Comparison the Effectiveness of Manual Therapy, Electrotherapy and Core Stability Exercise vs Electrotherapy, Traction and Traditional Exercise for Acute Low Back Pain

Background Low back pain (LBP) is a leading cause of disability; it occurs in similar proportion in all cultures, interferes with quality of life & work performance & is most reason for medical consultation. 1–4 Low back pain is common worldwide, affecting approximately 70% of the adult population at some stage of life. 5–9 The cause of pain is non-specific in about 95% of people presenting with acute low back pain, and serious conditions are rare. 10, 11 However, in the absence of serious cause, it is not necessary to know the specific diagnosis in order to manage the pain effectively. The term acute is used to describe pain that has been present for less than three months; 12 it does not refer to the severity or quality of pain. Chronic low back pain is a well-documented disabling condition, costly to both individuals and society. 13 LBP is a disabling disorder that greatly affects society; it is a burden for the individual patient and additional cost for the society because loss of work and medical expenses. Therefore, adequate treatment of LBP is an important issue for patients, treating clinicians and health care policymakers.