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Combination treatment of physical modalities in the treatment of musculoskeletal pain syndromes: a prospective-controlled study

Karin Pieber, Malvina Herceg, Melanie Kienbauer, Roland Peceny, Martina Grim-Stieger, Helmut Kern, Tatjana Paternostro-Sluga
  • Karin Pieber
    Department of Physical Medicine and Rehabilitation, Medical University of Vienna, General Hospital Vienna, Austria
  • Malvina Herceg
    Department of Physical Medicine and Rehabilitation, Medical University of Vienna, General Hospital Vienna, Austria
  • Melanie Kienbauer
    Department of Physical Medicine and Rehabilitation, Medical University of Vienna, General Hospital Vienna, Austria
  • Roland Peceny
    Department of Physical Medicine, Wilhelminenspital Vienna, Austria
  • Martina Grim-Stieger
    Department of Physical Medicine, Wilhelminenspital Vienna, Austria
  • Helmut Kern
    Department of Physical Medicine, Wilhelminenspital Vienna, Austria
  • Tatjana Paternostro-Sluga
    Department of Physical Medicine and Rehabilitation, Medical University of Vienna, General Hospital Vienna, Austria | tatjana.paternostro-sluga@akhwien.at

Abstract

The aim of the study was to evaluate the effect of combinations of several physical therapies in the treatment of musculoskeletal pain syndromes by a prospective, controlled study. Forty patients (5 men and 35 women, 18-80 years) with musculoskeletal pain syndrome were included. Thirty patients were assigned to the intervention group and 10 patients to the control group. The intervention group received a combination of physical therapies according to the clinical needs (electrotherapy, fango packs, mud packs, ultrasound, massage, exercise therapy). Treatment consisted of 10 sessions. The control group did not receive any physical therapy in the waiting period. The intervention group was examined at the beginning and the end of the treatment period. The control group was evaluated at the beginning and the end of the waiting period (before their physical therapy treatment started). Main outcome measurements were: Visual analogue scale for pain (VAS); Timed Get up and Go Test (TUG); Functional Reach Test (FRT). In addition bodily, emotional and social functioning was accessed by selected ICF-Items and items of the SF-36 health survey (SF-36). The main outcome measures showed significant improvement in the intervention group compared to the control group. Furthermore, ICF- and SF-36-Items also improved. In conclusion significant pain relief and improvement of function was achieved by a combination treatment of physical therapies in patients with musculoskeletal pain syndromes.

Keywords

physical modalities, musculoskeletal, pain, physical therapy, combination

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Submitted: 2013-07-03 14:09:22
Published: 2010-12-03 00:00:00
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Copyright (c) 2010 Karin Pieber, Malvina Herceg, Melanie Kienbauer, Roland Peceny, Martina Grim-Stieger, Helmut Kern, Tatjana Paternostro-Sluga

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