THE EFFECTIVENESS OF PHYSICAL THERAPY PROGRAMS IN OLDER PEOPLE WITH NONSPECIFIC LOWER BACK PAIN
DOI:
https://doi.org/10.32782/2221-1217-2024-2-03Keywords:
pain, therapeutic exercises, quality of life, functional status, work capacityAbstract
Physical therapy for older people with non-specific pain in the lower back is of great importance due to the widening of the waist, a significant increase in the vitality of life and economical spending on treatment. Aim: to develop a program to improve the functional capacity and quality of life of olderly patients with nonspecific pain in the lower back and to experimentally evaluate its effectiveness. Methods. The study included theoretical research methods such as analysis, comparison, induction, deduction, as well as medical-biological, sociological, pedagogical methods, and methods of mathematical statistics. Results: Patients who participated in the enhanced program showed significant improvements in vitality, reduced pain, and a decrease in work productivity impairments, indicating the high effectiveness of the rehabilitation approach. The importance of an individualized approach in developing rehabilitation programs, considering patients' medical characteristics, physical fitness, and abilities, is emphasized. In the main group, patients showed an average pain score reduction on the VAS to 1.89±0.93 points, which was significantly lower than in the comparison group, where the final pain score was 3.60±0.85 points. The WLQ Index Score in the main group improved by 27% (p<0.05), compared to a 5% change in the comparison group (p>0.05). The final endurance indicators, measured using the six-minute walk test, also indicated a significant advantage in the main group. Patients in the main group walked an average of 77.54 meters more compared to the comparison group (p<0.05). Conclusions: The presented results of the experimental study provide compelling evidence of the effectiveness of the developed physical therapy program in reducing pain, improving endurance, and increasing work productivity.
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