Abstract:
Background: Chronic Low Back Pain (CLBP) is a prevalent condition that
significantly impacts the quality of life and functional ability of affected individuals.
Objective: This randomized clinical trial aimed to assess the efficacy of incorporating
the Dead Bug Exercise alongside standard physiotherapy for the conservative
management of CLBP. Methodology: The study was conducted at the Centre for the
Rehabilitation of the Paralyzed (CRP), Savar, Dhaka and involved patients with non
specific CLBP. A total of 60 participants were randomly assigned to two groups: the
Experimental Group, which received the Dead Bug Exercise in addition to standard
physiotherapy, and the Control Group, which received standard physiotherapy alone.
Key outcome measures included pain intensity (measured by the Visual Analog Scale
(VAS)), disability level (measured by the Oswestry Disability Index (ODI)), and back
muscle strength. Result: The results showed significant improvements in the
Experimental Group, with substantial reductions in VAS and ODI scores, and enhanced
back muscle power post-intervention. The Control Group also demonstrated
improvements but to a lesser extent. Statistical analyses revealed that the Dead Bug
Exercise, when combined with physiotherapy, provided superior outcomes in terms of
pain relief, functional improvement, and muscle strength. These findings support the
integration of core stabilization exercises into CLBP treatment protocols.
In conclusion, the addition of the Dead Bug Exercise to conventional physiotherapy
offers an effective strategy for managing Chronic Low Back Pain and improving patient
outcomes. Further studies with larger sample sizes and long-term follow-up are
recommended to confirm the sustainability and generalizability of these results.
Key Words: Dead-Bug Exercise, Chronic Low Back Pain, Oswestry Disability Scale,
Back Muscle Strength Measurement Scale.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
