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    Low Back Pain Proposal

    Uploaded by

    Nur Faza Rosli
    1) The document compares the effectiveness of joint mobilization versus hot packs for treating chronic low back pain. It describes a randomized controlled trial that assigned patients to receive either joint mobilization or hot pack treatment over 6 months. 2) The study aims to determine if joint mobilization is more effective than hot packs at reducing pain in chronic low back pain patients. It hypothesizes that patients receiving joint mobilization will report lower pain levels. 3) Data on pain levels was collected using the Visual Analog Scale and Oswestry Disability Questionnaire at regular intervals over the 6 month trial period. Statistical analysis will compare outcomes between the two treatment groups.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Low Back Pain Proposal

    Uploaded by

    Nur Faza Rosli
    168 views15 pages
    1) The document compares the effectiveness of joint mobilization versus hot packs for treating chronic low back pain. It describes a randomized controlled trial that assigned patients to receive either joint mobilization or hot pack treatment over 6 months. 2) The study aims to determine if joint mobilization is more effective than hot packs at reducing pain in chronic low back pain patients. It hypothesizes that patients receiving joint mobilization will report lower pain levels. 3) Data on pain levels was collected using the Visual Analog Scale and Oswestry Disability Questionnaire at regular intervals over the 6 month trial period. Statistical analysis will compare outcomes between the two treatment groups.

    Original Description:

    Research Methodology assignment Systematic Review Faculty of Health Sciences

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    1) The document compares the effectiveness of joint mobilization versus hot packs for treating chronic low back pain. It describes a randomized controlled trial that assigned patients to receive either joint mobilization or hot pack treatment over 6 months. 2) The study aims to determine if joint mobilization is more effective than hot packs at reducing pain in chronic low back pain patients. It hypothesizes that patients receiving joint mobilization will report lower pain levels. 3) Data on pain levels was collected using the Visual Analog Scale and Oswestry Disability Questionnaire at regular intervals over the 6 month trial period. Statistical analysis will compare outcomes between the two treatment groups.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    168 views15 pages

    Low Back Pain Proposal

    Uploaded by

    Nur Faza Rosli
    1) The document compares the effectiveness of joint mobilization versus hot packs for treating chronic low back pain. It describes a randomized controlled trial that assigned patients to receive either joint mobilization or hot pack treatment over 6 months. 2) The study aims to determine if joint mobilization is more effective than hot packs at reducing pain in chronic low back pain patients. It hypothesizes that patients receiving joint mobilization will report lower pain levels. 3) Data on pain levels was collected using the Visual Analog Scale and Oswestry Disability Questionnaire at regular intervals over the 6 month trial period. Statistical analysis will compare outcomes between the two treatment groups.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    COMPARISON OF EFFECTIVENESS OF JOINT

    MOBILIZATION AND HOT PACK FOR CHRONIC LOW


    BACK PAIN: RESULTS OF A RANDOMIZED CONTROL
    TRIAL WITH SIX MONTHS FOLLOW-UP
    Lecturer in-charged : Dr. Ajau Danis & En Khairil Md Isa
    Presenter members :
    1. Atiya Nadhrah bt Hassan

    (2013283706)

    2. Fatin Farhanah bt Alham

    (2013240016)

    3. Nur Faza bt Rosli (2013629096)


    4. Nur Izzati Shahira bt Che Azmi

    (2013281462)

    5. Siti Syafiqah bt Saufi(2013804104)

    INTRODUCTION
    Back pain is a common problem and a major cause of
    disability and health care utilization. Low back pain is pain,
    muscle tension, or stiffness, localized below the costal
    margin and above the inferior gluteal folds, with or without
    referred or radicular leg pain (sciatica)

    PROBLEM STATEMENTS
    In hospital setting, mostly patients who came with a low back pain will be
    managed using hot packs instead of manual technique; joint mobilization. This
    is because manual technique is time consuming in compared to hot packs.
    Despite it all, joint mobilization techniques is believed to be effective in
    reducing pain compared to thermal therapy.
    Hence, we would like to carry out study to find the effectiveness of
    intervention between hot pack and joint mobilization in reducing chronic low
    back pain.

