STRETCHING AS A PART OF A STRATEGY FOR THE PREVENTION AND MANAGEMENT OF CHRONIC LOW BACK PAIN

Tasks in the treatment of chronic pain in the lumbar region include a decrease in the degree of pain and improvement of daily activity, prevention of musculoskeletal disorders, as well as maintenance of working capacity. The aim of this study is to investigate the application of stretching exercises as a way to restore muscle balance and to prevent recurrent pain in the back. Tasks: To study available publications on the application of stretching exercises in lumbar pain; To draw conclusions after analyzing the data. Results: The proposed special exercises for fitness, muscle balance and normal tone of the dorsal muscles are important for the restoration and protection of patients from back pain. Conclusion: the regular conduct of kinesitherapy for prophylaxis, outside the acute period, would play a role in keeping the spine in condition. This would significantly limit the incidence of relapses, clinical practice in our country still lags behind this approach, unfortunately.

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Influence of Pilates Method on Nonspecific Lumbar Pain

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0040-1716561 ◽

2020 ◽

Vol 39 (04) ◽

pp. 300-305

Author(s):

Ana Carla Schimidt ◽

Paula de Oliveira Herzinger ◽

Danielle Pacheco Matias ◽

Leonardo C. Welling

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pain Perception ◽

Randomized Clinical Trials ◽

Lumbar Pain ◽

Low Back ◽

Reduction Of Pain ◽

Pilates Method

AbstractLow back pain is defined as pain located between the lower rib cage and the gluteal folds, and its etiology is multifactorial, considerably affecting quality of life. The aim of this literature review was to analyze the influence of the Pilates method on the symptoms of patients with nonspecific low back pain, which is considered a promising treatment for this type of pathology. A narrative review of the literature was carried out using the PubMed, Pedro, Scopus and Scielo databases. To perform the search, Pilates AND Low back nonspecific AND Pain were used as keywords. Articles published in the last 5 years, randomized clinical trials that verified the influence of the Pilates method in adult individuals with unspecified low back pain and full text in English were included. Of the 77 articles identified, 7 articles met the inclusion criteria, 7 analyzed the primary outcomes of pain intensity and disability, 5 articles compared Pilates with other rehabilitation techniques and 2 studies compared the effectiveness of Pilates solo with Pilates apparatus. It was concluded that all the techniques that were compared with Pilates are effective, being difficult to affirm the superiority of Pilates over them in relation to the reduction of pain and disability and improvement of quality of life. However, the Pilates method has shown good results in pain perception and intensity, functional capacity, fear of movement and the idea that movement can worsen your condition, muscle strength, range of motion and flexibility.

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Physical activity in patients with nonspecific low back painin therapy

Medical Council ◽

10.21518/2079-701x-2021-19-67-72 ◽

2021 ◽

pp. 67-72

Author(s):

V. A. Parfenov ◽

I. A. Lamkova

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Rating Scale ◽

Therapy Group ◽

Individual Characteristics ◽

Lumbar Pain ◽

Low Back ◽

Standard Therapy Group ◽

The Individual

Introduction. Kinesitherapy (KT) – one of the leading areas of patient care with chronic nonspecific (musculoskeletal pain) low back pain. For chronic lumbar pain, a standard KT is commonly used, that includes group sessions with a medical specialist. Often not taking into account the individual characteristics of patients, their attitude to KT, does not use a backpain education program in combination with KT (extended KT). Physical activity and hypodynamia are compared in patients with chronic nonspecificlow back pain in standard KT and extended KT.Aim of study is to assess the effectiveness of the standard and extended KT in the enhancement of physical activity.Materials and methods. 71 patients were observed (17 men and 54 women, average age 55.09 ± 13 years) with chronic nonspecific low back pain. Patients received non-steroidal anti-inflammatory drugs (NSAIDs) as painkillers. 34 patients received a standard KT, 37 patients – an extended KT. Patients were asked to complete the Numeric Pain Rating Scale (NPRS), the Oswestry Low Back Pain Disability Questionnaire, and the International Physical Activity Questionnaire (IPAQ) at baseline, after 7 days and 90 days.Results and discussion. In the extended KT group, physical activity increased from 11 (7–16) points to 16 (13–19) points after 7 days (p = 0.001) and up to 23 (15–26) points after 3 months (p = 0.0002). There has been a statistically significant decrease in the proportion of patients with hypodynamy (p = 0.0015). There is no statistically significant increase in physical activity in the standard therapy group. The use of NSAIDs in non-specific low back pain is discussed, the effectiveness of the use of dexketoprofen (Dexalgin) during lumbar pain is noted.Conclusion. In the case of nonspecific low back pain, the extended KTimprovesphysical activity and reduce hypodynamy.

