Intraabdominal Pressure Rise During Weight Lifting as an Objective Measure of Low-Back Pain

Spine ◽  
1980 ◽  
Vol 5 (2) ◽  
pp. 179-184 ◽  
Author(s):  
JEREMY C. T. FAIRBANK ◽  
JOHN PATRICK OʼBRIEN ◽  
PETER R. DAVIS
Author(s):  
Leonard H. Joseph, PhD ◽  
Benjamaporn Hancharoenkul, MSc, PT ◽  
Patraporn Sitilertpisan, PhD ◽  
Ubon Pirunsan, PhD ◽  
Aatit Paungmali, PhD

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.Setting: The study was conducted at the campus for National Olympic weight lifting training camp.Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.


2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Andrea Schaller ◽  
Kevin Rudolf ◽  
Lea Dejonghe ◽  
Christopher Grieben ◽  
Ingo Froboese

Introduction.The aim of the present study was to determine the closeness of agreement between a self-reported and an objective measure of physical activity in low back pain patients and healthy controls. Beyond, influencing factors on overestimation were identified.Methods.27 low back pain patients and 53 healthy controls wore an accelerometer (objective measure) for seven consecutive days and answered a questionnaire on physical activity (self-report) over the same period of time. Differences between self-reported and objective data were tested by Wilcoxon test. Bland-Altman analysis was conducted for describing the closeness of agreement. Linear regression models were calculated to identify the influence of age, sex, and body mass index on the overestimation by self-report.Results.Participants overestimated self-reported moderate activity in average by 42 min/day (p=0.003) and vigorous activity by 39 min/day (p<0.001). Self-reported sedentary time was underestimated by 122 min/day (p<0.001). No individual-related variables influenced the overestimation of physical activity. Low back pain patients were more likely to underestimate sedentary time compared to healthy controls.Discussion.In rehabilitation and health promotion, the application-oriented measurement of physical activity remains a challenge. The present results contradict other studies that had identified an influence of age, sex, and body mass index on the overestimation of physical activity.


2019 ◽  
Vol 6 (3) ◽  
pp. 79-82
Author(s):  
Afsoun Seddighi ◽  
Amir Saied Seddighi ◽  
Shiva Jamshidi ◽  
Hesam Rahimi Baghdashti

Pregnancy-related lumbopelvic pain has been a serious and common problem since ancient time. The present review article focuses on terminology, types, clinical presentation, and management of these problems. There are two entities regarding pregnancy-related lumbopelvic pain: pelvic girdle pain (PGP), and pregnancy-related low back pain (LBP). There are multiple mechanisms behind these disabilities. Age, multiparty, heavy weight lifting, hard physical activity, previous LBP, and low education increase the prevalence. About one-half of women with pregnancy-related lumbopelvic pain have PGP, one-third LBP, and one-sixth have both conditions. Overall, the literature reveals that PGP deserves serious attention from the clinical and economic standpoints.


2019 ◽  
Vol 6 (3) ◽  
pp. 88-91
Author(s):  
Amal Mukhtad

Lower back pain (LBP) is recognized as a cause of morbidity in developed nations in different occupational situations. Health care workers (HCWs), in particular nurses, are especially vulnerable to LBP. About 60–80% of the general people suffer from LBP at some time during their lives. However, there is not enough care about workplace health and safety problems facing the health care workforce in developing nations, such as Libya. Thus, this study aimed to find out the status of low back pain and factors affecting pain among the nurses in Benghazi Medical Centre (BMC), Libya. Cross-sectional study was conducted on BMC in 2018. The data was collected by a self-administered questionnaire. Chi-square was used to determine the association between associated risk factors and LBP prevalence (p<0.05). There is a high prevalence (79%) of low back pain among nurses in BMC. Individual and work-related factors were found as risk factors for LBP. In Libya, nurses are considered as a critical health and safety concern, as a result of the weakness of policies in healthcare organizations. Consequently, a proper no weight lifting policy should be considered. If not, proper manual lifting must be implemented.


2021 ◽  
Vol 6 (12) ◽  
pp. 73-80
Author(s):  
Akgün YEŞİLTEPE ◽  
Ayşe B EŞER

Objective: The aim of this research was conducted determination of factors associated with low back pain in a population of cleaning workers. Methods: The research was carried out in the cleaning workers of İzmir Konak Municipality, without reaching any sampling method, and was applied to 318 workers who agreed to work. The data were collected between February and March 2014. Introductory information form, Oswestry functional disability form and Visual analog scale (VAS) were applied to each worker. Results: In this study, according to the result of Spearman Correlation analysis, it is seen that there is a significant and positive relationship between the oswestry functional disability form and VAS. As a result of Mann Whitney U and Kruskal Wallis analysis; economic status, rolling weight lifting and carrying, leaning weight lifting and alcohol consumption were found to be risk factors for low back pain. Conclusion: Low back pain has become a global public health problem for cleaners. For workers, their health deterioration has become an economic loss. For this reason, the occupational health doctor and the occupational health nurse should make screenings to protect and improve the waist health of the employees; It should carry out studies consisting of health education, educational programs and information in a multidisciplinary approach.


