THE EFFECTIVENESS OF PASSIVE STRETCHING IN PATIENTS CHRONIC LOW BACK PAIN

Main Article Content

Angkana Theppimon

Abstract

This research aimed to 1) Compare the level of pain, disability and range of motion of the lumbar spine before and after treatment in the experimental and control groups, and 2) Compare the level of pain, disability and range of motion of the lumbar spine after treatment between the experimental and control groups, totaling 60 subjects. The research instruments consisted of a general information questionnaire, a pain assessment form, the Roland-Morris Disability Questionnaire and the Oswestry Disability Index, which were validated by 3 experts. The experiment was conducted and data was collected from August to December 2020. They were divided into 2 groups: 1) Receiving physical therapy treatment; 2) Receiving physical therapy treatment and a stretching program with the help of others. The level of pain and range of motion of the back were assessed. The results of the treatment were measured before and after treatment using descriptive statistics and inferential statistics for data analysis. The results of the treatment were compared between the groups using the Mann-Whitney U test. From the study on the treatment with stretching with the help of others, the study of the changes before and after treatment between the experimental and control groups. This study revealed that the results before and after treatment in both groups could reduce the severity of pain and disability with statistical significance. And there was a statistically significant increase in the distance of movement of the lumbar spine, p = 0.001. The comparative results after treatment between the experimental group and the control group were able to reduce the level of pain severity and disability more than the control group with statistically significant increase. The experimental group had a statistically significant increase in the distance of movement of the lumbar spine more than the control group, p = 0.02.

Article Details

How to Cite
Theppimon, A. . (2025). THE EFFECTIVENESS OF PASSIVE STRETCHING IN PATIENTS CHRONIC LOW BACK PAIN. Journal of MCU Nakhondhat, 12(2), 14–25. retrieved from https://so03.tci-thaijo.org/index.php/JMND/article/view/284933
Section
Research Articles

References

จิราพร กาญจนวัฒนกุล. (2560). การรักษาผู้ป่วยด้วยวิธีทางกายภาพบำบัดในผู้ป่วยที่มีอาการปวดหลังส่วนล่าง. วารสารการแพทย์และการกายภาพบำบัด, 42(4), 163-168.

ชัยณรงค์ วัลลิกุล. (2560). การจัดการภาวะปวดเรื้อรังในผู้ป่วยโรคปวดหลังส่วนล่าง: แนวทางการดูแลสุขภาพและจิตใจ. วารสารการแพทย์ศาสตร์, 45(3), 245-250.

ศิริรัตน์ พานทอง. (2563). การศึกษาเปรียบเทียบผลของการฝึกออกกำลังกายและการรักษาด้วยการบำบัดทางกายภาพในผู้ป่วยที่มีอาการปวดหลังเรื้อรัง. วารสารเวชศาสตร์ฟื้นฟู, 26(1), 45-52.

สมบัติ สินธุภัณฑ์ และคณะ. (2559). ผลของการยืดเหยียดกล้ามเนื้อแบบทำให้ (Passive Stretching) ต่ออาการปวดในผู้ป่วยที่มีอาการปวดหลังส่วนล่าง. วารสารการแพทย์และสุขภาพ, 22(3), 215-222.

Amano, S. et al. (2016). Effectiveness of blood flow restricted exercise compared with standard exercise in patients with recurrent low back pain: Study protocol for a randomized controlled trial. BMC Musculoskeletal Disorders, 17, 1-11. https://doi.org/10.1186/s12891-016-0862-6.

Aydin, T. et al. (2016). Effect of exercise on low back pain: A randomized controlled trial. Turkish Journal of Physical Medicine and Rehabilitation, 62(3), 233-240.

Berman, L. & Gore, R. (2018). The numeric rating scale for pain: A practical guide for clinicians. Pain Medicine, 19(1), 156-162.

Cohen, S. P. & Buvanendran, A. (2015). Musculoskeletal pain management. American Journal of Therapeutics, 22(3), 173-181.

Harris, R. L. et al. (2016). Occupational risk factors and the development of low back pain in office workers: A cross-sectional study. Journal of Occupational Rehabilitation, 26(3), 283-290.

Khan, S. A. et al. (2019). The effectiveness of stretching exercises in reducing low back pain and improving functional performance: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 32(5), 689-696.

Kuru, T. et al. (2020). Effects of stretching and strengthening exercises on chronic low back pain and functional capacity: A systematic review and meta-analysis. Journal of Rehabilitation Research and Development, 57(6), 1025-1034.

Suwanwela, C. et al. (2017). Prevalence and characteristics of low back pain in Thailand: A nationwide survey. BMC Musculoskeletal Disorders, 18(1), 321-330.

Vega, A. A. et al. (2020). Non-specific low back pain: Pathophysiology and current treatments. Journal of Pain Research, 13, 1459-1471.

Woods, P. et al. (2018). The role of assisted stretching in improving functional performance in chronic low back pain patients. Journal of Rehabilitation Research and Development, 55(3), 401-409.