COMPARISON BETWEEN SLUMP STRETCHING ALONG WITH EXERCISES AND COGNITIVE INTERVENTION WITH EXERCISES IN THE MANAGEMENT OF NON-RADICULAR LOW BACK PAIN

Background: Low back pain is one of the most frequent health related complaints world wide. 80% of all human beings experience LBP has had at least 1 episode of LBP in their lifetime. To date, the effect of slump stretching & exercises versus cognitive & exercises has not been compared in non radicular low back pain in a randomized experimental clinical trial. Study design: A randomized experimental clinical trial. Objective: To find out & compare the effect of slump stretching with exercises and cognitive intervention i.e. ergonomic advices with exercises in non radicular low back pain. Methods: 40 consecutive patients were randomly allocated into two groups with mean age (18-70) year, chief complaint of non radicular LBP. 14 male and 6 female patients were taken in each group. Patient were treated twice weekly for 3 weeks for a total of 6 visits. All patients were referred to physical therapy by orthopedician. This study was done to measure pre and post effect of slump stretching along with exercises versus cognitive therapy with exercises using NPRS for pain, MODI, FABQ & Body diagram for Centralization of pain in the management of non radicular low back pain. Data Analysis: Sample size calculations were performed using SAS statistical software. To calculate the result related t- test was used. There was significant difference is observed in the mean value and pd” 0.0001. Results: After 3 weeks for a total of 6 visits of treatment there was significant improvement in disability, decrease in pain and centralization of symptoms by using slump stretching compared to treatment of cognitive intervention. Conclusion: The present study concluded that slump stretching is beneficial for improving disability, decreasing pain, and centralization of symptoms compared to treatment of cognitive intervention. But the role of cognitive intervention also important in LBP specially to prevent the disability and fear factor by changing the life style.