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Research Journal of Pharmacy and Technology
Year : 2017, Volume : 10, Issue : 10
First page : ( 3326) Last page : ( 3330)
Print ISSN : 0974-3618. Online ISSN : 0974-360X.
Article DOI : 10.5958/0974-360X.2017.00590.X

Effect of Combined Brain and Back Muscle Stimulations on Level of Physical Disability among Chronic Low Back Pain Patients

Umar Abdulkareem1,*, Simbak Nordin Bin2, Raj Naresh Bhaskar3, Ahmad Aisha4, Hanif Shmaila4, Muhammad Ashiru Hamza4, Rao US Mahadeva5

1Postgraduate Student, Universiti Sultan Zainal Abidin (UniSZA), 20400, Kuala Terengganu, Terengganu Darul Iman, Malaysia

2Dean, Faculty of Medicine, Universiti Sultan Zainal Abidin (UniSZA), 20400, Kuala Terengganu, Terengganu Darul Iman, Malaysia

3Lecturer, Faculty of Health Sciences, Universiti Sultan Zainal Abidin (UniSZA), 21300, Kuala Terengganu, Terengganu Darul Iman, Malaysia

4Lecturer, Department of Physiotherapy, Faculty of Allied Health Science, Bayero University Kano, Nigeria

5Professor, Faculty of Medicine, Universiti Sultan Zainal Abidin (UniSZA), 20400, Kuala Terengganu, Terengganu Darul Iman, Malaysia

*Corresponding Author E-mail: bnaresh@unisza.edu.my

Online published on 26 March, 2018.

Abstract

The purpose of this study is to determine the effect of combining anodal cortical and back muscle stimulations in chronic low back pain (CLBP). Forty eight patients divided into four groups participated in the study. The control group received infrared therapy (IRT) and a session soft tissue massage (STM), while those in the other groups received combined dorsolateral prefrontal cortex (DLPFC) and Back muscle stimulation plus IRT and STM, combine primary motor cortex (PMC) and Back muscle stimulations plus IRT and STM and Williams flexion exercise plus IRT and STM respectively. The primary outcome (disability level) was assessed using modified Oswestry low back pain disability questionnaire while bothersome questionnaire (secondary outcome) was used to assess the level of bothersome of the participants. Statistical analysis revealed that participants that received DLPFC/Back muscle stimulation plus IRT and STM (p=0. 046, z=-2.02) have much improvement in disability compare to those that received PMC/Back muscle stimulations plus IRT and STM. In addition, the control intervention (IRT and STM) proves to be more effective (P=0.025, Z=-2.24) compare to other groups. It is concluded that IRT and a session of STM is more effective in the reduction of disability and improvement of the functions in CLBP than the combine stimulations, but the result cannot be generalized because of the small sample size and type of design used in this clinical trial.

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Keywords

Transcranial direct current stimulation, primary motor cortex, dorsolateral prefrontal cortex and chronic low back pain, William flexion exercise.

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