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 Effects of Exercises On Pregnancy Related Low Back Pain: A Quasi Experimental Study

2018 ◽  
Vol 08 (03) ◽  
pp. 163-167
Author(s):  
Abida Arif ◽  
Ghousia Shahid ◽  
Muhammad Arif Siddique ◽  
Khalid Aziz ◽  
Muhammad Faisal Fahim
Keyword(s):  
Experimental Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Post Treatment ◽  
Control Group ◽  
Low Back ◽  
Moderate Pain ◽  
Quasi Experimental ◽  
Experimental Group

Objective: To evaluate the effect of therapeutic exercises on pregnancy related low back pain in a tertiary care hospital of Karachi. Material & Methods: This was a quasi-experimental study with non-probability convenience sampling technique. Study was carried out at Liaquat National Hospital Karachi. Patients were divided into two groups (Experimental and Control). Inclusion criteria were age <30 years, 2nd and 3rd trimester, stable medical status and those who gave the informed consent. Exclusion were pregnancy induced hypertension (>140/90mmHg), Cardiac disease, diabetes mellitus, persistent vaginal bleeding, history of miscarriages, decreased foetal movement. Data was collected through assessment Modified Oswestry Low back pain disability questionnaire. SPSS version 23.0 was used to analyze the data. Results: A total of 30 samples were selected for the study. There were 15 respondents in experimental while 15 in control group. Disability levels were found to be significantly decreased after post treatment in experimental group with P-value= 0.002. It was seen that number of patients was increased from 1(6.7%) to 6(40%) in minimal disability group whereas crippled back pain group in pre-treatment group was totally shifted towards minimal or moderate pain 3(20.0%) and no case was seen in post-treatment. Conclusion: Low back pain in pregnancy can disturb daily life routine but exercise therapy and proper counselling will lead stress free life to female in gestation. After post treatment in experimental group showed decrease in pain as compare to control group who were not provided any exercise therapy. Working women in experimental group also showed decrease by crippled back pain to moderate pain after exercise. So in the end researcher suggest that physiotherapy exercises play a vital role in reducing Low Back Pelvic Pain (LBPP) during pregnancy.

scholarly journals Integrative TCM Conservative Therapy for Low Back Pain due to Lumbar Disc Herniation: A Randomized Controlled Clinical Trial

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Wei An Yuan ◽  
Shi Rong Huang ◽  
Kai Guo ◽  
Wu Quan Sun ◽  
Xiao Bing Xi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Conservative Therapy ◽  
Lumbar Disc ◽  
Control Group ◽  
Low Back ◽  
Randomized Controlled ◽  
Experimental Group

Low back pain due to lumbar disc herniation (LDH) is very common in clinic. This randomized controlled trial was designed to investigate the effects of integrative TCM conservative therapy for low back pain due to LDH. A total of 408 patients with low back pain due to LDH were randomly assigned to an experimental group with integrative TCM therapy and a control group with normal conservative treatment by the ratio of 3 : 1. The primary outcome was the pain by the visual analogue scale (VAS). The secondary outcome was the low back functional activities by Chinese Short Form Oswestry Disability Index (C-SFODI). Immediately after treatment, patients in the experimental group experienced significant improvements in VAS and C-SFODI compared with the control group (between-group difference in mean change from baseline, −16.62 points,P<0.001in VAS; −15.55 points,P<0.001in C-SFODI). The difference remained at one-month followup, but it is only significant in C-SFODI at six-month followup (−7.68 points,P<0.001). No serious adverse events were observed. These findings suggest that integrative TCM therapy may be a beneficial complementary and alternative therapy for patients with low back pain due to LDH.

scholarly journals Prevention of Low Back Pain in Adults with a Back School-Based Intervention

2021 ◽  
Vol 10 (22) ◽  
pp. 5367
Author(s):  
Pablo Hernandez-Lucas ◽  
Juan Lopez-Barreiro ◽  
Jose Luis Garcia-Soidan ◽  
Vicente Romo-Perez
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Short Form ◽  
Adult Population ◽  
Educational Interventions ◽  
Control Group ◽  
Low Back ◽  
Back School ◽  
Medical Visits ◽  
Experimental Group

