The Effects of an Orthopedic Manual Physical Therapy Program Combined with Prolo Injection on Pain, Functional Disability, and Range of Motion in Patients with Nonspecific Chronic Low Back Pain

The purpose of this study was to investigate the additional effects of an orthopedic manual physical therapy program (OMPTP) combined with prolo injection (PI) compared to PI alone on pain, functional disability, and mobility in patients with nonspecific chronic low back pain. In this study, 36 patients with nonspecific chronic low back pain were randomly assigned to two groups: the OMPTP group with PI and the PI group alone. The numeric rating scale (NRS) was used to assess the subjects’ levels of low back pain, while level. the Korean Oswestry Disability Index (K-ODI) was used to evaluate lumbar functional disability scale. The finger -to -floor (FTF) test was used to assess the subjects’ lumbar mobility. The intervention consisted of PI once a week for a total of three times and OMPTP twice a week for a total of four times for three weeks. The experimental group received both PI and OMPTP, while the control group received only PI. Each OMPTP session lasted 25 minutes. After the intervention, both the experimental and control groups showed significant improvements in pain and disability. The experimental group demonstrated a greater increase in range of motion (ROM) than the control group (p<.05), and a significant difference was observed in the change in disability before and after the experimen t (p<.05). These results suggest that OMPTP can be beneficially used as a therapeutic intervention for faster functional recovery and ROM improvement in patients with chronic low back pain when combined with PI alone.