scholarly journals The Prevalence and Association of Stress Urinary Incontinence, Core Muscle Endurance, and Low Back Pain among Married Women in Saudi Arabia: A Case-Control Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ahmad H. Alghadir ◽  
Cynthia Tse ◽  
Amir Iqbal ◽  
Mariam Al-Khater ◽  
Ghadeer Al-Rasheed
Keyword(s):  
Saudi Arabia ◽  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Control ◽  
Married Women ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Healthy Women

Purpose. There may be a strong association among stress urinary incontinence (SUI), low back pain (LBP), and core muscle endurance (CME) in married women. This study is aimed at evaluating the prevalence and clinical association between SUI, CME, and LBP among married women in Saudi Arabia. Methods. The study was based on a case-control research design, conducted among 143 women with LBP (mean age, 32 ± 7.4 years) and 160 healthy women (mean age, 31.7 ± 6.7 years). SUI, CME, and functional disability were assessed using the international consultation on the Incontinence Questionnaire-Short Form (ICIQ-SF), prone plank test (PP), and Oswestry Disability Index for LBP-United Arab Emirates edition (ODI-UAE). Results. The prevalence of SUI was found to be 60% in the LBP group while 20% in the control group. CME revealed a stronger negative correlation with SUI in the LBP group ( r s = − 0.75 ) than in the control group ( r s = − 0.63 ). Conclusions. The prevalence of SUI was observed higher in women with LBP than healthy women. CME exhibited a stronger association with SUI than LBP among women with LBP compared to healthy women in Saudi Arabia. Therefore, the role of CME in SUI development or vice versa among married women with LBP may be subjected to further research.

scholarly journals Effect of a full pilates group exercise program on transversus abdominis thickness, daily function and pain in women with chronic low back pain

Kinesiology ◽  
2021 ◽  
Vol 53 (2) ◽  
pp. 318-325
Author(s):  
Noelia Goldberg ◽  
Asaf Weisman ◽  
Snježana Schuster ◽  
Gali Dar ◽  
Youssef Masharawi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Transversus Abdominis ◽  
Group Differences ◽  
Control Group ◽  
Anatomical Location ◽  
Low Back ◽  
Healthy Group ◽  
Healthy Women ◽  
Pilates Method

The Pilates method is often used in the treatment of nonspecific low back pain (NSCLBP). The effect of Pilates group exercising (mat and apparatus combined) on women with NSCLBP is unknown. Studies on the Pilates method often use ultrasound (US) to measure transversus abdominis (TrA) thickness in one anatomical location. We recruited 40 women, 22 with NSCLBP and 18 healthy women (active control group), to join five weeks of biweekly Pilates group exercising (apparatus and mat). Measurements included TrA thickness (left and right) at rest, during active draw-in maneuver (ADIM), and its TrA% change in three anatomical areas; Roland-Morris disability questionnaire (RMDQ); and pain level (VAS). Before the study, no asymmetry in TrA thickness was noted as well as no between-group differences in TrA-thickness in three anatomic areas (in rest and ADIM). Following the intervention, TrA thickness increased during rest in the healthy group in two areas. No differences were noted between the two groups in ADIM in the anatomical locations. No between-group differences were found before the intervention in the TrA% change. Following the intervention, an increase in the TrA-% change was noticed in the NSCLBP group. A decrease in the healthy group was observed in area C. No effects were noted on the RMDQ and VAS. Five weeks of Pilates group exercising increased TrA thickness in healthy women and its percentage changed in women with NSCLBP. Measuring TrA thickness with US should be performed in three different anatomical locations on both sides. This measuring procedure has good inter- and intra-rater reliability and the potential to reveal physiological effects.

scholarly journals The Effect of Lumbar Erector Spinae Muscle Endurance Exercise on Perceived Low-back Pain in Older Adults

2021 ◽  
Vol 9 (2) ◽  
pp. 82-92
Author(s):  
Muhammad Tufail ◽  
Haebin Lee ◽  
Yang Gyu Moon ◽  
Hwang Kim ◽  
KwanMyung Kim
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Standing Position ◽  
Erector Spinae ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Exercise Fatigue ◽  
Experimental Group

