The Efficacy of Exercise as an Intervention to Treat Recurrent Nonspecific Low Back Pain in Adolescents

2007 ◽  
Vol 19 (3) ◽  
pp. 349-359 ◽  
Author(s):  
Michelle Jones ◽  
Gareth Stratton ◽  
Tom Reilly ◽  
Vishwanath Unnithan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Effect Size ◽  
Controlled Trial ◽  
Exercise Program ◽  
Rehabilitation Program ◽  
Risk Indicators ◽  
Low Back ◽  
Exercise Rehabilitation ◽  
Pain Status

The purpose of this study was to evaluate the efficacy of a specific 8-week exercise rehabilitation program as an intervention to treat recurrent nonspecific low back pain in adolescents. A randomized controlled trial involving 54 adolescents (14.6 ± 0.6 years) who suffered from recurrent nonspecific low back pain participated in either the exercise rehabilitation program or a control condition. Pre- and postintervention measures of low back pain status and biological risk indicators were taken. Two-way mixed ANOVA was conducted and significance was set at p < .01. Significant improvement was noted in the exercise rehabilitation group for perceived severity of pain (effect size 1.47) and number of occasions missing physical activity (effect size 0.99). Significant improvement in the exercise rehabilitation group for sit-and-reach performance, hip range of motion, lumbar sagittal mobility (modified Schöber), and number of sit-ups in 60 s were also identified. In conclusion, the specific exercise program appeared to provide positive benefits for adolescents suffering from recurrent nonspecific low back pain. Further evaluation is required to evaluate the effectiveness of the exercise rehabilitation program in relation to other interventions and to assess the long-term effectiveness.

The Effectiveness of the Mézières Method in Elite Rhythmic Gymnastics Athletes With Low Back Pain: A Randomized Controlled Trial

2020 ◽  
Vol 29 (7) ◽  
pp. 913-919
Author(s):  
Orges Lena ◽  
Jasemin Todri ◽  
Ardita Todri ◽  
José Luis Martínez Gil ◽  
Maria Gomez Gallego
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Visual Analog Scale ◽  
Effect Size ◽  
Controlled Trial ◽  
Low Back ◽  
Analog Scale ◽  
Randomized Controlled ◽  
Rhythmic Gymnastics

Context: One of the main reasons why athletes with a high physical condition suffer from low back pain disease is because they often participate in sports that involve disc compression movements during flexion, lifting loads, or torsion movement. Objectives: This study aims to examine the effectiveness of the postural treatment of the Mézières method on elite rhythmic gymnastics athletes with low back pain. Design: Double-blind, randomized, controlled trial. Setting: The sports hall of “Puente Tocinos,” Murcia, Spain. Participants: Ninety gymnastics athletes were randomized into 2 parallel groups (intervention: n = 39; control: n = 51), of whom 98.9% were women (women = 89; man = 1). Intervention: The Mézières method postural therapy was implemented. It lasted about 60 minutes in repeated sessions of 2 to 3 meetings per week by counting in overall 60 sessions during a 24-week period. Main Outcome Measures: Visual analog scale of pain, sit and reach flexibility test, Runtastic (pedometer performance android application), Roland–Morris Questionnaire for the physical disability, and the Health Status Questionnaire were used. Results: The univariate analysis of variance and independent sample t test revealed a significant improvement in the intervention group concerning the visual analog scale pain assessment scale (P < .05, ), and, also, the between-groups effect size was high during the 24 sessions of treatment (d > 0.8) compared with the control one. The same situation persists even for Roland–Morris Questionnaire (P < .05, ), physical score (P < .05, ), mental score (P < .05, ), sit and reach flexibility test (P < .05, ), and Runtastic performance (P < .05, ), where the between-groups effect size was high during the 24 sessions of treatment (d > 0.8). Conclusion: The Mézières method treatment performed on athletes with low back pain has caused positive effects on all the outcomes analyzed compared with the ones of control group.

scholarly journals The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women – A randomised controlled trial

PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0182114 ◽  
Author(s):  
Mette G. Backhausen ◽  
Ann Tabor ◽  
Hanne Albert ◽  
Susanne Rosthøj ◽  
Peter Damm ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Randomised Controlled Trial ◽  
Sick Leave ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Exercise Program ◽  
Low Back ◽  
Water Exercise ◽  
Randomised Controlled

scholarly journals Effect of Two Different Exercise Regimens on Trunk Muscle Morphometry and Endurance in Soldiers in Training