2016 ◽  
Vol 6 (3) ◽  
pp. 82-93
Author(s):  
Nathália Beatriz Manara Lellis ◽  
Paulo José Oliveira Cortez

Objetivo: Analisar a curvatura lombar durante a execução de exercícios resistidos. Materiais e Métodos: Foram analisadas 81 pessoas, durante a execução de cinco aparelhos diferentes de exercício resistido. Fez-se um registro fotográfico da coluna lombar durante os exercícios, seguido da análise de quatro variáveis: manutenção da lordose fisiológica, hiperlordose, retificação da curvatura e inversão da curvatura. Resultados: Em todos os aparelhos houve a modificação do comportamento da lordose lombar durante a execução dos exercícios. A manutenção da lordose fisiológica, correspondendo a uma posição não errônea ou aceitável, não foi significativa. No aparelho Cadeira Extensora, a manutenção correta da curvatura lombar durante o exercício resistido esteve presente em apenas 35,8%, sendo o aparelho em que menos se manteve a curvatura fisiológica e em que houve a inversão da curva como a modificação mais presente. O Aparelho Voador foi o que mais demonstrou a preservação da postura com uma porcentagem pequena de alteração (76,5%), seguido pelo aparelho Leg Press (preservação de 65,4%) e pelo Pulley Alto (64,2%). No aparelho Cadeira Flexora, pode-se observar um menor número de variedade dos tipos de curvaturas, estando presente apenas a hiperlordose e a lordose fisiológica, com predomínio de 61,7%, estando ausentes a retificação da curva e a inversão da curva. Conclusão: A prática do exercício resistido sem a manutenção da lordose lombar, seja ela por má orientação ou por carga excessiva, está presente na prática regular dos alunos submetidos a análise do presente estudo.Palavras-chave: Curvaturas da Coluna Vertebral, Dor Lombar, Postura, Exercício, Esforço Físico, Levantamento de PesoABSTRACTObjective: To analyze the lumbar curvature while executing resisted exercises. Material and Methods: A total of 81 subjects were analyzed during execution of five different resistance exercise devices. A photographic register of the lumbar spine during the exercise was performed, followed by data analysis of four variables: maintenance of physiological lordosis, hyperlordosis, rectified curvature and reversal of curvature. Results: It was found modification in lumbar lordosis behavior during the execution of all exercises. The maintenance of the physiological lordosis, which would be a not erroneous and acceptable position, was not significant. On the “Stretcher Chair” device, the correct maintenance of the lumbar curvature during resisted exercise was present in only 35.8%. It was the apparatus in which few remained physiological curvature and the most  inversion of the curve was present. The “Flying” machine showed the most preservation of posture with a small percentage of change (76.5%), and was followed by the “Leg” unit (65.4%) and “High Pulley” set (64.2%). The “Flexor Chair” device showed the fewer variety in types of curvatures, the hyperlordosis and physiologic lordosis, with a prevalence of 61.7%.  Rectification and reversal of the curvature was not observed in this device. Conclusion: The practice of resisted exercise without the maintenance of lumbar lordosis, whether by misdirection or stress, is the regular practice of students subjected to analysis of this study.Keywords: Spinal Curvatures, Low Back Pain, Posture, Exercise, Physical Exertion, Weight Lifting 


2016 ◽  
Vol 19 (5) ◽  
pp. 502-509 ◽  
Author(s):  
Marina B. Pinheiro ◽  
Manuela L. Ferreira ◽  
Kathryn Refshauge ◽  
John Hopper ◽  
Christopher G. Maher ◽  
...  

Low back pain (LBP) is a major health problem globally, but approaches to prevention are not yet clearly identified because modifiable risk factors are not well established. Although physical activity is one promising modifiable risk factor, it is still not known what types and doses of physical activity are protective or harmful for LBP. The aim of this study is to establish the feasibility of a definitive cohort study that will investigate the effects of different types and doses of physical activity on the risk of developing recurrent LBP while accounting for genetic factors. This will be a pilot longitudinal twin study and twins will be recruited from the Australian Twin Registry, and will be followed over 1 year. Thirty adult complete twin pairs with a history of LBP, but symptom free at recruitment, will be included. Data on physical activity (predictor) will be collected using four questionnaires and an objective measure (accelerometer) at baseline and at 6-month follow-up. Twins will also complete an additional physical activity questionnaire monthly. Data on LBP (outcome) will be collected at baseline and weekly. Data will be collected using short message service (SMS) and email. We will keep records of the recruitment rate, follow-up rate, and completeness of data. Barriers to completing the study will be investigated. The results of this study will inform the design and implementation of a future definitive study, which will help to clarify the effects of different types and doses of physical activity on the risk of developing recurrent LBP.


Author(s):  
S. Wang ◽  
W. M. Park ◽  
J. Miao ◽  
K. Wood ◽  
Y. H. Kim ◽  
...  

The most common reason for occupational low back pain is the overload on the spine [1]. Determination of the load on the spine is critical for preventing low back pain, understanding injury mechanism and developing treatment techniques and surgical implants. However, due to the limitations in technology, only few in-vivo measurements were performed using pressure transducer [1] and telemeterized implants [2]. Because of the risks involved, neither of these techniques was suitable for a large healthy population. In this study, we proposed a new non-invasive technique and estimated the forces and moments on the lumbar intervertebral discs (IVDs) of three healthy subjects during a dynamic weight lifting activity.


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