The prevalence of NSLBP is approximately 10 to 25% in young and middle-aged individuals.
On account of this, incidence of LBP in this age group is high whereas majority of such cases are by and large of NSLBP. Manual workers and labourers who are subjected to heavy physical exertion i.e.
The importance of staying active in patients with NSLBP is now accentuated more than ever.
A randomized trial was conducted on 60 NSLBP patients those fulfilling inclusion criteria were selected from OPD of neurology Civil Hospital and IPMandR, DUHS, Karachi, Pakistan with non-probability purposive sampling.
It was hypothesized that the PAVMs is more effective as compared to thermotherapy in the management of NSLBP along with GSEs.
NSLBP has been recognised as a common public health problem.2 An RCT was conducted to evaluate the effectiveness of PAVMs and thermotherapy along with GSEs in the management of NSLBP.
Christopher et al conducted an RCT with enrolment of 30 participants having NSLBP, 15 in each group.
Mulkern and colleagues in a Cochrane review of 5 RCTs reported better effects of heat wrap application in reducing pain in NSLBP when compared with non-heat wrap application.
in a systematic review (2011) highlighted a controversy that existed regarding the clinical effects of thermotherapy or superficial heat therapy.18 This study affirms significant effects of PAVMs than thermotherapy along with GSEs in NSLBP. Aside from this comparison, both the interventions had significant effects and remained beneficial in producing marked improvement in pain intensity and functional disability.
NSLBP being responsible for majority of the LBP cases, is a major health care problem which poses a huge disease burden on the society.