This study investigates changes in lumbar erector spinae (LES) muscle endurance, perceived low-back pain (LBP), and perceived exercise fatigue in older adults, and analyzes the trends of these changes during a 5-week lumbar exercise. Sixteen older adults with LBP were equally and randomly divided into two groups: the experimental group with incline-standing and the control group with the level-standing positions. They were separately treated with lumbar exercise tasks and 10 seconds of muscle endurance tests using surface electromyography (sEMG). There was a trend of changes in both groups. The exercise tasks led to increase LES muscle endurance in the experimental group (53.7%) and the control group (45.4%) and decrease perceived LBP score significantly with the incline-standing position. There was no significant difference between the two groups in perceived exercise fatigue (p>0.05). Trunk flexion and extension with an incline-standing position can be an effective method to increase LES muscle endurance and reduce LBP in older adults.

scholarly journals Feasibility study and process evaluation of MRI plus physiotherapy vs. physiotherapy alone in non-specific chronic low back pain among patients in Saudi Arabia

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ahmed Alhowimel ◽  
Mazyad Alotiabi ◽  
Neil Coulson ◽  
Kathryn Radford
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Process Evaluation ◽  
Chronic Low Back Pain ◽  
Research Capacity ◽  
Research Infrastructure ◽  
Control Group ◽  
Low Back ◽  
Study Participants

Abstract Aim To determine the feasibility of conducting a definitive randomised control trial (RCT) to answer the following questions: (1) Is early physiotherapy treatment acceptable and feasible for patients and direct healthcare providers? and (2) Is early physiotherapy intervention associated with better disability and psychosocial outcomes compared with the practice of routine MRIs? Methods In a feasibility RCT in Riyadh City from 01 March 2018 until 29 July 2018, chronic low back pain (CLBP) patients presenting to spine clinics were randomised to receive an MRI (intervention) plus physiotherapy rehabilitation or physiotherapy alone (control group). The acceptability of randomisation to the control group (non-MRI) was tested during the recruitment by qualitatively interviewing study participants and referring physicians. Moreover, interviews with study participants explored the broader social, political, economic, and environmental (context) aspects that may influence trial delivery and intervention implementation. Results The recruitment target was not met: 16/24 (66%) participants were recruited in 4 months (12.4% of those screened); 33% declined. The process evaluation identified numerous factors that may affect the success of a definitive RCT in Saudi Arabia. These were research resources, the lack of research infrastructure to support recruitment to trials, limited research capacity in terms of knowledge and skills of the healthcare team, and limited funding. Conclusion A definitive RCT to test the influence of MRI diagnosis on the psychosocial and disability outcomes in people with CLBP treated with physiotherapy in Saudi Arabia is feasible. However, the lack of research infrastructure, research capacity, the impact of MRI on patient outcomes, and a lack of clinical equipoise in the treatment and management of CLBP in Saudi Arabia pose major barriers to clinical trials.

scholarly journals Feasibility Study and Process Evaluation of MRI Plus Physiotherapy vs. Physiotherapy alone in Non-Specific Chronic Low Back Pain Among Patients in Saudi Arabia

2020 ◽  
Author(s):  
AHMED Alhowimel ◽  
Mazyad Alotaibi ◽  
Neil Coulson ◽  
Kate Radford
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Process Evaluation ◽  
Chronic Low Back Pain ◽  
Research Capacity ◽  
Research Infrastructure ◽  
Control Group ◽  
Low Back ◽  
Mri Diagnosis

Abstract Aim To determine the feasibility of conducting a definitive randomized control trial (RCT) to answer the question of whether an MRI diagnosis can negatively influence psychosocial and disability outcomes in patients with chronic low back pain (CLBP) treated by physiotherapy in Saudi Arabia.Methods In a feasibility RCT in Riyadh City from 01/03/2018 until 29/07/2018, CLBP patients presenting to spine clinics were randomized to receive an MRI (intervention) plus physiotherapy rehabilitation or physiotherapy alone (control group). The acceptability of randomization to the control group (non-MRI) was tested during recruitment and by qualitatively interviewing study participants and referring physicians.Results The recruitment target was not met: 16/24 (66%) participants were recruited in 4 months (12.4% of those screened); 33% declined. The process evaluation identified numerous factors that may affect the success of a definitive RCT in Saudi Arabia. These were research resources; the lack of research infrastructure to support recruitment to trials; limited research capacity in terms of knowledge and skills of the healthcare team; and limited funding.Conclusion A definitive RCT to test the influence of MRI diagnosis on the psychosocial and disability outcomes in people with CLBP treated with physiotherapy in Saudi Arabia is feasible. However, the lack of research infrastructure, research capacity, the impact of MRI on patient outcomes, and a lack of clinical equipoise in the treatment and management of CLBP in Saudi Arabia pose major barriers to clinical trials.

