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R??sum?? : La douleur lombaire (DL) est l???une des conditions musculosquelettiques les plus fr??quentes et co??teuses au Canada. La pr??valence annuelle de DL aig??e varierait de 19 % ?? 57 %, et un patient sur quatre souffrirait de r??currence dans la m??me ann??e. La pr??sente ??tude vise donc ?? produire une analyse descriptive de l?????pid??miologie de la DL r??currente ?? l?????chelle de la population. Une nouvelle approche m??thodologique est propos??e afin d???optimiser l???identification de vrais cas incidents de DL r??currente ?? partir d???une analyse secondaire de donn??es administratives. Puisque 10 % des patients ayant de la DL seraient responsables de 80 % des co??ts qui y sont associ??s, nous avons ??galement d??termin?? la tendance s??culaire des co??ts d???interventions m??dicales des patients r??currents incidents entre 2003 et 2008. En utilisant le fichier des services m??dicaux r??mun??r??s ?? l???acte de la R??gie de l???assurance maladie du Qu??bec, des cohortes pr??valentes ont ??t?? construites ?? partir de 401 264 dossiers de patients ayant consult?? au moins trois fois pour de la DL entre 1999 et 2008. Onze ans d???historique m??dical des 81 329 patients de la cohorte de 2007 ont ensuite ??t?? analys??s afin d???exclure les patients ayant eu des consultations ant??rieures de DL. Une valeur pr??dictive positive et un coefficient de Kappa ??lev??s ont permis d???identifier une clairance optimale pour r??cup??rer les cas v??ritablement incidents. Les co??ts de consultations ont ensuite ??t?? calcul??s pour tous les patients incidents de 2003 ?? 2007 ?? partir des manuels de facturation. Nous avons observ?? une pr??valence annuelle de la DL r??currente de 1,64 % en 2000 chez les hommes diminuant ?? 1,33 % en 2007. Cette baisse a majoritairement eu lieu dans le groupe d?????ge des 35-59 ans. Les femmes ??g??es (> 65 ans) ??taient 1,4 fois plus ?? risque de consulter un m??decin de mani??re r??currente que les hommes du m??me ??ge. L???incidence annuelle de la DL en 2007 ??tait de 242 par 100 000 personnes. Les hommes de 18 ?? 34 ans ??taient 1,2 fois plus ?? risque que les femmes de d??velopper un premier ??pisode r??current et les personnes ??g??es 1,9 fois plus ?? risque que les jeunes. L???incidence annuelle a diminu?? de 12 % entre 2003 et 2007 pendant que les co??ts totaux augmentaient de 1,4 %. La m??diane des co??ts ??tait la plus ??lev??e chez les femmes ??g??es et tendait ?? augmenter dans le temps. Ces analyses secondaires sugg??rent de s???int??resser particuli??rement ?? la DL chez les personnes tr??s ??g??es, et de d??terminer si la baisse de fr??quence de consultations r??currentes observ??e dans le temps est li??e ?? une meilleure gestion de la DL ou ?? un probl??me d???accessibilit??. Les co??ts devraient faire l???objet d???un suivi continu pour limiter les hausses. // Abstract : Low back pain (LBP) is one of the most frequent and costly musculoskeletal health conditions in Canada. Annual prevalence was found to vary between 19 % and 57 % and likely one out of four patients experience a LBP recurrence within one year. The body of knowledge on the prevalence of recurrent LBP is still limited. This study sought to present a descriptive analysis on the epidemiology of recurrent LBP in a medical population. A new methodology is also proposed to identify true cases of incident recurrent LBP. Since 10 % of LBP patients have been reported to generate 80 % of the costs, we will sought to determine the secular trend of medical costs for the incident cohorts of 2003 to 2008. Using the Canadian province of Quebec medical administrative physicians??? claims database, 401 264 prevalent claims-based recurrent LBP patients were identified between 1999 to 2008 for having consulted at least three times for LBP in a period of 365 days. The medical history of 81 329 prevalent patients in 2007 was screened for a retrospective period of 11 years. High positive predictive values and Kappa statistics were used to determine the optimal clearance period for capturing true incidence cases among patients with no prior encounters for LBP. Physicians??? claims manuals were then used to apply a price for every intervention provided to LBP incident patients in their index year and follow-up years. We observed a decrease from 1.64 % to 1.33 % in the LBP annual prevalence between 2000 and 2007 for men. This decrease was mostly observed between 35 and 59 years of age. Older women (??? 65 years) were 1.4 times more at risk to consult a physician for LBP in a recurrent manner than older men. The annual incidence in 2007 of adult claims-based recurrent LBP was 242 per 100 000 persons. Males of 18 to 34 years of age were found 1.2 times more at risk than their counterparts. Altogether, elderlies were 1.9 times more at risk than young adults to consult in a recurrent manner for LBP. The annual incidence decreased by 12 % between 2003 and 2007, while the direct costs increase by 1.4 %. The median cost for consultations was highest for elder women and increasing in time. These secondary analyses emphasize the importance to keep the watch on the elders in regards to LBP, and to determine if the timely decrease in morbidity is related to improvements in LBP management or to a medical accessibility issue. Also, costs will need to be surveyed on a regular basis to limit the impact of future increases.

