Comparison of Standard Programs with and without Programmed Proper Body Mechanics on Pain and Functional Function in Obese Patient with Mechanical Low Back Pain

Abstract

Introduction: Mechanical Low Back Pain (mLBP) is a common issue linked to obesity. This study evaluates the effectiveness of Proper Body Mechanics Program in managing pain and enhancing functional ability in obese patients with mLBP.
Method: Single-blind, randomized controlled trial conducted three times a week for six weeks. Thirty eligible participants at Cipto Mangunkusumo Hospital were divided into two groups: the intervention group (14 subjects) received the Proper Body Mechanics Program in addition to a standard treatment plan including diet education, aerobic exercise, transcutaneous electrical nerve stimulation (TENS) and William flexion exercise, while the control group (16 subjects) only received a standard treatment plan.
Result: Results showed a significant reduction in pain levels as measured by the Visual Analog Scale (VAS) (p=0.011) after six weeks; however, no significant difference was found in functional ability scores (p=0.976).
Conclusion: While pain and functional ability improved in each group, the study indicates that the Proper Body Mechanics Program significantly reduces pain when added to standard Williams Flexion Exercises. Although the improvement in functional ability was not statistically significant, the intervention group showed higher overall functional improvement after six weeks.