Interferential Current Treatment Reduces Low Back Pain and Improves Functionality in Patients With Chronic Low Back Pain.
Chronic Low-back Pain
About this trial
This is an interventional treatment trial for Chronic Low-back Pain focused on measuring Interferential Current, Chronic low back pain, Quality of life, Occupational disease, Physical functionality
Eligibility Criteria
Inclusion Criteria: Individuals of both genders Aged between 18 and 65 years Voluntarily sought the Clinic's physiotherapy service Low back pain for more than 12 weeks Medical request and diagnosis of low back pain with or without pain radiating to the lower limbs Immunization against COVID 19. Signature of the free detailed term clarified. (FDTC) Exclusion Criteria: Physiotherapy treatment carried out in a period equal to or less than 8 weeks before starting the research Reporting any contraindications inherent to the use of electrotherapy Participants with fractures or spinal surgery Involved in a legal medical dispute Diagnosis of fibromyalgia Patients with flu-like symptoms during the research period Participants who have more than 2 (two) absences will be excluded from the research.
Sites / Locations
- Luiz Paulo Sobral Pereia
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Intervenction
Control Group 01
Control Group 02
We used the SONOPULSE II device from the manufacturer IBRAMED, the electrodes measuring nine centimeters in length and five centimeters in width, from the manufacturer ARKTUS, of the adhesive plate type. According to the IBRAMED manual (2011, p. 47), the application is produced by two medium frequency currents through four electrodes, quadripolar method. The current type is tetrapolar interferential and the stimulation mode is automatic vector; the carrier frequency of 4000HZ, AMF modulation frequency of 50HZ, and the sweep frequency of SWEEP will be 20HZ. SWEEP sweep modes with 6 seconds of rise from the modulation frequency to the threshold the sweep frequency upon reaching the threshold immediately decays over the next 6 seconds. The positioning of the four-leaf clover type electrodes and the intensity of the strong current, however comfortable, according to the patient's report.
he treatment is based on non-invasive methods, highlighting manual therapy techniques, especially joint manipulation therapy. Manual therapy techniques are adjustments in lumbar rotation. Joint adjustment is a controlled lever-like force with direction, amplitude, and speed that is applied to specific, tissue-adjacent joints. While joint mobilization is manual therapy without the impulse, the joint remains within the physiological range of motion (SILVA et al., 2012). Therefore, a high-velocity, low-amplitude (HVA) manual maneuver was applied. The thrust (impulse) is carried out in the para-physiological environment, between the physiological and anatomical barriers. preload phase before the manipulation, thrust phase where the maneuver is performed with high speed and low amplitude and the resolution phase where the manipulation ends. The maneuver is detailed by the authors Bergmann & Peterson (2010).
The procedure adopted in this group was based on the guidelines and recommendations for non-pharmacological treatment of the Associação Médica Brasileira AMB (RACHED, R.D.V.A. et al, 2013) use of 1 MHZ Ultrasound with a power of 1W/cm2, continuous IBRAMED device for 10 minutes, Wave Diathermy Short for 15 minutes/day, HTM brand, TENS 50 HZ and 50 ms intensity phase according to the patient's threshold, 30 minutes, IBRAMED brand