Tikslas – nustatyti kineziterapijos poveikį slaugytojų, dirbančių slaugos skyriuje, juosmeninės stuburo dalies skausmui ir funkcijai. Tyrimo hipotezė – galvojame, kad naudojant juosmeninės stuburo dalies raumenis stiprinančius pratimus bei juosmens tempimą Saunders aparatu juosmeninės stuburo dalies skausmas mažės, o funkcija – gerės. Stuburo ligos yra labai paplitusios visame pasaulyje: apie 80 proc. pasaulio gyventojų bent kartą yra jautę vienokio ar kitokio intensyvumo nugaros skausmą. Apie 20 proc. gyventojų periodiškai pasikartoja nugaros skausmas, trunkantis tris ir daugiau dienų (Seibutis, 2008). Nugaros juosmeninės dalies skausmas yra labai paplitęs, dažniausiai jis nustatomas darbingo amžiaus žmonėms nuo 30 iki 50 metų amžiaus (Secer ir kt., 2009). Temos aktualumas – slaugos skyriuje dirbančiam personalui tenka susidurti su slaugos priemonių ir kėlimo įrangos stoka bei dideliu darbo krūviu, todėl personalas skundžasi varginančiais stuburo skausmais dėl netaisyklingo pacientų kėlimo ir vartymo (Aw et al., 2013). Užsienio autorių (d'Errico et al., 2013) atliktuose tyrimuose buvo nustatyta, kad dirbančių slaugytojų tarpe ypatingai dažnas yra juosmeninės stuburo dalies skausmas, kurį būtina kontroliuoti ir imtis priemonių nedarbingumui dėl jo mažinti. Temos naujumas – mokslinių tyrimų ir straipsnių apie slaugos skyriuje dirbančių slaugytojų nugaros juosmeninės dalies skausmus nėra daug. Kadangi slaugos skyriuose dirbančių slaugytojų darbo sąlygoms ir tenkančiam krūviui... [toliau žr. visą tekstą] / Object: to determine the effects of physical therapy for nurses working in the nursing section of the lumbar spine pain and function. Hypothesis of research – we think that the use of lumbar spine exercises and lumbar strain Saunders apparatus lumbar spine pain will decrease and the function is going to get better. Spinal diseases are very common in all world: about 80 percent of world population at least once felt one or another back pain intensity. About 20 percent of population back pain, lasting for three or more days is periodically recurring (Seibutis, 2008). Low back pain is a very common disorder, but mostly is determinated for able – bodied persons aged from 30 till 50 years old (Secer et al., 2009). Relevance of the subject – in the care unit working staff have to deal with the lack of nursing tools and lifting equipment and a heavy workload, because staff complaining to of troublesome of low back pain about incorrect patient lifting and turning (Aw et al., 2013). Previous investigations of foreign authors, it was found that nurses working in particular among frequent is pain in the lumbar spine, which it is necessary to monitor the occurrence of and to take measures for its reduction (d'Errico et al., 2013). Newness of the subject – research and articles about nursing for nurses working in the section of the back lumbar pain is not a lot of. Whereas the sections working in nursing nurses working conditions and the lack of attention given to the workload, decreasing... [to full text]

This cross-sectional postal survey explores the relationship between musculoskeletal painand level of education in Ullensaker municipality. We used a Standard Nordic Questionnaire(SNQ) to register self-reported musculoskeletal pain in 3325 persons in 2004 (participationrate 55 %). We registered educational level and a series of other demographic and life-stylevariables as well as functional ability and subjective health complaints. We found in thisstudy that educational level and musculoskeletal pain is associated. People with loweducational levels are prone to have more musculoskeletal pain than persons with highereducation. When it comes to musculoskeletal pain that is limiting persons in their daily tasksthe difference is even larger between persons with low educational level and persons withhigher education / I en postal tverrsnittstudie har vi undersøkt forholdet mellom muskelsmerter ogutdanningsnivå i Ullensaker kommune. Vi brukte et standardisert spørreskjema ommuskelsmerter (også kalt Ørebro-skjemaet) og fikk svar fra 3325 personer (svarprosent55%). Vi registrerte utdanningsnivå og en rekke andre demografiske- og livsstilsvariablesamt funksjonsevne og subjektive helseplager. Vi fant i denne studien ensammenheng mellom utdanningsnivå og muskelsmerter. Personer med lavtutdanningsnivå har mer muskelsmerter enn personer med høyere utdanning. Når detgjelder å bli hindret i sine daglige aktiviteter av smertene er forskjellene enda størremellom de med lav utdanning og de med høy utdanning / <p>ISBN 978-91-85721-43-6</p>

