Comparison of the Effectiveness of Various Deep Heating Modalities in the Management of Chronic Low Back Pain
Comparison of the Effectiveness of Various Deep Heating Modalities in the Management of Chronic Low Back Pain
This quasi-experimental, non-randomized, parallel-group clinical trial aims to compare the effectiveness of various deep heating modalities-microwave diathermy, shortwave diathermy, and therapeutic ultrasound-when combined with a standard lumbar exercise program in patients with chronic low back pain. The study will evaluate their effects on pain, functional disability, kinesiophobia, and quality of life. Outcomes will be assessed at baseline and after the 3-week treatment period.
Chronic low back pain (CLBP) is one of the most prevalent musculoskeletal conditions, often leading to long-term disability, reduced quality of life, and significant socioeconomic burden. Deep heating modalities, such as microwave diathermy, shortwave diathermy, and therapeutic ultrasound, are widely used in physiotherapy practice to reduce pain, improve tissue extensibility, and enhance function. However, direct comparisons of these modalities in CLBP are limited.
This quasi-experimental, non-randomized, parallel-group study will allocate participants to one of four groups:
Microwave diathermy + standard lumbar exercise program
Shortwave diathermy + standard lumbar exercise program
Therapeutic ultrasound + standard lumbar exercise program
Standard lumbar exercise program only (control)
The allocation will be performed in a non-systematic manner without a formal randomization sequence. All participants will receive a standardized home-based lumbar stabilization exercise program, while the intervention groups will also receive their respective deep heating modality in 15 treatment sessions (5/week for 3 weeks).
Primary outcomes will include pain intensity (Visual Analog Scale) and functional disability (Oswestry Disability Index). Secondary outcomes will include kinesiophobia (Tampa Scale for Kinesiophobia) and quality of life (SF-12 PCS and MCS). Assessments will be conducted at baseline and week 3 (post-treatment).
Inclusion Criteria:
Diagnosis of non-specific CLBP >12 weeks
Able to participate in exercise program
Voluntary informed consent provided
Exclusion Criteria:
Specific spinal pathology (tumor, fracture, infection, inflammatory disease)
Lumbar surgery within last 12 months
Pregnancy
Pacemaker or implanted metallic/electronic devices
Neurological deficits
Skin lesions or contraindications to deep heating modalities
-