A SUBMAXIMAL BACK EXTENSION ENDURANCE TEST UTILISING SUBJECTIVE PERCEPTION OF LOW BACK FATIGUE

1998 ◽  
Vol 30 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Simo Taimela, Markku Kankaanpä&#
Author(s):  
Bijal Majiwala ◽  
Trupti Warude ◽  
Amrutkuvar Pawar

Objective: To compare the effects of isometric (stability) and isotonic training on core muscle in patients with non-specific low back pain on pain, endurance, and functional disability.Methods: Forty participants of both genders aged between 20 and 35 years suffering from non-specific low back pain were taken and equally divided into two groups: Group A isometric exercise and Group B isotonic exercise, both the group received baseline treatment of transcutaneous electrical nerve stimulation and hot moist pack. Outcomes measure visual analog scale, endurance test, and modified Oswestry disability index were used the pre-treatment and at the end of 4 weeks.Results: Experiment of both the groups showed a non-significant improvement in pain, endurance, and functional disability. Except for extensor endurance test which shows significant different in Group A.Conclusion: Both isometric and isotonic exercises are equally effective in reducing pain, increase endurance, and improve functional disability in patients with non-specific low back pain.


2010 ◽  
Vol 13 (01) ◽  
pp. 13-21 ◽  
Author(s):  
Chidozie E. Mbada ◽  
Olusola Ayanniyi ◽  
Rufus A. Adedoyin ◽  
Olubusola E. Johnson

Purpose: Quite a few studies have reported previously on reasons for terminating tests of back muscles endurance. This study investigated the association between endurance performance and reported reasons for terminating back extensor muscle endurance test in apparently healthy adults. Methods: Three-hundred-and-seventy-six volunteers with the mean age of 38.9 ± 13.5 years participated in this study. All participants underwent modified Biering–Sørensen test of Static Muscular Endurance. Descriptive statistics of mean and standard deviation, Pearson's correlation and Chi-square, ANOVA and ANCOVA were used to analyze the data. The α level was set at 0.05. Results: It is found that 76.1% of the participants terminated the test due to fatigue in the low back, followed by low-back pain (LBP) (12.8%) and fatigue in the gluteal or hamstring muscles (7.4%) respectively. The magnitudes of the endurance time for each reason of termination — fatigue in the low back (121 ± 49.3 sec), fatigue in the gluteal or hamstring muscles (102 ± 44.0 sec), LBP (59 ± 27.4 sec), and behavioral factors (92 ± 34.7 sec) were found to be significantly different (p = 0.001). Test termination due to fatigue in the low back was on the average 62 seconds longer than that due to LBP. Conclusions: Fatigue was the most commonly reported reason for back extensor muscles' endurance test termination. Endurance time was least in those individuals who terminate the test due to complaints of LBP and greatest in those who end the task for fatigue only.


2016 ◽  
Vol 29 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Cíntia Pereira de Souza ◽  
Renato Sobral Monteiro-Junior ◽  
Elirez Bezerra da Silva

Abstract Introduction: The low resistance of the erector spinae has been seen as a risk factor for developing chronic low back pain. The test of the erector spinae muscle endurance advocated by Biering-Sorensen has been used to assess the strength of the erector spinae muscle. Modifications of the measuring instrument require reliability studies. Objective: To evaluate the measurement of the erector spinae muscle endurance and the standard error of measurement (SEM) of the modified Biering-Sorensen test of erector spinae in women with chronic low back pain. Methods: Forty-eight sedentary women, aged 52 ±7, suffering from chronic low back pain, were tested. The position adopted was the prone position without the trunk on the examining table. Fixations were performed with straps at the ankles, knees and pelvis. The patient was instructed to maintain the shoulder blades in contact with the stadiometer as long as possible. The measurement was repeated, with measures 15 minutes apart. Results: Considering the confidence limits of Bland & Altman, - 40 and 68 seconds, the SEM was13 seconds and SEM% was 22. The ICC = 0.87 with p = 0.001. The first test was equal to 54 ± 36 seconds, and the retest = 67 ± 40 seconds. Conclusion: The endurance test of the erector spinae showed moderate reliability. Therefore, we suggest that, despite its applicability in clinical practice, the results should be interpreted carefully because the differences in mean erector spinae endurance of up to 13 seconds may be related to measurement error.