v anglickém jazyce: Incidence and management of muscle imbalances in physically active and inactive populations: Objective rehabilitation solutions for populations with nonspecific back pain Summary Totally 258 patients with chronic low back pain aged 51,5 +8,4 years were treated for three weeks in the Rehabilitation Centre focused on lumbar back pain. We observed incidence of muscle dysbalances and accomplished their exact objectiveness using the Tergumed system. We tried to compare and solve their mutual influence during the rehabilitation treatment. We compared differences between physically active and physically inactive population, the impact of total motivation,age and other factors on the improvement of strenght, motion, dysbalances and total pain relief.Significant improvement of movement and muscle strenght p <0,001 were documented on the Tergumed in three weeks.The physically active population and patients motivated.by using the Tergumed preferred active exercises to passive therapy. We also observed improvement in finger-floor distance and reduction of pain, documented by the visual analogue scale, decrease in body weight and cholesterol level (p <0,001). In three- week observation nor significant changes in muscle dysbalance, neither their differences according to sex,age ,chronical...

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Abstract Low back pain (LBP) is a highly prevalent musculoskeletal condition and the leading cause for workplace absenteeism. Lumbar disc degeneration (DD) is considered as a contributing factor to LBP. The role of genetic factors in the development of lumbar DD has been demonstrated to be significant, with heritability estimates ranging from 64% to 81%. Modic change (MC), a distinct phenotype of lumbar DD, is a subchondral and vertebral bone marrow change revealed only by magnetic resonance imaging (MRI). MC has been associated with LBP in both clinical samples and the general population. The genetic background of MC is largely unknown, and the heritability of MC has not previously been assessed. The aim of this study was to assess the heritability of MC using a twin study, identify predisposing genetic factors for MC in a family-based design using whole-exome sequencing and to identify genetic loci associated with MC using genome-wide association study (GWAS) meta-analysis. An additional aim was to study the prevalence, incidence and morphology of MC. The data consisted of two general population samples, the Northern Finland Birth Cohort 1966 (NFBC1966) and TwinsUK from the United Kingdom, as well as two Finnish families from the Oulu region. MC was found to be partly heritable with a heritability estimate of 30%. Two novel candidate genes, HSPG2 and MAML1, were found co-segregating with MC in two Finnish families. Both genes are important in the growth and differentiation of chondrocytes. Finally, a genetic locus on chromosome 9 was found to be significantly associated with MC using genome-wide meta-analysis of NFBC1966 and TwinsUK. These results showed that genetic factors play a role in the development of MC. In conclusion, this thesis increased the knowledge on the genetics of MC. However, the specific roles of these genes need to be studied further. / Tiivistelmä Alaselkäkivun kansaterveydellinen merkitys on suuri, sillä jopa 84% aikuisista kärsii siitä elämänsä aikana. Selkäkivun vuoksi Suomessa kertyy yli 2 miljoona sairauslomapäivää vuodessa. Välilevyrappeumaa pidetään merkittävänä tekijänä alaselkäkivun synnyssä ja perinnölliset tekijät selittävät välilevyrappeuman synnystä jopa 74%. Modic-muutokset ovat selkärangan välilevyjen päätelevyjen ja subkondraalisen luun muutoksia, jotka voidaan havaita ainoastaan magneettikuvauksella. Niitä pidetään välilevyrappeuman alatyyppinä. Modic-muutosten on osoitettu olevan yhteydessä alaselkäkipuun, mutta etiologia tunnetaan huonosti. Perinnöllisyyden osuutta Modic-muutoksien synnyssä ei ole aiemmin tutkittu ja niiden taustalla vaikuttavat geneettiset tekijät ovat pääasiassa tuntemattomia. Tämän tutkimuksen tavoitteena oli arvioida perinnöllisyyden osuutta Modic-muutoksissa kaksoisaineistossa, tunnistaa Modic-muutoksille altistavia geneettisiä muutoksia perheaineistossa käyttäen eksomisekvensointia ja tunnistaa genomin alueita, jotka assosioituvat Modic-muutoksiin. Tutkimus perustui kahteen väestöperäiseen aineistoon: Pohjois-Suomen Syntymäkohorttiin 1966 ja TwinsUK-kaksosaineistoon Yhdistyneistä kuningaskunnista sekä kahteen pohjois-suomalaiseen perheeseen. Tutkimuksessa osoitettiin, että Modic-muutokset ovat perinnöllisiä ja, että perinnölliset tekijät selittävät noin 30% niiden ilmenemisestä. Lisäksi tutkimuksessa tunnistettiin kaksi uutta alttiusgeeniä; HSPG2- ja MAML1-geenit. Molemmilla geeneillä on tärkeä rooli rustosolujen kasvamisessa ja erilaistumisessa. Tutkimuksessa myös tunnistettiin kromosomista 9 genomin alue, joka assosioituu Modic-muutoksiin. Väitöskirjassani osoitettiin, että perinnöllisillä tekijöillä on merkitystä Modic-muutosten synnyssä. Kokonaisuudessaan tämä väitöskirja kasvattaa ymmärrystä Modic-muutoksista, mutta lisätutkimusta aiheesta tarvitaan.

