Global Postural Re-Education is More Effective than Motor Control Exercises in patients with Non-Specific Low Back Pain

Background. LBP is one of the major problems in a primary care communal illness with a lifetime prevalence estimating to be as high as 84%. The unspecified structural problems can ascend from day to day mechanical and postural stress on the spine and its related ligaments and muscles. It is associated worldwide with vast amounts of expenditure in terms of direct health care and losses in relation to disability. Currently, there has been a huge focus on physical exercises intended to enhance segmental motion control and lumbar spine stabilization. Methods. The study sample comprises a total of 239 patients with non-specific LBP. From the sample population, a total of 100 patients were evaluated to GPR based intervention therapy and the 100 patients evaluated with MCE based intervention therapy after dropout. After the end of the intervention procedure the following were evaluated: pain level by numeric pain rating scale, disability by Modified Oswestry Low back pain Disability Index and functional status by fingertip to floor test. The frequency of the session performed in both groups were three times in a week over the study period of five weeks Results. While comparing the evaluated report pain intensity was effectively reduced in both study groups (p < 0.001). The GPR group effectively reduced pain intensity at the end of the intervention compared to the MCE group (p < 0.001). The Modified Oswestry Low back pain Disability Index reduced in both groups; however, the GPR Group more significantly reduced the score compared to MCE Group (p < 0.001). Fingertip to Floor test showed that the GPR Group had a significantly higher flexibi ity than the MCE Group (p < 0.001). Conclusions. Patients allocated to the GPR group showed significant improvement in functional status, disability and pain intensity as compared to the MCE group (p < 0.001) in patients with nonspecific low back pain