Lumbar spondylosis Chronic low back pain in older adults Radial Shock Wave Therapy Short Wave Diathermy Low Back Pain Elderly Physical Therapy Modalities Pain Management Range of Motion Functional Outcome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 60 years and older 2. Diagnosed with lumbar spondylosis by physician 3. Muscle spasm around lumbar spine on one or both sides 4. Chronic low back pain lasting more than 3 months 5. Pathology at lumbar spine levels L1 to L5 6. Able and willing to participate and give informed consent
Exclusion criteria
Exclusion criteria: 1. History of lumbar spine surgery within the past year 2. Radiating pain or numbness due to nerve compression 3. Lumbar fracture or spondylolisthesis 4. Severe hearing or vision impairment affecting communication 5. Scoliosis 6. Severe osteoporosis 7. Lumbar disc herniation compressing nerve or spinal cord 8. Use of anticoagulants, NSAIDs, analgesics, or topical medications 9. Receiving other treatments such as massage or acupuncture
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pressure algometer Before treatment, after 4 weeks of treatment pounds per square centimeter | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Schober test Before treatment and after 4 weeks lumbar range of motion in degrees,The Oswestry Disability Index (ODI) Before treatment, after 4 weeks of treatment Functional ability | — |
Countries
Thailand
Contacts
Dok Khamtai Hospital, Phayao Province