Turkish Journal of Physical Medicine and Rehabilitation 2008 , Vol 54 , Num 2

The Effectiveness of Functional Back School Concurrently Applied with Exercise and Physical Therapy Modalities in Patients with Chronic Mechanical Low Back Pain-Short Term Results

İlknur Tuğcu 1 ,Mustafa Erkut Önder 2 ,Kamil Yazıcıoğlu 3 ,Haydar Möhür 4
1 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
2 Adıyaman Devlet Hastanesi, Adıyama
3 Gülhane Askeri Tıp Akademisi Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara
4 Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey

Objective: To evaluate the effectiveness of functional back school programme concurrently applied with an exercise and physical therapy modalities in patients with chronic mechanical low back pain (LBP) for a short time. 

Materials and Methods: Thirty seven patients diagnosed as chronic mechanical LBP were included in this study. A  functional back school programme combined with physical therapy modalities and exercise programme was applied to patients for a period of 10 days. Lumbar Schober and finger-toe distance were used for the assessment of lumbar mobility. Lumbar flexion-extension and lateral lumbar flexions were measured by an inclinometer. Pain was assessed  using the Visual Analogue Scale. For the assessment of functional disability; Modified Oswestry Disability Questionnaire, Rolland-Morris Functional Activities Questionnaire and Istanbul LBP Functional Scale were applied to the patients. Assessments were made before and after the treatment. 

Results: Only finger-toe distance of the mobility assessed parameters was determined to show a statistically significant difference (p=0.004). Furthermore, the pain score was decreased significantly (p=0.001) and all of the functional parameters  showed significant improvement (Modified Oswestry Disability Questionnaire p=0.001, Rolland-Morris Functional Activities Questionnaire p=0.016 and Istanbul LBP Functional Scale p=0.014). 

Conclusion: In our study, we obtained a statistically significant decrease in pain sensation and functional disability in patients for a short time. Consequently, we believe that effective results can be obtained through the functional back school programme combined with other treatment modalities for patients with chronic mechanical LBP. 

Keywords : Chronic mechanical low back pain, functional back school, physical therapy, exercise