Effectiveness of the training program on the low back pain and functional disability in industrial workers

Background:The technique of Kinesio-Taping is a method of adhesive bandage exerting traction on the skin which would favorably influence the muscular and articular systems by reducing the pressure exerted on the subcutaneous mechanoreceptors thus reducing pain and muscle tension.Objectives:The aim of this study is to assess the effectiveness of Kinesio-Taping in the short and medium term on pain and function in patients with chronic nonspecific low back pain compared to a placebo.Methods:We conducted a double-blind, two-arm randomized clinical trial. The study should include a total of 70 patients randomized into 2 groups: Kinesio-Taping (n = 35) and control group (n = 35). To this date we have included 46 patients.All patients receives four I-shaped adhesive strips arranged in a star-like shape and applied to the most painful region of the lower back with a tension between 25% to 30% in the taping group. The placebo group received a taping procedure with no tension.Taping is applied three times (at baseline, fourth and eighth day). Patients are assessed at baseline, on day 14 and at 4 weeks by the Arabic version of the Oswestry Physical and Functional Disability Index (ODI) which is the primary outcome. The secondary outcomes are the assessment of pain and functional disability according to the visual analog scale (VAS) evaluated on a scale of 0 to 10, as well as Rolland-Morris score.Results:Both groups were comparable at baseline concerning the demographical and clinical characteristics (P > 0.05) (table 1). The result of repeated measures ANOVA showed a significant change in ODI score and in VAS for pain and functional disability as well as Rolland-Morris score in both groups. Using the ANCOVA, controlling for pre-test scores, a significant difference was found between the two groups (table 2).Table 1. Clinical characteristics of study population.Conclusion:Our clinical trial offers preliminary evidence on the superiority of Kinesio-Taping in the treatment chronic back pain compared to placebo concerning the reduction of pain and disability. Thus, it can be used as a complementary method in chronic non-specific low back pain.Table 2. Primary and secondary outcomes in the Kinesio-Taping and placebo group.Disclosure of Interests:None declared

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PMS105 - EXAMINATION OF CORE TRAINING PROGRAM ON THE CHANGE OF LOW BACK PAIN, MUSCLE STRENGTH AND LUMBAR MOTOR CONTROLL AMONG PROFESSIONAL FIREFIGHTERS

Value in Health ◽

10.1016/j.jval.2018.09.1819 ◽

2018 ◽

Vol 21 ◽

pp. S305-S306

Author(s):

V. Bogos ◽

M. Járomi ◽

E. Bogos ◽

I. Boncz ◽

B. Szilágyi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Training Program ◽

Low Back ◽

Core Training

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Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-019-0124-5 ◽

2019 ◽

Vol 55 (1) ◽

Author(s):

E. Fahmy ◽

H. Shaker ◽

W. Ragab ◽

H. Helmy ◽

M. Gaber

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Functional Disability ◽

Exercise Program ◽

Low Back ◽

Muscle Energy Technique ◽

Muscle Energy ◽

Group B ◽

Lumbar Range Of Motion

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.

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EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE TRAINING ON CORE MUSCLE IN SUBJECTS WITH NON SPECIFIC LOW BACK PAIN

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i6.17714 ◽

2017 ◽

Vol 10 (6) ◽

pp. 308

Author(s):

Bijal Majiwala ◽

Trupti Warude ◽

Amrutkuvar Pawar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Isometric Exercise ◽

Low Back ◽

Endurance Test ◽

Isotonic Exercise ◽

Group A ◽

Pre Treatment ◽

Group B

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.

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Benefits of a Physical Training Program After Back School for Chronic Low Back Pain Patients

Journal of Musculoskeletal Pain ◽

10.1300/j094v14n02_04 ◽

2006 ◽

Vol 14 (2) ◽

pp. 21-31 ◽

Cited By ~ 8

Author(s):

Christophe Demoulin ◽

Didier Maquet ◽

Marco Tomasella ◽

Jean-Louis Croisier ◽

Jean-Michel Crielaard ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Training Program ◽

Chronic Low Back Pain ◽

Physical Training ◽

Low Back ◽

Back School ◽

Pain Patients

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Physical Activity Levels After Functional Resistance Training Program In Subjects With Low-back Pain

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000354953.93428.9b ◽

2009 ◽

Vol 41 ◽

pp. 130-131

Author(s):

José A. Pérez-Turpin ◽

Juan M. Cortell-Tormo ◽

Pablo Tercedor-Sánchez ◽

Alfonso Jiménez ◽

Juan J. Chinchilla-Mira

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Resistance Training ◽

Training Program ◽

Activity Levels ◽

Low Back ◽

Resistance Training Program ◽

Physical Activity Levels

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Association between spectral characteristics of paraspinal muscles and functional disability in patients with low back pain: a cohort study

BMJ Open ◽

10.1136/bmjopen-2017-017091 ◽

2018 ◽

Vol 8 (2) ◽

pp. e017091 ◽

Cited By ~ 2

Author(s):

