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Background <p>This case study examines how well a&#xa0;holistic approach to physiotherapy can help those with chronic low back pain (LBP) who have had brucellosis in the past as well as how it affects their mental health, functional capacity, and the flexibility and strength of their lower limbs.</p> Case presentation <p>A&#xa0;21-year-old female with a&#xa0;4-month history of LBP and a&#xa0;past history of brucellosis underwent a&#xa0;3-month intervention consisting of manual therapy, targeted exercise programs, muscle strength building, and mindfulness-based stress reduction. To measure pain, a&#xa0;numerical pain rating scale (NPRS) was used. For flexibility, the active range of motion (ROM) was used. Other tests included manual muscle testing (MMT), the Menstrual Distress Questionnaire (MEDI-Q), the Female Sexual Function Index (FSFI), the Quality-of-Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES Q‑SF), Beck’s Depression Inventory (BDI), and the Oswestry Disability Index (ODI). After the intervention, the subject exhibited marked reductions in pain, improved flexibility, increased muscle strength, and notable enhancements in mental health and functional status.</p> Conclusion <p>The detailed physiotherapy plan described herein reduces low back pain and helps to improve physical, mental, and functional status alongside the medical management of brucellosis and dysmenorrhea as per the guidelines of medical practitioners.</p>

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Case report: impact of a holistic physiotherapy approach to post-brucellosis low back pain and dysmenorrhea

  • 期刊论文

  • 发表日期：

    2025年8月29日

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  • Ashika Tanna,
  • Brinda Shukla,
  • Himanshi Ruparelia,
  • Yagnik Dave

摘要

Background

This case study examines how well a holistic approach to physiotherapy can help those with chronic low back pain (LBP) who have had brucellosis in the past as well as how it affects their mental health, functional capacity, and the flexibility and strength of their lower limbs.

Case presentation

A 21-year-old female with a 4-month history of LBP and a past history of brucellosis underwent a 3-month intervention consisting of manual therapy, targeted exercise programs, muscle strength building, and mindfulness-based stress reduction. To measure pain, a numerical pain rating scale (NPRS) was used. For flexibility, the active range of motion (ROM) was used. Other tests included manual muscle testing (MMT), the Menstrual Distress Questionnaire (MEDI-Q), the Female Sexual Function Index (FSFI), the Quality-of-Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES Q‑SF), Beck’s Depression Inventory (BDI), and the Oswestry Disability Index (ODI). After the intervention, the subject exhibited marked reductions in pain, improved flexibility, increased muscle strength, and notable enhancements in mental health and functional status.

Conclusion

The detailed physiotherapy plan described herein reduces low back pain and helps to improve physical, mental, and functional status alongside the medical management of brucellosis and dysmenorrhea as per the guidelines of medical practitioners.