A lombalgia mecânica comum (LMC) representa um problema particularmente importante no ambiente ocupacional, muitas vezes associado a incapacidade, afastamento do trabalho e alto custo socioeconômico. O surgimento da neuroimagem funcional permitiu novos conhecimentos sobre a estrutura cerebral e a fisiologia da dor crônica. Embora os aspectos relacionados ao trabalho sejam importantes fatores de risco para a cronicidade, existem poucos estudos que abordam especificamente a fisiopatologia da LMC em indivíduos afastados do trabalho. A esse respeito, questionamos se um fator como a atenção, conhecida como um importante modulador da dor, poderia desempenhar um papel distintivo na modulação da dor nos indivíduos com LMC afastados do trabalho. Objetivos: comparar os correlatos neuronais entre indivíduos com lombalgia mecânica comum com afastamento do trabalho, com indivíduos lombálgicos sem afastamento. Métodos: Foram selecionados 74 indivíduos com LMC crônica, divididos em três grupos: indivíduos com LMC e afastamento do trabalho (LMC/A); indivíduos com LMC sem afastamento do trabalho (LMC) e indivíduos sem qualquer tipo de dor crônica e sem afastamento do trabalho (Controle). O estudo foi realizado no Hospital Israelita Albert Einstein (HIAE). A ressonância magnética funcional (RMf) foi utilizada durante o desempenho de dois paradigmas (dor e atenção). Resultados: Após a estimulação dolorosa, na comparação entre os grupos, verificamos diferença significativa na condição estimulação > repouso, sendo que o contraste LMC > LMC/A mostrou maior resposta hemodinâmica (efeito BOLD) no córtex cingulado anterior e giro frontal superior e médio direito (p < 0,001). No contraste controles > LMC/A, o grupo controle apresentou maior efeito BOLD em região do polo frontal e paracingulado (p = 0,002). Conclusão: Nosso estudo corrobora o conceito de que a presença de dor crônica está associada a uma alteração na plasticidade neuronal em áreas cerebrais que se estendem além das regiões somatossensoriais, para incluir áreas que processam emoções / Chronic low back pain (CLBP) is a particularly important problem in the occupational environment, often associated with incapacity, sick leave and high socioeconomic cost. The emergence of functional neuroimaging allowed new insights into the brain structure and physiology of chronic pain. Although work-related aspects are important risk factors for chronicity, there are few studies that specifically address the pathophysiology of CLBP in individuals with sick leave. In this regard, we questioned whether a factor such as the attention known as an important pain modulator could play a distinctive role in modulating pain in individuals with CLBP with sick leave. Objective The overall objective of this study is to compare the neuronal correlates between groups of individuals CLBP with or without sick leave. Methods We selected 74 individuals, divided into three groups: individuals with CLBP, functional incapacity and sick leave (CLBP_L); individuals with CLBP, functional disability without sick leave (CLBP_NL); individuals without any form of chronic pain and without sick leave (Control). Functional magnetic resonance imaging (fMRI) was used during the performance of two paradigms (pain and attention).Results After painful stimulation, a significant difference was observed in the stimulation > rest condition, while the CLBP > CLBP_L contrast showed a higher hemodynamic response in the anterior cingulate cortex and the right medium /superior frontal gyrus (p < 0.001) and in contrast controls > CLBP_L, the control group presented higher hemodynamic response in the frontal pole and paracingulate region (p = 0.002).Conclusions Our study corroborates the idea that the presence of chronic pain is associated with an alteration in neuronal plasticity involving brain areas linked to emotions and not just somatosensory areas

