• Ultrasonics · Jan 2019

    Randomized Controlled Trial Comparative Study

    Efficacy of diclofenac & thiocolchioside gel phonophoresis comparison with ultrasound therapy on acute low back pain; a prospective, double-blind, randomized clinical study.

    • L Altan, M Kasapoğlu Aksoy, and E Kösegil Öztürk.
    • Uludağ University Medicine Faculty, Department of Physical Medicine and Rehabilitation, Turkey; University of Health Sciences Bursa Yüksek Ihtisas Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Turkey.
    • Ultrasonics. 2019 Jan 1; 91: 201-205.

    PurposeTo investigate the effect of Phonophoresis (PP) with the combination of nonsteroidal anti-inflammatory drugs (NSAID's) and myorelaxant versus routine Ultrasound (US) treatment with non-therapeutic gel on the patients with acute low back pain (ABP).MethodsSixty patients with ABP were randomly assigned into 2 groups. In Group 1 (n = 30) US was applied using diclofenac + Thiocolchicoside gel for 10 min and for a total of 10 sessions. In Group 2 (n = 30) the same US protocol was applied with the same setting and timing with Group 1 using US gel that does not contain any pharmaceutical ingredient. Evaluation parameters were Visual numeric scale (VNS), Oswestry Disability Index (ODI), and Shober test.ResultsComparison of the results obtained from the two groups before treatment and at second (W2) and sixth weeks (W6) posttreatment showed significant improvement in all parameters in both groups (p < 0.05). Comparison of the groups showed significantly superior improvement in Group 1 for ODI while there was no difference in other parameters at W2. At W6, there was significantly superior improvement in all parameters (p < 0.05) except for Shober test in Group1.ConclusionOur results showed that PP treatment is superior than conventional US therapy at short term in ABP patients.Copyright © 2018 Elsevier B.V. All rights reserved.

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