American Journal of Medicine and Medical Sciences 2015, 5(2): 63-72 DOI: 10.5923/j.ajmms.20150502.02

Osteopathic Manual Therapy Versus Traditional Exercises in the Treatment of Mechanical Low Back Pain Mohammad F. Ali1,2,*, Mohammad N. Selim3, Shereen H. Elwardany4,7, Noran A. Elbehary5,7, Akram M. Helmy6,7 1

Orthopedic physical therapy department, faculty of physical therapy, October 6 university Physical therapy department, college of medical rehabilitation, Qassim university, Saudi 3 Physical therapy department, Elkaser Elainy Elfranssawy, Cairo university hospitals 4 Physical therapy department, ELkaser Eleiny, cairo university hospitals 5 Basic science department, Physical therapy college, Cairo university 6 Pediatric department, Physical therapy college, Cairo university 7 Physical therapy department, college of medical rehabilitation, Qassim university, Saudi Arabia 2

Abstract

Objectives: This study was conducted to compare the efficacy of positional release technique with traditional exercises in the treatment of mechanical low back pain. Methods: Thirty two patients with mechanical low back pain their age ranged from 30-55 years with mean of (48.54±5.8) and their BMI below 30 kg/m2were randomly distributed into two equal groups. Group (A) 16 patients received infrared, ultrasound and traditional exercises. Group (B) 16 patients received infrared, ultrasound and positional release technique three sessions per week for 4 weeks. The primary outcome measures were pain, lumbar ROM and functional disabilities. Pain was measured by visual analog scale (VAS), lumbar ROM was measured by the inclinometer and functional disabilities were assessed by Oswestry disability index. Results: Group (B) had significant decrease in pain intensity level and the limitation of functional disabilities and significant increase in lumbar ROM; flexion and extension than group (A) (p