scholarly journals Effects of Two 4-Week Proprioceptive Neuromuscular Facilitation Programs on Muscle Endurance, Flexibility, and Functional Performance in Women With Chronic Low Back Pain

2006 ◽  
Vol 86 (7) ◽  
pp. 1001-1012 ◽  
Author(s):  
Nick Kofotolis ◽  
Eleftherios Kellis

Abstract Background and Purpose. Improving functional performance in patients with chronic low back pain is of primary importance. The purpose of this study was to examine the effects of 2 proprioceptive neuromuscular facilitation (PNF) programs on trunk muscle endurance, flexibility, and functional performance in subjects with chronic low back pain (CLBP). Subjects. Eighty-six women (40.2±11.9 [X̅±SD] years of age) who had complaints of CLBP were randomly assigned to 3 groups: rhythmic stabilization training, combination of isotonic exercises, and control. Methods. Subjects trained with each program for 4 weeks with the aim of improving trunk stability and strength. Static and dynamic trunk muscle endurance and lumbar mobility were measured before, at the end of, and 4 and 8 weeks after training. Disability and back pain intensity also were measured with the Oswestry Index. Results. Multivariate analysis of variance indicated that both training groups demonstrated significant improvements in lumbar mobility (8.6%–24.1%), static and dynamic muscle endurance (23.6%–81%), and Oswestry Index (29.3%–31.8%) measurements. Discussion and Conclusion. Static and dynamic PNF programs may be appropriate for improving short-term trunk muscle endurance and trunk mobility in people with CLBP. [Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Phys Ther. 2006;86:1001–1012.]

2020 ◽  
Vol 10 (4) ◽  
pp. 221-230
Author(s):  
Seyyed Mojtaba Soltandoost Nari ◽  
◽  
Alireza Shamsoddini ◽  

Purpose: Functional disability, impaired balance, and trunk muscle endurance are among the major changes in patients with Non-specific Chronic Low Back Pain (NCLBP). Investigating the relationship between these factors and Functional Movement Screen (FMS) can facilitate effective pain management and functional problems in these patients. This study aimed to assess the relationships between FMS and pain, dynamic balance, and trunk muscle endurance in military personnel with NCLBP. Methods: The present study was of a correlational research design. The study subjects were 50 male military personnel with NCLBP (Mean±SD age=33.30±3.94 y, height= 175.32±5.50 cm, & weight=74.05±3.64 kg). FMS was evaluated by FMS tests and pain severity was assessed through Quebec Back Pain Disability Scale; the dynamic balance was evaluated by Y-Balance Test (YBT), and the trunk muscle endurance was measured by the ITO test. Statistical analysis was performed by SPSS. Pearson correlation coefficient at a significance level of P<0.05 was used to examine the association between the research variables. Results: Pain (P=0.04, r=-0.285) was negatively correlated with the FMS. The FMS was positively associated with the dynamic balance (P=0.014, r=0.346) and trunk muscle endurance (P=0.02, r=0.381). Conclusion: The FMS can be recommended as a functional assessment tools to identify functional deficits in military personnel with NCLBP. The data suggested that the researchers could employ the FMS as a useful tool in designing more effective treatment plans and improving the functional capacity of individuals with CLBP.


2020 ◽  
Vol 36 (2) ◽  
pp. 76-84
Author(s):  
Rasool Bagheri ◽  
Ismail Ebrahimi Takamjani ◽  
Mohammad R. Pourahmadi ◽  
Elham Jannati ◽  
Sayyed H. Fazeli ◽  
...  

The first purpose was to investigate the trunk muscle endurance, the second aim was to evaluate the trunk–pelvis kinematics during gait, and the third was to evaluate the relationship between trunk–pelvis kinematics and the trunk muscle endurance. Thirty participants (15 nonspecific chronic low back pain [NCLBP] and 15 healthy) were included. The authors first assessed trunk muscle endurance on endurance testing protocols. The authors next measured the trunk–pelvis kinematics during gait using a 3-dimensional motion capture system. Angular displacement, waveform pattern (CVp), and offset variability (CVo) were also examined. Statistical analysis revealed a significant difference in (1) the trunk muscle endurance and (2) sagittal, frontal, and transverse planes CVp between groups (P < .05). A significant moderate correlation was found between supine double straight-leg raise and frontal CVp (r = .521, P = .03) and transverse planes CVp (r = .442, P = .05). However, a significant moderate correlation was observed between prone double straight-leg raise and sagittal plane CVp (r = .528, P = .03) and transverse plane CVp (r = .678, P = .001). The relationship between (1) lower trunk extensor endurance with transverse and sagittal planes CVp and (2) lower abdominal muscle endurance with transverse and frontal planes CVp suggests that gait variability in these planes may result because of trunk muscle deconditioning accompanying NCLBP.


