psychological well-being, and social interactions. Among the various causes of low back pain, one frequently encountered condition is degenerative disc disease, also known as lumbar disc herniation or prolapsed intervertebral disc (PIVD). The chronic pain and physical limitations associated with PIVD profoundly impact patients’ lifestyles, leading to substantial reductions in physical activity, challenges in performing daily tasks, and decreased work capacity. These limitations often result in social isolation and a diminished quality of life. Objective: To investigate and elucidate the intricate relationships between lifestyle, psychological and health-related factors in individuals specifically suffering from low back pain. Method: 80 patients with PIVD who fulfilled the inclusion and exclusion criteria were recruited from the Orthopaedic and Physiotherapy OPD. The data was collected by the interview method for their responses based on the Questionnaires and Body composition was analysed for Health related factors. Result and Conclusion: The study suggests that there is a significant relationship between lower back pain and lifestyle factors such as sleep quality and physical activity. Other unexplored factors may play a more influential role in lower back pain. Additionally, a weak negative correlation exists between lower back pain and psychological factors measured by the Beck Depression Inventory (BDI). The analysis reveals a weak positive correlation between lower back pain and physical functioning, while a significant negative correlation is observed between lower back pain and role limitations due to physical health. This suggests that higher levels of lower back pain may result in greater restrictions in physical health-related roles.
A. Gupta, S. Kumar, A. Gupta, and P. Rishi
Brill
Migraine is a type of primary headache with a high degree of associated disability that can present with a variety of indications and co-morbidities. The role of physical therapy treatment in migraine management is largely obscure. To investigate the combine effect of aerobic exercises and therapeutic pain neuroscience education on disability, pain pressure threshold, head posture and quality of life (QoL) in patients having migraine. Subjects were screened by using Migraine Disability Assessment (MIDAS) and after screening total sample of 50 subjects were randomly assigned into two groups: Group A (Experimental, n=25) and Group B (Control, n=25). Migraine disability assessment, pressure algometer, craniovertebral angle (CVA) and migraine specific quality of life were examined before and after 6 weeks of the intervention. Group A were given aerobic exercises and therapeutic pain neuroscience education along with conventional treatment for 45 min 3 days/week for 6 weeks, whereas participants in the Group B performed conventional exercises alone for 20 min 3 days/week for 6 weeks. Significant differences were observed in migraine disability score (P=0.003) and pain pressure threshold (P=0.039, P=0.030 and P=0.025) and improvement in forward head posture (P=0.001) between the groups after the intervention period, signifying greater improvement in the group A. QoL also improved in both the groups after intervention. Main findings of the present study suggest that the therapeutic pain neuroscience education and aerobic exercises combined with conventional treatment together maybe helpful to give better quality of life, reduced disability, increased pain pressure threshold and increased CVA to patients with migraine.
Saurabh Kumar, Ankush Sharma, and Priyanka Rishi
Springer Singapore