Shin-Yi Chiou ◽

Ermis Koutsos ◽

Pantelis Georgiou ◽

Paul H Strutton

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Peak Power ◽

Functional Disability ◽

Spectral Characteristics ◽

Peak Torque ◽

Healthy Adults ◽

Erector Spinae ◽

Emg Activity ◽

Low Back

ObjectivesCharacteristics of muscle activity, represented by surface electromyography (EMG), have revealed differences between patients with low back pain (LBP) and healthy adults; how they relate to functional and clinical parameters remains unclear. The purpose of the current study was to examine the correlation between frequency characteristics of EMG (analysed using continuous wavelet transform (CWT) analysis) and patients’ self-rated score of disability.Design and settingThis is a case-control study with 15 patients with mechanical LBP without radicular symptoms. Patients were recruited from the orthopaedic clinic at Charing Cross Hospital. Ten healthy adults were recruited from the staff working in the hospital and associated university. Patients completed the Roland-Morris Disability Questionnaire (RMDQ) and bilateral EMG activity was obtained from erector spinae at vertebral levels L4 and T12. Subjects performed three brief maximal voluntary isometric contractions (MVICs) of the back extensors and the torque was measured using a dynamometer. CWT was applied to the EMG signals of each muscle in a 200 ms window centred around the peak torque obtained during the MVICs. The ratio (low/high frequencies) of the energy, the peak power and the frequency of the peak power were calculated for each recording site, averaged and correlated with the individual’s RMDQ score.ResultsPatients had lower peak power (T12 and L4) and lower frequency of the peak power (at T12) than the healthy adults. Additionally, RMDQ positively correlated to the average ratio of energy at T12 (r=0.63; p=0.012), that is, greater self-rated disability corresponded to a dominant distribution of energy in the lower frequencies.ConclusionThe current findings reveal alterations in EMG profile and its association with self-related back pain disability, suggesting that spectral characteristics of EMG reflect muscle function.

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Effect of aerobic dance on pain, functional disability and quality of life on patients with chronic low back pain

South African Journal of Physiotherapy ◽

10.4102/sajp.v68i3.18 ◽

2012 ◽

Vol 68 (3) ◽

Author(s):

U.A.C. Okafor ◽

T.A. Solanke ◽

S.R.A. Akinbo ◽

D.O. Odebiyi

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Low Back ◽

Post Intervention ◽

Aerobic Dance ◽

Significant Difference ◽

Conventional Physiotherapy

Low back pain (LBP) is often an indication of pathologicalcondition of the intervertebral discs, vertebral bodies or supporting soft tissuesof the lower vertebral region. Chronic Low Back Pain (CLBP) presents withenormous consequence on the general performance of the sufferer, exerting ahuge cost on the individual, the family and the society. Dance therapy is arelatively new approach in the management of low back pain. This study wastherefore designed to investigate the effect of dance therapy on pain, functionaldisability and quality of life in patients with chronic low back pain.Thirty subjects diagnosed with non-specific CLBP particpated in the study.They were randomly divided into 2 groups, A and B, each comprising 15 subjects.In addition to conventional physiotherapy programme given to both groups,subjects in Group A also received aerobic dance, which comprised a four stage protocol. The entire treatment routinewas administered in a group session three times weekly consecutively for six weeks. Data as obtained in the copies ofcompleted questionnaires (Roland Morris Diability questionnaires and Nottingham Health Profile questionnaires) andother measurements were summarized using mean, standard deviation and frequency tables. Student T-test was used toanalyze the data at 95 % confidence interval.There was a statistically significant difference (p<0.05) between the pre- and post- intervention scores for painintensity, functional disability and quality of life within the groups. There was also a statistically significant difference(p<0.05) in the mean change (pre/post intervention) scores between Group A and Group B for pain intensity,functional disability and quality of life. Also the opinions and testimonies given by participants formed part of theevidence-based data.Whereas both conventional physiotherapy and aerobic dance showed significant effects in the pre/post-interventionscores, the aerobic dance group reported more significant effect in all studied parameters of pain intensity, functionaldisability and quality of life.

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77 Comparison between Swiss Ball Exercise and Sling Exercise on Lumbar Stability and Postural Stability in Patients with Non-Specific Chronic Low Back Pain: A Pilot Study

Age and Ageing ◽

10.1093/ageing/afz164.77 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv18-iv27

Author(s):

Apinkarn Jaroenlarp ◽

Pitsinee Fuengjit ◽

Jirapat Sukeeyuti ◽

Parichart Sophap ◽

Chadarat Chirasaengthong

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Functional Disability ◽

Sagittal Plane ◽

Postural Sway ◽

Neuromuscular Control ◽

Coronal Plane ◽

Low Back ◽

Significant Difference

Abstract Objective This study was to comparison of level of lumbar stability and postural sway in sagittal plane and coronal plane between exercise with ball and sling in the patients with non-specific chronic low back pain (NCLBP). Methodology Twenty participants with NCLBP aged 20 to 55 years were randomly divided into exercise with ball group (BG) and exercise with sling group (SG). Both groups performed 8 exercise sessions; two times per week for four weeks. The visual analog scale (VAS), modified oswestry disability questionnaire (MODQ), modified isometric stability test (MIST) were used to measure at baseline, week 2 and week 4 after exercise. Moreover, the sway area and sway velocity were evaluated at before and after training. Both group performed exercise 15 repetitions per set for 3 sets with 1-minute resting between set. A repeated two-way ANOVA was used to analyze the difference variables between both groups. Results The results showed significant difference between pre and post treatment of pain intensity, functional disability, MIST and postural sway in both groups (p<.001). When compared between both groups, the reduction in all parameters for the BG group was significantly higher than the SG group (p<.05). Moreover, the findings represented that the postural sway in both sagittal and coronal plane showed no significant difference between both groups after complete treatment. Conclusion The core stabilization exercise with ball and with sling can provided reduction of pain and functional disability. Moreover, the BG group is more effective for decreasing of pain, disability and improving of lumbar stability may described by greater perturbation of the ball. During perform exercise on ball bring to unstable and increasing of neuromuscular control. These results can applied to clinical practice for choosing the appropriate exercise program in the patients with NCLBP.

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