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Title: Assessment of the improvement experienced by neck and back pain patients treated by physiotherapy or physiotherapy with chiropractic in a center in Khartoum state
Keywords: chiropractic
Issue Date: 2018
Publisher: Neelain University
Abstract: Abstract Background and objectives: Spinal pain is a significant musculoskeletal problem among elder patients. Worldwide 10 in 50 patients, who visit the clinics and medical centers, present with neck and back pain .Recent studies suggest that, in many societies spinal disorders are a greater source of disability and impact the consumption of more health-care resources than any other class of diseases or health problems. Neck pain and low-back pain are first and fourth on the list of the 30 leading diseases (health conditions) with the largest number of years lived in disability and also are associated with an enormous financial burden and quality-of-life costs. Neck pain accounts tol5% of all soft tissue problems seen in general practice and is a common reason for referral to physiotherapy treatment Back pain is associated with the function and work of bones, muscles and ligaments in back and their connection together. The aim of this study to assess the effectiveness of physiotherapy and chiropractic on pain, function, patient satisfaction, quality of life in patients with neck and back pain. And to identify the improvements experienced by neck and back pain patients after treatment by physiotherapy or combination of physiotherapy with chiropractic. Material and methods: This study is a Descriptive cross sectional study; it was conducted in a centre of physiotherapy and chiropractic at Khartoum state. The target populations were sixty patients who had neck and back pain. Thirty patients received physiotherapy treatment and thirty patients received physiotherapy with chiropractic treatment. Well constructed questionnaires were filled during the interview by phone including personal characters, VAS scale, Katz index scale and other criteria like praying...etc. The collected data was then analyzed using SPSS (Statistical package for social science). Result: There is no significant difference between the two groups after the two treatments (physiotherapy or physiotherapy with chiropractic) according to values of significance which are more than (.05) on pain scale (P: 0.092), postures relieving pain (P: 0.054), Katz index (P: 1.000) and the pain improved during sleeping (P: 0.083), praying (P: 0.811) and working (P: 0.445). However, Postures relieving pain reveals strong tendency to have an effect on respondents after treatment where the significance value (P: 0.054) is approaching the p value 0.05 but with regard to differences between before and after treatment for both physiotherapy respondents and physiotherapy with chiropractic respondents on postures relieving pain where (P= 0.295) and (P= 0.243) respectively. For the correlation between pain location with three variables (age, body weight and occupation) where significant for age [(P= 0.008) weak + ve correlation] and for body weight [(P= 0.038) weak + ve correlation] and insignificant for Occupation [(P= 0.408) no correlation] and postures reliving pain for physiotherapy respondents (P = 0.295) and physiotherapy with chiropractic respondents (P = 0.243). There are no significant differences between the two treatments (physiotherapy and physiotherapy with chiropractic) regarding the numbers of physiotherapy sessions (P= 0.609), type of therapeutic exercise (P= 0.117), type of improvement (permanent or temporary) (P= 0.779) and the status of pain (returned) (P= 0.551) But there is a significant difference between before and after treatment with physiotherapy for ketz index (P= 0.000), pain scale(P= 0.000) and physiotherapy with chiropractic for Katz index(P= 0.001) and pain scale(P= 0.000) . Conclusion: There is no significant difference between the two groups after the two treatments (physiotherapy and physiotherapy with chiropractic) on pain scale, postures relieving pain, Katz index and the pain during sleeping, praying and working. But for each group before and after treatment there is a significant difference for pain scale and Katz index. There were a weak +ve correlation between the pain location (neck /back) and age and the body Weight. Recommendation: Conducting more studies to reflect the role of all factors which may lead to or improve these conditions (Neck and back pain). Key words: Neck pain, Back pain, Physiotherapy, Chiropractic.
Description: A Thesis Submitted in Partial Fulfillment for the Requirement of the Master Degree in Physiotherapy (orthopedic)
Appears in Collections:Masters Theses : Physiotherapy

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