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EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.1.1/004 ◽

2012 ◽

Vol 1 (1) ◽

pp. 23-27

Author(s):

Syed Abid Mehdi Kazmi ◽

Nabiha Mujahid Faruq ◽

Sumaira Imran Farooqui ◽

Jharna Devi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

High Velocity ◽

Low Back ◽

Before And After ◽

History Of ◽

Group A ◽

Group B ◽

Low Amplitude ◽

Stretching Exercises

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching

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PENGARUH AKUPRESUR TITIK BLADDER 23 TERHADAP INTENSITAS NYERI PUNGGUNG BAWAH IBU HAMIL TRIMESTER III DI UPTD PUSKESMAS I DENPASAR UTARA

Jurnal Midwifery Update (MU) ◽

10.32807/jmu.v2i2.91 ◽

2020 ◽

Vol 2 (2) ◽

pp. 75

Author(s):

Ni Luh Putu Sentania Widhi Permana Putri ◽

Ni Wayan Suarniti ◽

Ni Nyoman Budiani

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Mean Value ◽

Lumbar Region ◽

Low Back ◽

Third Trimester ◽

Purposive Sampling ◽

Before And After ◽

Pharmacological Method

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.

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Effectiveness of traditional Thai self-massage combined with stretching exercises for the treatment of patients with chronic non-specific low back pain: A single-blinded randomized controlled trial

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2019.03.017 ◽

2020 ◽

Vol 24 (1) ◽

pp. 19-24 ◽

Cited By ~ 1

Author(s):

Vitsarut Buttagat ◽

Palida Techakhot ◽

Waraporn Wiriya ◽

Mailusie Mueller ◽

Pattanasin Areeudomwong

Keyword(s):

Randomized Controlled Trial ◽

Low Back Pain ◽

Back Pain ◽

Controlled Trial ◽

Low Back ◽

Randomized Controlled ◽

Stretching Exercises

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Letter to editor “Effectiveness of additional deep-water running for disability, lumbar pain intensity, and functional capacity in patients with chronic low back pain: A randomised controlled trial with 3-month follow-up"

Musculoskeletal Science and Practice ◽

10.1016/j.msksp.2020.102227 ◽

2020 ◽

Vol 50 ◽

pp. 102227

Author(s):

Gurjant Singh ◽

Saumya Kothiyal

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Randomised Controlled Trial ◽

Functional Capacity ◽

Controlled Trial ◽

Lumbar Pain ◽

Low Back ◽

Randomised Controlled ◽

Deep Water Running

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Association between types of Modic changes in the lumbar region and low back pain in a large cohort: the Wakayama spine study

European Spine Journal ◽

10.1007/s00586-020-06618-x ◽

2020 ◽

Author(s):

Yoshimasa Mera ◽

Masatoshi Teraguchi ◽

Hiroshi Hashizume ◽

Hiroyuki Oka ◽

Shigeyuki Muraki ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Modic Changes ◽

Large Cohort ◽

Lumbar Region ◽

Low Back

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Low Back Pain and Swelling as an Atypical Presentation of IgA Vasculitis

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2019.11.44574 ◽

2020 ◽

Vol 4 (2) ◽

pp. 241-243

Author(s):

Clay Winkler ◽

Raymond Dobson ◽

Michael Tranovich

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Immunoglobulin A ◽

Lumbar Pain ◽

Low Back ◽

Iga Vasculitis ◽

Gastrointestinal Involvement ◽

Cutaneous Manifestations ◽

Schonlein Purpura ◽

Immunoglobulin A Vasculitis

Introduction: Immunoglobulin A vasculitis (IgA vasculitis), formerly Henoch-Schonlein purpura, is the most common vasculitis in children. Case Report: A 6-year-old female presented with low back pain and swelling, difficulty ambulating, and rash two weeks after a respiratory infection. She was approached with a broad differential and ultimately diagnosed with IgA vasculitis. Discussion: Cutaneous manifestations, arthralgias, renal and gastrointestinal involvement are the most common presenting signs of IgA vasculitis. Only two cases of IgA vasculitis associated with lumbar pain and swelling were identified in the literature. Conclusion: While rash and joint pain are common presenting signs of IgA vasculitis, practitioners should be aware it can present atypically.

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Analysis of pain symptoms, flexibility and hydroxyproline concentration in individuals with low back pain submitted to Global Postural Re-education and stretching

Pain Management ◽

10.2217/pmt-2019-0053 ◽

2020 ◽

Vol 10 (3) ◽

pp. 167-177

Author(s):

Frederico Pecorone Matos ◽

Estélio Henrique Martin Dantas ◽

Flávio Boechat de Oliveira ◽

Juliana Brandão Pinto de Castro ◽

Mario Cezar de S Costa Conceição ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Low Back ◽

Hydroxyproline Concentration ◽

Urinary Levels ◽

Pain Symptoms ◽

Stretching Exercises

Aim: To evaluate pain, flexibility and hydroxyproline (HP) urinary levels in patients with nonspecific low back pain submitted to Global Postural Re-education (GPR) and stretching. Materials & methods: 39 individuals who reported low back pain were randomly assigned to a group submitted to GPR (GPRG) or stretching exercises (SG) for 8 weeks. Pain and flexibility were assessed using the Borg CR10 scale and goniometry, respectively. Results: The GPR group showed a significant reduction in the HP levels and significant improvements in flexibility after the intervention when compared with SG. Both groups presented a significant reduction in HP and pain after the intervention. Conclusion: Both interventions were effective in the treatment of low back pain. However, the GPR method presented better responses than stretching.

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