    RESEARCH QUESTIONS
    Does joint mobilization can reduce the source of low back pain instead of hot
    packs?
    Does joint mobilization is effective to treat low back pain?
    Does hot pack effective in reducing lower back pain?

    OBJECTIVE
    To compare the effectiveness between joint mobilization and
    hot packs in reducing the pain among chronic low back pain
    patient.

    HYPOTHESIS
    H0 = There is no difference between the usage of hot packs and joint
    mobilization can reduce the pain effectively in low back pain patient.
    H1 = Low back pain patient that undergo joint mobilization treatment has
    lower pain scale than hot packs treatment.

    SAMPLING DESIGN
    PARTICIPANT:
    Inclusion
    Outpatient
    Chronic low back pain
    Age 25-40
    Mechanical back pain
    Habitual incorrect posture

    Exclusion
    Diabetic Mellitus
    Osteoporosis
    Rheumatoid arthritis
    Neurological symptom
    Pregnant
    Herniated disc (PID)
    Bone fracture
    Tuberculosis
    Trauma injury

    SETTING
    Held around Selangor area using multicentered research trial.
    Involved Sungai Buloh Hospital and PPUM.
    Gain patient information from Physiotherapy Department.
    Randomly select patients from spine division in Physiotherapy Department .

    SAMPLING METHOD
    Participant will be recruited based on voluntarily for each eligibility
    participant based on inclusion and exclusion criteria and will be assigned
    based on random allocation into either intervention or control.

    INTERVENTION
    Hot pack
    Patient is being given hot pack at lower lumbar region for 20 minutes.
    Joint mobilization
    Using grade I and II oscillation technique, do 30 times oscillatory over lower
    lumbar region (L1-L5), repeat for 3 sets.

    RESEARCH INSTRUMENT
    SAMMONS PRESTON Tropic Hydrocollator Hot Pack
    Manual technique of joint mobilization
    Using Visual analog scale (VAS) to measure pain level.
    Oswestry Low Back Pain Disability Questionnaire

    Figure 1.0 Sammon


    Preston Tropic 9
    Hydrocollator Hot
    Pack

    DATA MEASUREMENT
    Statistical Package for the Social Sciences 22.0 version (SPSS)
    Visual Analog Scale (VAS)
    Oswestry Low Back Pain Disability Questionnaire

    10

    DATA COLLECTION
    We fix our participant selection within two weeks.

    Pt. who come to department will be given a consent form.

    Select patient according to inclusion and exclusion criteria


    For the control group will be treated using hot pack; the
    intervention group treated using joint mobilization
    Followed-up for 24 weeks and treatment will be given 11once
    a week for both group with their assign tx.

    LIMITATION OF THE STUDY


    Patient drop out from the study due to prolong processes of research
    duration.
    Techniques of joint mobilization applied will be differed among
    physiotherapist.

    12

    WORK SCHEDULE/GANTT CHART


    Tasks

    Proposal writing
    Conducting
    study
    Data collection
    Data analysis
    Report
    writing/final

    To completed by (months)
    No
    v
    1
    4

    De
    c
    1
    4

    Ja
    n
    1
    5

    Fe
    b
    1
    5

    M
    ac
    1
    5

    Ap
    r
    1
    5

    M
    ay
    1
    5

    Ju
    ne
    1
    5

    Jul
    y
    1
    5

    Au
    g
    1
    5

    Se
    pt
    1
    5

    Oc
    t
    1
    5

    /
    /
    13

    Figure 1.0 Visual Analog Scale (VAS), a measurement


    used to measured pain scale before and after

    14

    15

    Figure 1.2 Oswestry Low Back Pain Disability Questionnaire

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