ผลของแผ่นประคบร้อนข้าวผสมสมุนไพรไทยต่ออาการปวดและความสามารถในการยืดตัวของกล้ามเนื้อหลังในผู้ที่มีอาการปวดหลังส่วนล่าง: ผลของแผ่นประคบร้อนข้าวผสมสมุนไพรไทยต่ออาการปวดหลังส่วนล่าง

Manoy P; Kumfu S; Srithawong A

Authors

Manoy P Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Thailand
Kumfu S Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Thailand
Srithawong A Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Thailand

Keywords:

hot pack, rice grain, low back pain, pressure pain threshold, back extensibility

Abstract

Objectives Low back pain (LBP) is the most prevalent musculoskeletal condition. Superficial heat has been utilized for decades to alleviate the symptoms; however, there has been no study of the effect of rice grain and Thai herbal hot packs using a microwave method in persons with low back pain. The purpose of this study was to compare pain scale scores and back extensibility with rice grain and Thai herbal hot packs with standard hot packs in individuals with LBP.

Methods Forty participants with LBP were stratified using a random sampling method into two groups: a rice grain and Thai herbal hot pack group (n=20) and a standard hot pack group (n=20). Twenty-minute duration treatments were given. Each patient was followed-up 6 times (3 times per week for 2 weeks). Pressure pain threshold (PPT) and back extensibility were measured using a visual analogue scale (VAS) and the Thai Oswestry low back pain disability index.

Results VAS scores and the Thai Oswestry low back pain disability index in both groups were reduced significantly (p < 0.05). PPT and back extensibility were significantly increased after rice grain and Thai herbal hot pack and hot pack treatment (p < 0.05). After treatments, PPT with rice grain and Thai herbal hot pack was significantly higher than the standard hot pack group. (p < 0.05).

Conclusions Rice grain and Thai herbal hot pack may be considered as an alternative method for relieving pain and improving pressure pain threshold and back extensibility in persons with LBP.

References

Krismer M, van Tulder M. Low back pain (non-specific). Best Practice & Research Clinical Rheumatology. 2007;21:77-91.

Janwantanakul P, Pensri P, Jiamjarasrangsri V, Sinsongsook T. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med (Lond). 2008;58:436-8.

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017;389 (10070):736-47.

Tangchareonsamut J, Chaimanee A, Chongchit-paisan W. Burden of work-related low back pain in Thailand, 2017. JPMAT 2019;3:326-36.

Pensri P, Foster NE, Srisuk S, Baxter GD, Mc-Donough SM. Physiotherapy management of low back pain in Thailand: a study of prac-tice. Physiother Res Int. 2005;10:201-12.

van Middelkoop M, Rubinstein SM, Kuijpers T, Verhagen AP, Ostelo R, Koes BW, et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011;20:19-39.

Cameron MH. Physical agents in rehabilita-tion : an evidence-based approach to prac-tice. 5th ed. St. Louis: Elsevier; 2018.

Kim M-Y, Kim J-H, Lee J-U, Kim Y-M, Lee J-A, Yoon N-M, et al. Temporal Changes in Pain and Sensory Threshold of Geriatric Patients after Moist Heat Treatment. Journal of Physi-cal Therapy Science. 2011;23:797-801.

Janwantanakul P, Dahlan W, Pommongkut S. Development of hot bag containing locally available grains for therapeutic use. Bangkok: Faculty of allied health sciences, Chulalong-korn university; 2004.

Namsawang J, Rattanathongkom S. The com-parison on physiological responses in skin temperature, blood pressure, and heart rate between application of heated rice grain and traditional Thai hot pack. J Med Tech Phy Ther. 2008;20:148-55.

Lue-adun P, Hatsadalo W, Muanchit N, Chi-tropas P. Development of hot compressed bag containing rice grain and essential oil granules using microwave method. Agricul-tural Sci J. 2014;45:361-64.

Parasin N, Khumful S, Thammachai A. Imme-diate effects of Thai herbal hot pack treat-ment on pain and lower back flexibility: a pilot study. Songkla Med J. 2017;35:221-28.

Kanthasikam C, Jaichuen T. Rice grain diver-sity in Phayao province for development of hot pack using microwave method – A pilot study. Bachelor of physical therapy: Univer-sity of Phayao. 2017.

Srithong S, editor. The comparison of the in-novative Thai herbal hot pack and hot pack in lower back pain, Porncharoen hospital, Bueng kan province. Porncharoen research & Innovation festival; 25 November 2016 Porn-charoen hospital, Bueng Kan province.

Boonstra AM, Schiphorst Preuper HR, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014;155:2545-50.

Reese NB, Bandy WD. Joint range of motion and muscle length testing. Philadelphia: W.B. Saunders Company; 2002.

Sanjaroensuttikul N. The oswestry low back pain disability questionnaire (version 1.0) Thai version. J Med Assoc Thai. 2007;90:1417-22.

Parasin N, Khumful S, Thammachai A. A com-parative study of Thai herbal hot pack and hot pack in pain treatment of low back pain: A randomized controlled trial. Srinagarind Med J. 2017;32:372-78.

Puengsuwan P, Kamolrat T, Siritaratiwat W, Arayauuchanon P, Saetatan O. A comparative study of heat effect between hot pack and Thai herbal ball on pain and physiological changes. J Med Tech Phy Ther. 2009;21:74- 82.

Michlovitz SL, Behrens BJ. Physical agents : theory and practice. 3rd ed. Philadelphia: F. A. Davis; 2014.

Intarasukum P. A comparison between herb-al ball hot compression and fabric ball hot compression on pain reduction during labor in primigravida. Journal of Health Science. 2017;26:148-57. [in Thai]

Department of Thai Traditional and alterna-tive Medicine. Aromatherapy. Thaneerat T, editor. Nonthaburi: The war veterans organi-zation office printing; 2007.

Kumfu S, Thammachai A, Parasin N, Pon-cumhak P, Srithawong A, Tapanya W, et al. A comparison study between the effects of Thai herbal steam and conventional steam on pain scale, back and leg flexibility in per-son with low back pain. Srinagarind Med J. 2018;33:143-49.

Sakulsriprasert P, Klongklaew S, Prasertkijkul P. Effects of duration of hydrocollator pack application on pain and back extensor mus-cle extensibility in individuals with chronic nonspecific low back pain. J Med Tech Phy Ther. 2014;26:76-83.

Ability Rehabilitation. When Should I use Heat or Ice?. [cited 10 June 2020]. Available from: https://abilityrehabilitation.com/heat-or-ice/