Comparative efficacy of two multimodal treatments on male and female sub-groups with low back pain (part II).

OBJECTIVE: This study determines the efficacy of two such multimodal treatments in the management of lumbar pain syndrome in males and females.

METHOD: Total subjects of 141 male or female were randomized to treat either with conventional treatment or by DMST (dynamic muscular stabilization techniques). After stratification on the basis of gender (51 male and 21 female) were found in DMST group whereas (40 male and 29 female) were found in conventional group. The primary outcome measures were pain severity, physical strength (BPC and APC), functional ability (Walking, Stairs climbing and Stand-ups) and QOL. All patients were assessed at baseline (day 0), 10 days, 20 days, 90 days and at the end treatment or follow up (day 180).

RESULT: In this study the improvement of pain, BPC, APC, Walking, Stair climbing and stand-ups in females and males were 22.5% and 29.0%, 60.9% and 53.7%, 42.0% and 51.9%, 49.8% and 49.3%, 54.2% and 48.7%, 52.3% and 39.7%, higher respectively in DMST as compared to CONV whereas QOL in females of DMST improved by 53.6% more than the females of CONV while males of DMST improved by 57.9% more than the males of CONV.

CONCLUSION: DMST as well as CONV treatments are more effective in males than the females. Study also concluded that subgroup "female" may need more clinical attention during the management of LBP.