scholarly journals Feasibility Study and Process Evaluation of MRI Plus Physiotherapy vs. Physiotherapy alone in Non-Specific Chronic Low Back Pain Among Patients in Saudi Arabia

2020 ◽  
Author(s):  
AHMED alhowimel ◽  
Mazyad Alotaibi ◽  
Neil Coulson ◽  
Kate Radford
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Process Evaluation ◽  
Chronic Low Back Pain ◽  
Research Capacity ◽  
Control Group ◽  
Low Back ◽  
Mri Diagnosis ◽  
Study Participants

Abstract Aim To determine the feasibility of conducting a definitive randomized control trial (RCT) to answer the question of whether an MRI diagnosis can negatively influence psychosocial and disability outcomes in patients with chronic low back pain (CLBP) treated by physiotherapy in Saudi Arabia.Methods In a feasibility RCT in Riyadh City from 01/03/2018 until 29/07/2018, CLBP patients presenting to spine clinics were randomized to receive an MRI (intervention) plus physiotherapy rehabilitation or physiotherapy alone (control group). The acceptability of randomization to the control group (non-MRI) was tested during the recruitment by qualitatively interviewing study participants and referring physicians. Moreover, interviews with study participants exploring the broader social, political, economic, and environmental (context) aspects that may influence trial delivery and intervention implementation.Results The recruitment target was not met: 16/24 (66%) participants were recruited in 4 months (12.4% of those screened); 33% declined. The process evaluation identified numerous factors that may affect the success of a definitive RCT in Saudi Arabia. These were research resources, the lack of research infrastructure to support recruitment to trials; limited research capacity in terms of knowledge and skills of the healthcare team; and limited funding. Conclusion A definitive RCT to test the influence of MRI diagnosis on the psychosocial and disability outcomes in people with CLBP treated with physiotherapy in Saudi Arabia is feasible. However, the lack of research infrastructure, research capacity, the impact of MRI on patient outcomes, and a lack of clinical equipoise in the treatment and management of CLBP in Saudi Arabia pose major barriers to clinical trials.

scholarly journals The Impact of Different Physiotherapy Programs on the Treatment of Low Back Pain

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Vilma Dudonienė ◽  
Jurgita Radzevičiūtė
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Research Group ◽  
Oswestry Disability Index ◽  
Muscle Endurance ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Low Back ◽  
Lumbar Traction ◽  
The Impact

Low back pain is one of the biggest problems in modern world. Different physiotherapy programs are used for its treatment. Lumbar traction, has been used since the time of Hippocrates, but it is still the object of discussion. The purpose of this study was to determine the impact of traditional physiotherapy (control group), and traction therapy with TherapiMaster equipment (research group) on treatment of low back pain. Subjects: 40 patients from 34 to 62 years of age with low back pain participated in the study. Methods: static and dynamic trunk muscle endurance, low back pain intensity (according to Numeric Rating Scale, and McGill pain questionnaire), and functional state (according to Roland-Morris questionnaire, and Oswestry disability index) of patients were evaluated. Patients of control group received 14 procedures of traditional physiotherapy. The patients in the research group received 14 procedures of lumbar traction with TerapiMaster equipment and exercises. Conclusions: Physiotherapy procedures improved static and dynamic trunk muscle endurance in both control and research groups (p < 0.01), reduced low back pain (p < 0.01), and improved the patients’ functional state in both groups (p < 0.01). The physiotherapy program with lumbar traction had better effect only relieving back pain assessed by McGill pain questionnaire compared to traditional physiotherapy (p < 0.05).Keywords: low back pain, lumbar traction, physiotherapy, Roland-Morris and McGill questionnaires, Oswestry disability index.

scholarly journals Physiotherapy combined with therapeutic neuroscience education versus physiotherapy alone for patients with chronic low back pain: A pilot, randomized-controlled trial

2021 ◽  
Vol 67 (3) ◽  
pp. 283-290
Author(s):  
Hatice Gül ◽  
Suat Erel ◽  
Naciye Füsun Toraman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Flexor Muscle ◽  
Significant Difference ◽  
Neuroscience Education