2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Bruno Sergio Portela ◽  
Anderson Vulczak ◽  
Marcos Roberto Queiroga

SummaryStudy aim: to compare the physical fitness of bus drivers and fare collectors (working hours per day in sitting position = 7h) with and without low back pain. The subjects consisted of sixty-six bus drivers and fare collectors working in a public transport company.Material and methods: the prevalence of low back pain, age and working time was determined for bus drivers and fare collectors using a questionnaire. All subjects underwent anthropometric assessment (weight, height and waist circumference), an abdominal endurance test and a hip flexibility test.Results: there was a significant difference between the low back pain group (n = 27) and the group without pain (n = 39) in body mass index (27.5 ± 3.9 kg · m–2vs. 25.6 ± 4.0 kg · m–2), waist circumference (92.5 ± 10 cm vs. 85.9 ± 9 cm), the abdominal endurance test (28.9 ± 17.5 repetitions vs. 38.4 ± 19.2 repetitions) and the hip flexibility test (69.1 ± 14.4 degrees vs. 78.3 ± 16.9 degrees). There was no significant difference in age and working time.Conclusion: anthropometric measures, abdominal endurance and hip flexibility are deficient in bus drivers and fare collectors with low back pain. We suggest that workers with prevalent low back pain increase their physical fitness.


2015 ◽  
Vol 31 (6) ◽  
pp. 469-475
Author(s):  
Lindsay L. Musalem ◽  
Tatjana Stankovic ◽  
Drazen Glisic ◽  
Gillian E. Cook ◽  
Tyson A.C. Beach

The objective of this study was to investigate why holding times on 2 different tests of isometric trunk flexor endurance capacity (prone plank and v-sit) are weakly correlated. Body position and ground reaction force data from 10 men and 10 women were used to conduct static biomechanical analyses of both test postures, and bilateral activations of the rectus abdominis, internal and external obliques, latissimus dorsi, and lumbar and thoracic erector spinae were measured in a second sample of 15 men and 15 women while holding the test postures. No between-posture differences in net low back flexor moments were found (P = .111), but the lumbar spine was 28° more flexed in the v-sit than in the plank (P < .001). No between-posture differences were detected in the rectus abdominis (P = .397), external obliques (P = .204), internal obliques (P = .226), or lumbar erector spinae (P = .116) activation levels, but those of the thoracic erector spinae (P = .0253) and latissimus dorsi (P < .001) were greater in the plank than in the v-sit. Altogether, the findings suggest that differences between plank and v-sit holding times are most likely related to between-test differences in lumbar spine postures and shoulder demands.


2021 ◽  
Vol 9 (B) ◽  
pp. 1778-1784
Author(s):  
Stilyana Romanova ◽  
Kristin Grigorova ◽  
Antoaneta Dimitrova

BACKGROUND: Low-back pain (LBP) is one of the most common musculoskeletal problems; it is the leading cause of disability worldwide. Therapeutic patient education is a method that enables health care professionals to pass on their knowledge and experience to patients so that they can participate consciously and actively in their recovery. AIM: The present study aims to examine the effect of therapeutic education (TE) combined with a specific physiotherapy (PT) approach in people with LBP. МАTERIALS AND METHODS: This was an experimental pre- and post-study design. The study involved 25 patients, mean age 43.08 ± 12 years, divided into two groups: experimental group (EG), with TE (n =18) and control group (CG), without TE (n = 7). The PT treatment frequency and duration were consistent between groups. The patients were monitored for one month, and the intervention under supervision – face-to-face and self-monitored home-based PT have been organized. The included outcome measures were Oswestry Disability Index, Tampa Scale for Kinesiophobia, STarT Back Screening Tools, and the movement-induced pain in the lumbar spine. RESULTS: At the end of the study improved pain-free movements in the lumbar region, functionality, reduced catastrophizing was observed in both groups. There is a tendency for better results in the EG compared to the CG in terms of functionality and pain-free movement. The subjective feeling of the catastrophizing was reduced only in the EG below the cut-off score from 45.2 ± 7.7 to 33.2 ± 3.3 points. CONCLUSION: TE in combination with PT interventions improves functional abilities, decreases the pain during movements, and the subjective perception of kinesiophobia. The results suggest TE should be included in a LBP management approach.


2014 ◽  
Vol 24 (2) ◽  
pp. 48-58 ◽  
Author(s):  
Lakshmi Kollara ◽  
Graham Schenck ◽  
Jamie Perry

Studies have investigated the applications of Continuous Positive Airway Pressure (CPAP) therapy in the treatment of hypernasality due to velopharyngeal dysfunction (VPD; Cahill et al., 2004; Kuehn, 1991; Kuehn, Moon, & Folkins, 1993; Kuehn et al., 2002). The purpose of this study was to examine the effectiveness of CPAP therapy to reduce hypernasality in a female subject, post-traumatic brain injury (TBI) and pharyngeal flap, who presented with signs of VPD including persistent hypernasality. Improvements in mean velopharyngeal orifice size, subjective perception of hypernasality, and overall intelligibility were observed from the baseline to 8-week post-treatment assessment intervals. Additional long-term assessments completed at 2, 3, and 4 months post-treatment indicated decreases in immediate post-treatment improvements. Results from the present study suggest that CPAP is a safe, non-invasive, and relatively conservative treatment method for reduction of hypernasality in selected patients with TBI. More stringent long-term follow up may indicate the need for repeated CPAP treatment to maintain results.


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