2013 ◽  
Vol 93 (9) ◽  
pp. 1211-1224 ◽  
Author(s):  
Deydre S. Teyhen ◽  
John D. Childs ◽  
Jessica L. Dugan ◽  
Alison C. Wright ◽  
Joshua A. Sorge ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Hypertrophy ◽  
Controlled Trial ◽  
Military Training ◽  
Exercise Program ◽  
Trunk Muscles ◽  
Healthy Population ◽  
Low Back ◽  
Endurance Time

BackgroundLimited evidence exists on how strength and endurance exercises commonly used to prevent low back pain affect muscle morphometry and endurance.ObjectiveThe purpose of this study was to analyze the effects of 2 exercise regimens on the morphometry and endurance of key trunk musculature in a healthy population.DesignThe study was designed as a randomized controlled trial.SettingThe study was conducted in a military training setting.ParticipantsA random subsample (n=340; 72% men, 28% women; mean [±SD] age=21.9±4.2 years; mean [±SD] body mass index=24.8±2.8 kg/m2) from the larger Prevention of Low Back Pain in the Military trial (N=4,325) was included.InterventionThe core stabilization exercise program (CSEP) included low-load/low-repetition motor control exercises, whereas the traditional exercise program (TEP) included exercises conducted at a fast pace, with the use of high-load, high-repetition trunk strengthening exercises.MeasurementsBaseline and follow-up examinations included ultrasound imaging of the trunk muscles and endurance tests. Linear mixed models were fitted to study the group and time effect and their interactions, accounting for the clustering effect.ResultsSymmetry generally improved in the rest and contracted states, but there were no differences suggestive of muscle hypertrophy or improved ability to contract the trunk muscles between soldiers receiving the CSEP or the TEP. Total trunk endurance time decreased over the 12-week period, but endurance performance favored soldiers in the CSEP group. Endurance time was not associated with future episodes of low back pain.LimitationsThe lack of morphological changes may not be detectable in an already-active cohort, or a more intensive dose was needed.ConclusionsAlthough improved symmetry was noted, neither the CSEP nor the TEP resulted in muscle hypertrophy. Longer endurance times were noted in individuals who completed the CSEP but were not strongly predictive of future low back pain episodes.

Rehabilitation Program for individuals with Chronic Low Back Pain: Protocol for a Randomized Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Maíra Junkes-Cunha ◽  
Sofia Sieczkowska ◽  
Guilherme Torres Vilarino ◽  
Guilherme Guimarães Bevilacqua ◽  
Alexandro Andrade
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Rehabilitation Program ◽  
Outcome Data ◽  
Low Back ◽  
Public Health Services ◽  
Pain Education ◽  
Human Research Ethic

BACKGROUND Low back pain (LBP) is the leading cause of disability worldwide. Physical exercise as a treatment is beneficial for the improvement quality of life (QOL) in these patients and it widely accepted as well. OBJECTIVE To develop a protocol for a feasibility study designed to compare the effectiveness of different interventions in reducing pain, functional, and psychosocial factors in patients with chronic LBP after 8 weeks of randomization. METHODS This is a study protocol for a randomized controlled trial that consists of individuals with chronic LBP aged between 18 and 65 years. Subjects will be allocated through block randomization in one of the following groups: Motor Control Exercises (MCE), Pain Education, MCE + Pain Education, and Usual Care. The primary outcome will be pain intensity, and secondary outcomes will be pressure pain threshold measured through digital algometer, LBP-related disability, fears and beliefs, fear of movement, QOL, mood states, levels of depression and anxiety. RESULTS This trial was funded in 2018 and it was approved by Human Research Ethic Committee in September 2018. We are starting the patient’s recruitment, as it involves patients on a public service waiting list and needs the health manager's permission to start the data collection considering the current health scenario. Results are expected to be achieved by April 2022. CONCLUSIONS This trial will provide preliminary data regarding the feasibility and safety of MCE and Pain Education in patients with low back pain. It will also provide preliminary outcome data used to identify the intervention more efficient and what level of health care should be implemented in public health services. CLINICALTRIAL RBR-2xx2r2

Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial

2016 ◽  
Vol 31 (6) ◽  
pp. 753-760 ◽  
Author(s):  
MC Valenza ◽  
J Rodríguez-Torres ◽  
I Cabrera-Martos ◽  
A Díaz-Pelegrina ◽  
ME Aguilar-Ferrándiz ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Exercise Program ◽  
Low Back ◽  
Randomized Controlled
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