Objectives: The aim of this study was to investigate the effect of therapeutic neuroscience education (TNE) combined with physiotherapy on pain, kinesiophobia, endurance, and disability in chronic low back pain (CLBP) patients. Patients and methods: Between November 2016 and December 2017, a total of 31 patients with CLBP (5 males, 26 females; mean age: 42.3±10.8 years; range, 20 to 58 years) were randomly allocated to receive physiotherapy combined with TNE (experimental group, EG, n=16) and physiotherapy alone (control group, CG, n=15). All participants received physiotherapy consisting of five sessions per week for a total of three weeks. In addition to physiotherapy, the EG received TNE sessions consisting of two sessions per week for a total of three weeks. The primary outcomes were pain intensity as assessed by Visual Analog Scale (VAS) and kinesiophobia by Tampa Scale for Kinesiophobia (TSK), while and the secondary outcomes were trunk muscle endurance as assessed by the partial curl-up test (trunk flexor endurance [TFE]) and modified Sorensen test (trunk extensor endurance [TEE]) and disability by Roland-Morris Disability Questionnaire (RMDQ). Results: All patients completed the study. The median VAS, TSK, TFE, TEE, and RMDQ scores for the EG significantly improved after three weeks, while there was only significant improvement in the VAS, TSK, and RMDQ scores in the CG. The TSK decreased more in the EG than in the CG. The significant difference was evident in TSK and TFE in favor of the EG (p<0.05). Conclusion: These results suggest that the combination of TNE with physiotherapy can improve kinesiophobia and trunk flexor muscle endurance of patients with CLBP in the short-term.

Urinary Excretion of Hydroxyproline after Fractures

1970 ◽  
Vol 16 (10) ◽  
pp. 853-855
Author(s):  
Mala Herzberg ◽  
Z Oberman ◽  
O Khermosh ◽  
S L Weissman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Urinary Excretion ◽  
Collagen Metabolism ◽  
Bone Collagen ◽  
Control Group ◽  
Low Back ◽  
Multiple Fractures ◽  
Daily Excretion ◽  
The Mean

Abstract Urinary excretion of hydroxyproline was measured in 12 cases of multiple fractures as an index of bone collagen metabolism. Measurements were made for 10 consecutive days after injury; 10 patients with low back pain served as the control group. With three exceptions, the mean daily excretion of hydroxyproline and the day-to-day variations were within the same range in the group with multiple fractures as in the control group.

scholarly journals Associations between low back pain, urinary incontinence, and abdominal muscle recruitment as assessed via ultrasonography in the elderly

2015 ◽  
Vol 19 (1) ◽  
pp. 70-76 ◽  
Author(s):  
Vânia F. Figueiredo ◽  
Juleimar S. C. Amorim ◽  
Aline M. Pereira ◽  
Paulo H. Ferreira ◽  
Leani S. M. Pereira
Keyword(s):  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
The Elderly ◽  
Abdominal Muscle ◽  
Low Back ◽  
Muscle Recruitment

scholarly journals Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

2021 ◽  
Vol 18 (13) ◽  
pp. 6816
Author(s):  
Aurora Castro-Méndez ◽  
Inmaculada Concepción Palomo-Toucedo ◽  
Manuel Pabón-Carrasco ◽  
Javier Ramos-Ortega ◽  
Juan Antonio Díaz-Mancha ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Foot Orthoses ◽  
Low Back ◽  
Custom Made ◽  
Foot Posture ◽  
Foot Pronation ◽  
Pain Symptoms

Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to observe the effects of custom-made foot orthoses, in subjects with foot pronation suffering from CLBP. A total of 101 patients with nonspecific CLBP and a pronated foot posture index (FPI) were studied. They were randomized in two groups: an experimental one (n = 53) used custom-made foot orthotics, and the control group (n = 48) were treated with non-biomechanical effect orthoses. The CLBP was measured using the Oswestry Disability Index (ODI) Questionnaire and a visual analogue scale (VAS), both for lower back pain. The symptoms were evaluated twice, at first when the subject was included in the study, and later, after 4 weeks of treatment. The analysis of outcomes showed a significant decrease in CLBP in the custom-made foot orthoses participants group (p < 0.001 ODI; p < 0.001 VAS). These findings suggest that controlling excessive foot pronation by using custom-made foot orthoses may significantly contribute to improving CLBP.

Sign in / Sign up

Export Citation Format

Share Document