In recent years, the scientific community has emphasized the importance of the core both in the sports context and in rehabilitation. The core is an area of the body, responsible for generating force from the center and dissipating it to the extremities. In this perspective, specific exercises have been used for this area in functional training, in order to promote improvements in functional and core performance. However, it is not clear in what magnitude the core actually participates in performing functional actions in young adults and yet whether the inclusion of core-specific physical exercises in functional training causes more pronounced functional adaptations than when this inclusion does not occur. Thus, the objectives of this dissertation were: I) To analyze the association between the endurance of the core and measures of functional performance in young individuals. II). To analyze the effects of 12 weeks of specific core training and functional training, with and without the inclusion of core-specific exercises, on core performance and performance in functional tests. This dissertation was composed of three studies: A study of protocol / trial (Study I), transversal (Study II) and experimental (Study III). Participating in the study sample were young and healthy individuals, classified as insufficiently active by the International Questionnaire of Physical Activity. In the study II a multiple linear regression was performed with the purpose of explaining in what magnitude the endurance of the core contributes to the performance of functional tests. The findings of this study showed that there is a participation of core endurance ranging from 1.4 to 46.9% depending on the functional test performed. In addition, most of these interactions were statistically significant. In study III, the participants were allocated to three intervention groups: Functional Training with core, which performed global exercises in addition to specific exercises for the core; Functional training, which performed only functional global exercises; and Core training, which performed only exercises that caused greater activation in the core muscles. After 12 weeks of training, all groups improved significantly in both functional and core performance, but there were no significant differences between them. Thus, it is concluded that the endurance of the core is important for the functionality of young adults and that when core-specific exercises are included in the functional training, the gains related to functional and core performance are enhanced. / Nos últimos anos a comunidade científica tem destacado a importância do core tanto no contexto esportivo, quanto na reabilitação. O core é uma zona do corpo, responsável por gerar força do centro e dissipá-la para as extremidades. Nessa perspectiva, tem sido utilizado exercícios específicos para essa zona no treinamento funcional, com o intuito de promover melhorias na performance funcional e do core. No entanto, não está claro em que magnitude o core realmente participa da realização de ações funcionais em jovens adultos e ainda se a inclusão de exercícios físicos específicos para o core no treinamento funcional provoca adaptações funcionais mais acentuadas do que quando não ocorre essa inclusão. Sendo assim, os objetivos da presente dissertação foram: I) Analisar a associação entre a endurance do core e medidas de performance funcional em indivíduos jovens. II). Analisar os efeitos de 12 semanas de treinamento específico do core e treinamento funcional, com e sem a inclusão de exercícios específicos do core, sobre a performance do core e a performance em testes funcionais. Esta dissertação foi composta por três estudos: Um estudo de protocolo/ trial (Estudo I), transversal (Estudo II) e experimental (Estudo III). Participaram da amostra dos estudos, indivíduos jovens e saudáveis, classificados como insuficientemente ativos pelo Questionário Internacional de Atividade Física. No estudo II foi realizado uma regressão linear múltipla com o intuito de explicar em que magnitude a endurance do core contribui para a realização de testes funcionais. Os achados desse estudo demonstraram que há uma participação da endurance do core que varia entre 1,4 e 46,9 % a depender do teste funcional executado. Ademais, a maioria dessas interações foram estatisticamente significativas. Já no estudo III, os participantes foram alocados em três grupos de intervenção: Treinamento Funcional com core, que realizava exercícios globais além de exercícios específicos para o core; Treinamento funcional, que executava apenas exercícios globais de caráter funcional; e Treinamento do core, que executava apenas exercícios que provocassem maior ativação na musculatura do core. Após 12 semanas de treinamento, todos os grupos melhoraram de maneira significativa tanto na performance funcional quanto do core, entretanto não houveram diferenças significativas entre eles. Assim, conclui-se que a endurance do core é importante para a funcionalidade de jovens adultos e que, quando incluído exercícios específicos para o core no treinamento funcional, os ganhos referentes à performance funcional e do core são potencializados. / São Cristóvão, SE

