A randomized controlled trial on the efficacy of longwave diathermy on pain, disability and range of motion in the patients with neck pain

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2022.e4805

Keywords:

Diathermy, Neck Pain, Range of Motion, Visual Analog Scale, Musculoskeletal

Abstract

INTRODUCTION: Neck pain is a significant cause of disability worldwide, caused by various conditions like underlying diseases, mechanical and neuropathic abnormalities. Longwave Diathermy (LWD) is a therapeutic heating modality used to treat many musculoskeletal conditions. OBJECTIVE: To evaluate the efficacy of LWD on pain, disability, and range of motion (ROM) in neck pain. METHODS AND MATERIALS: The study was conducted after ethical approval from the university and registration in clinical trial registry (PTY/2022/155 & CTRI/2022/06/043033). Thirty patients with neck pain of 20-60 years were randomly allocated into two groups. The control group (n=15) performed simple home-based exercises, while in the experimental group (n=15) longwave diathermy was also given along with home exercises, 3 times/week for 2 weeks. The outcome measures like the Visual analogue scale (VAS), neck disability index (NDI), and Neck range of motion were assessed at baseline, at the end of 2 weeks (post-treatment), and after a follow-up of 2 weeks. RESULTS AND CONCLUSION: There was a significant improvement in pain, disability, and ROM post-intervention in the control group and experimental group. Additionally, there was a significant difference in pain after follow-up in both groups. The between-group comparison suggested that there was a significant difference for VAS, NDI, and neck extension ROM (p<0.05) but not for ROM in other directions. Therefore, it can be concluded that LWD is an effective therapeutic intervention for improving pain, neck disability, and neck range of motion along with neck exercises in patients with neck pain.

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References

(1) Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017;358. https://doi.org/10.1136/bmj.j3221

(2) Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. In Mayo Clinic Proceedings. Elsev. 2015;90(2):284-299. https://10.0.3.248/j.mayocp.2014.09.008

(3) Popescu A, Lee H. Neck pain and lower back pain. Med Clin. 2020;104(2):279-92. https://doi.org/10.1016/j.mcna.2019.11.003

(4) Heintz MM, Hegedus EJ. Multimodal management of mechanical neck pain using a treatment-based classification system. Jour Man Manip Ther. 2008;16(4):217-24. https://doi.org/10.1179/106698108790818260

(5) Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther. 2004;9(3):125-33. https://doi.org/10.1016/j.math.2004.05.003

(6) Visconti L, Forni C, Coser R, Trucco M, Magnano E, Capra G. Comparison of the effectiveness of manual massage, long-wave diathermy, and sham long-wave diathermy for the management of delayed-onset muscle soreness: a randomized controlled trial. Arch Physiother. 2020;10(1):1-7. https://doi.org/10.1186/s40945-019-0073-4

(7) Sawant S, Rao K. Effectiveness of myofascial release (MFR) and long wave diathermy (LWD) on upper trapezius spasm. Inter Jour Multidiscipl Res Develop [Internet]. 2019;6(3):159–62. Available from: http://www.allsubjectjournal.com/archives/2019/vol6/issue3/6-2-66

(8) Aishwarya B, Nelson N, Joseph N, Chandurkar Y. Long wave diathermy therapy for pain relief. Inter Jour Engin Tech Sci Res [Internet]. 2017;4(4):196–200. Available from: http://ijetsr.com/images/short_pdf/1491648631_dmce905_venue.pdf

(9) Lindblad K, Bergkvist L, Johansson AC. Evaluation of the treatment of chronic chemotherapy-induced peripheral neuropathy using long-wave diathermy and interferential currents: a randomized controlled trial. Supportive Care in Cancer. 2016;24(6):2523-31. https://doi.org/10.1007/s00520-015-3060-7

(10) Woodhouse MC, Hiscock LA. Effects Produced by Physical Treatments. Post Med Jour. 1958;34(388):89-90. https://doi.org/10.1136/pgmj.34.388.89

(11) Manigandan ST, Sangeetha S. Compare the effectiveness of longwave diathermy with myofascial release and ultrasound therapy with myofascial release for pain and function in patients with plantar fasciitis [thesis]. Chennai: Madha College of Physiotherapy; 2016. [cited in 2022 nov. 30]. Available from: http://repository-tnmgrmu.ac.in/6190/1/270114816manigandan.pdf

(12) Sadeghi A, Rostami M, Ameri S, Moghaddam AK, Moghaddam ZK, Zeraatchi A. Effectiveness of isometric exercises on disability and pain of cervical spondylosis: a randomized controlled trial. BMC Spo Scienc, Med Rehab. 2022;14(1):1-7. https://doi.org/10.1186/s13102-022-00500-7

(13) Lee JD, Shin WS. Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Phys Ther Rehab Scienc. 2020;9(1):1-9. https://doi.org/10.14474/ptrs.2020.9.1.1

(14) Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001;8(12):1153-7. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x

(15) Begum MR, Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. Jour Med Case Repor Rev [Internet]. 2019;2(11):394-402. Available from: https://jmcrr.info/index.php/jmcrr/article/view/44

(16) MacDermid JC, Walton DM, Avery S, Blanchard A, Etruw E, Mcalpine C, Goldsmith CH. Measurement properties of the neck disability index: a systematic review. Jour Orthop Spor Phy Ther. 2009;39(5):400-17. https://www.jospt.org/doi/10.2519/jospt.2009.2930

(17) McCarthy MJ, Grevitt MP, Silcocks P, Hobbs G. The reliability of the Vernon and Mior neck disability index, and its validity compared with the short form-36 health survey questionnaire. Euro Spi Jour. 2007;16(12):2111-7. https://doi.org/10.1007/s00586-007-0503-y

(18) En MC, Clair DA, Edmondston SJ. Validity of the Neck Disability Index and Neck Pain and Disability Scale for measuring disability associated with chronic, non-traumatic neck pain. Man Ther. 2009;14(4):433-8. https://doi.org/10.1016/j.math.2008.07.005

(19) Dusunceli Y, Ozturk C, Atamaz F, Hepguler S, Durmaz B. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. Jour Rehab Med. 2009;41(8):626. https://doi.org/10.2340/16501977-0392

Published

12/13/2022

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Original Articles

How to Cite

1.
Panihar U, Sharma K, Joshi S, Pawalia A. A randomized controlled trial on the efficacy of longwave diathermy on pain, disability and range of motion in the patients with neck pain . Rev Pesq Fisio [Internet]. 2022 Dec. 13 [cited 2024 Dec. 22];12:e4805. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/4805