2008 ◽  
Vol 89 (11) ◽  
pp. e74
Author(s):  
Gerold Ebenbichler ◽  
Richard Crevenna ◽  
Wolfgang Gruther ◽  
Christoph Leitner ◽  
Michael P. Matzner ◽  
...  

1986 ◽  
Vol 30 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Michael J. Cohen ◽  
Gretchen A. Swanson ◽  
Bruce D. Naliboff ◽  
Steven L. Schandler ◽  
David L. McArthur

Pain Medicine ◽  
2015 ◽  
Vol 17 (8) ◽  
pp. 1436-1446 ◽  
Author(s):  
Jaclyn Megan Sions ◽  
Andrew Craig Smith ◽  
Gregory Evan Hicks ◽  
James Matthew Elliott

Physiotherapy ◽  
2017 ◽  
Vol 103 ◽  
pp. e6-e7
Author(s):  
L. Linton ◽  
S. Valentine ◽  
S. Coleman ◽  
K. Kaliarntas ◽  
S. Psycharakis

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110280
Author(s):  
Camille Daste ◽  
Stéphanie Laclau ◽  
Margaux Boisson ◽  
François Segretin ◽  
Antoine Feydy ◽  
...  

Objectives: We aim to evaluate the benefits and harms of intervertebral disc therapies (IDTs) in people with non-specific chronic low back pain (NScLBP). Methods: We conducted a systematic review and meta-analysis of randomized trials of IDTs versus placebo interventions, active comparators or usual care. EMBASE, MEDLINE, CENTRAL and CINHAL databases and conference abstracts were searched from inception to June 2020. Two independent investigators extracted data. The primary outcome was LBP intensity at short term (1 week–3 months), intermediate term (3–6 months) and long term (after 6 months). Results: Of 18 eligible trials (among 1396 citations), five assessed glucocorticoids (GCs) IDTs and were included in a quantitative synthesis; 13 assessed other products including etanercept ( n = 2), tocilizumab ( n = 1), methylene blue ( n = 2), ozone ( n = 2), chymopapaine ( n = 1), glycerol ( n = 1), stem cells ( n = 1), platelet-rich plasma ( n = 1) and recombinant human growth and differentiation factor-5 ( n = 2), and were included in a narrative synthesis. Standardized mean differences (95% CI) for GC IDTs for LBP intensity and activity limitations were −1.33 (−2.34; −0.32) and −0.76 (−1.85; 0.34) at short term, −2.22 (−5.34; 0.90) and −1.60 (−3.51; 0.32) at intermediate term and −1.11 (−2.91; 0.70) and −0.63 (−1.68; 0.42) at long term, respectively. Odds ratios (95% CI) for serious and minor adverse events with GC IDTs were 1.09 (0.25; 4.65) and 0.97 (0.49; 1.91). Conclusion: GC IDTs are associated with a reduction in LBP intensity at short term in people with NScLBP. Positive effects are not sustained. IDTs have no effect on activity limitations. Our conclusions are limited by high heterogeneity and a limited methodological quality across studies. Registration PROSPERO: CRD42019106336.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1533
Author(s):  
José Antonio Mingorance ◽  
Pedro Montoya ◽  
José García Vivas Miranda ◽  
Inmaculada Riquelme

Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients with FM, 60 patients with CLBP, and 60 pain-free controls aged between 30 and 65 years. It is essential to know the possible differences existing in symptomatology of two of the major chronic pain processes that most affect the population, such as FM and CLBP. The fact of establishing possible differences in sensory thresholds, motor function, and proprioceptive measures among patients with FM and CLBP could bring us closer to a greater knowledge of the chronic pain process. Through an observational study, a comparison was made between the three groups (FM, CLBP, and pain-free controls) evaluating functional performance, postural balance, kinematic gait parameters, strength, depression, fatigue, and sensitivity to pain and vibration. Patients with chronic pain showed worse somatosensory sensitivity (p < 0.001) and motor function (p < 0.001) than pain-free controls. Moreover, patients with FM showed greater pain impact (p < 0.001) and bigger somatosensory (p < 0.001) and motor deficiencies (p < 0.001) than patients with CLBP. Further research should explore the possible reasons for the greater deterioration in patients with FM in comparison with other chronic pain conditions. Our results, showing the multiple areas susceptible of deterioration, make it necessary to adopt interdisciplinary interventions focused both on physical and emotional dysfunction.


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