Introdução: A lombalgia é frequentemente acompanhada por exacerbação da dore incapacidade funcional. Entre os recursos usados no tratamento estão o laser, ultrassom contínuo e pulsátil,porém os efeitos são controversos. Objetivos:Verificar o efeito do laser e do ultrassom contínuo e pulsátil na dor e na incapacidade funcional de mulheres com lombalgia crônica não específica.Casuística e Método: A amostra foi composta por 100 voluntárias alocadas aleatoriamente em quatro grupos: Laser (n=26) tratadas com 3J; Ultrassom Pulsátil(n=24)de 3 MHz, tratadas com 1W/cm²; Ultrassom Contínuo (n=26) de 1 MHz, tratadas com 1W/cm²; e Controle (n=24), que aguardou tratamento.A intensidade da dor foi avaliada com a Escala Visual analógica (EVA), a qualidade da dor com o questionário de dor McGille a incapacidade funcional com o questionário de Roland Morris, antes e após 10 sessões de tratamento.Resultados:Os três grupos tratados tiveram diminuição na dor(p < 0,001), mas o grupo Laser apresentou ganho relativo de 91,2%; Ultrassom Pulsátil 76,8%; grupo Ultrassom Contínuo 81,5% e o grupo Controle piora de -5,8%. Os três grupos tratados tiveram melhora na qualidade da dor (McGill) total, sensorial e afetiva (p < 0,005; p < 0,002; p < 0,013, respectivamente).Todos os grupos tratados apresentaram diminuição na incapacidade funcional (p < 0,001),porém o grupo Ultrassom Pulsátil obteve o maior ganho relativo de 83,3% em comparação com os grupos Laser (62,5%), Ultrassom Contínuo (50%) e Controle(-37,5%). Conclusão: O laser pulsátil de baixa intensidade, ultrassom terapêutico 3 MHz e 1 MHz nos modos pulsátil e contínuo, respectivamente, tem efeitos significativos na diminuição da dor lombar e na melhora da incapacidade funcional em portadoras de lombalgia crônica não específica. Quanto ao ganho relativo, o laser pulsátil de baixa intensidade teve melhor efeito na dor enquanto o ultrassom 3 MHz, modo pulsátil, na melhora da incapacidade funcional / Introduction: low back pain is often accompanied by exacerbation of pain and functional disability. Laser, Continuous and Pulsatile Ultrasound are used for the treatment, but its effects are controversial. Objectives: To assess the effect of the laser, the pulsatile and the continuous ultrasound on pain and functional disability in women with chronic non-specific low back pain. Material and methods: The sample was composed of 100 volunteers randomly allocated into four groups: Laser (n= 26) treated with 3 J; Pulsed Ultrasound (n= 24) of 3 MHz, treated with 1W/cm2; Continuous Ultrasound (n= 26) of 1 MHz, treated with 1W/cm2); and a Control Group (n= 24), who waited for treatment. The intensity of pain was assessed using the Visual Analogue Scale (VAS), the quality of pain with the of the McGill pain questionnaire and the functional disability with the Roland-Morris questionnaire, before and after 10 session of treatment.Results: The three treated groups had decrease in pain (p < 0.001), but the Laser group showed relative gain of 91.2 %; pulsed Ultrasound 76.8 %; group Continuous Ultrasound 81.5% and the Control group worsening of -5.8 %. The three treated groups had improvement in the quality of pain (McGill), total, sensory and affective dimension (p < 0.005; p < 0.002; p < 0.013, respectively). All treated groups showed a decrease in functional disability (p < 0.001), but the Pulsatile Ultrasound group showed the highest relative gain (83.3%) in comparison with the Laser (62.5 % ), Continuous Ultrasound (50 %) and Control groups (-37.5 % ). Conclusion:The pulsed laser, pulsed and continuous ultrassom have significant effects in decrease of low back pain and improve the functional disability in women with non-specific chronic low back pain, but the pulsed low level laser had the best results on pain while the pulsed ultrasound had the best results on improve the functional disability