Background: Low back pain is highly prevalent and has a major socio-economic impact worldwide. Among the rehabilitation options is the Back School, which consists of programmes that include exercise and educational interventions to treat and prevent back pain. The effects of this type of programme are usually evaluated in patients with low back pain. The aim of this study was to evaluate the effects on low back functionality and the prevention of medical visits due to low back pain during one year of follow-up in a healthy adult population. Methods: A quasi-experimental study was conducted with 56 healthy participants who were divided into an experimental group (n = 30), who underwent the programme consisting of a total of 16 sessions, and a control group (n = 26), who did not undergo the intervention. All participants were administered the Partial Curl-up Test, Biering Sorense Test, Modified Schöber Test, and Toe Touch Test, and they completed the Short Form 36 Health Survey before and after the intervention. In addition, a telephone call was made to ask whether they attended a doctor for low back pain in the following year post-intervention. Results: In the experimental group, statistically significant improvements were observed in trunk muscle strength, spinal flexion joint range of motion, and hamstring flexibility, and they had fewer visits to the doctor for low back pain in the following year. Conclusions: The theoretical–practical programme based on the Back School seems to have beneficial effects on low back functionality by increasing its strength and flexibility in an adult population. In addition, this programme reduced the number of medical visits due to low back pain during the following year after the intervention.

scholarly journals Effects of electroacupuncture frequencies on chronic low back pain in older adults: triple-blind, 12-months protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarina Francescato Torres ◽  
Ana Carolina Brandt de Macedo ◽  
Mateus Dias Antunes ◽  
Ingred Merllin Batista de Souza ◽  
Francisco Dimitre Rodrigo Pereira Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Adult Population ◽  
Control Group ◽  
Supporting Evidence ◽  
Low Back ◽  
Randomized Controlled

Abstract Background Low back pain (LBP) is the most frequent complaint in clinical practice. Electroacupuncture treatment may be effective; however, the supporting evidence is still limited, especially in older adults. Objective The current study is a randomized controlled trial that aims to evaluate the clinical efficacy of electroacupuncture in older adults with LBP. Methods A five-arm randomized controlled trial with patients and evaluators blinded to the group allocation. A total of 125 participants with non-specific LBP will be randomly assigned into one of five groups: three electroacupuncture groups (low, high, and alternating frequency); one control group; and one placebo group. The electroacupuncture will be applied twice a week (30 min per session) for five weeks. The primary clinical outcome measure will be pain intensity. The secondary outcomes include: quality of pain; physical functioning; perceived overall effect; emotional functionality; patient satisfaction; and psychosocial factors. Patients will be evaluated before the first session, immediately after the last, and followed up after six and 12 months to check the medium- and long-term effects. Discussion Although electroacupuncture is increasingly used to treat LBP, there is no guidance regarding the parameters used, which leads to inconsistent results. Thus, the effect of electroacupuncture (EA) on LBP remains controversial and requires more studies, especially in the older adult population. Conclusion This is the first randomized controlled trial to evaluate the efficacy of different frequencies of electroacupuncture for treating chronic LBP in older adults. This study will provide evidence on the effectiveness of electroacupuncture as an alternative treatment method for LBP and will entail wider debate about an appropriate acupuncture intervention in this population. Trial registration Clinicaltrials.gov, NCT03802045. Registered on 14 January 2019.

scholarly journals Reliability of the endurance test for the erector spinae muscle

2016 ◽  
Vol 29 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Cíntia Pereira de Souza ◽  
Renato Sobral Monteiro-Junior ◽  
Elirez Bezerra da Silva
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Erector Spinae ◽  
Muscle Endurance ◽  
Low Back ◽  
Endurance Test ◽  
Erector Spinae Muscle ◽  
Standard Error Of Measurement ◽  
Sedentary Women

Abstract Introduction: The low resistance of the erector spinae has been seen as a risk factor for developing chronic low back pain. The test of the erector spinae muscle endurance advocated by Biering-Sorensen has been used to assess the strength of the erector spinae muscle. Modifications of the measuring instrument require reliability studies. Objective: To evaluate the measurement of the erector spinae muscle endurance and the standard error of measurement (SEM) of the modified Biering-Sorensen test of erector spinae in women with chronic low back pain. Methods: Forty-eight sedentary women, aged 52 ±7, suffering from chronic low back pain, were tested. The position adopted was the prone position without the trunk on the examining table. Fixations were performed with straps at the ankles, knees and pelvis. The patient was instructed to maintain the shoulder blades in contact with the stadiometer as long as possible. The measurement was repeated, with measures 15 minutes apart. Results: Considering the confidence limits of Bland & Altman, - 40 and 68 seconds, the SEM was13 seconds and SEM% was 22. The ICC = 0.87 with p = 0.001. The first test was equal to 54 ± 36 seconds, and the retest = 67 ± 40 seconds. Conclusion: The endurance test of the erector spinae showed moderate reliability. Therefore, we suggest that, despite its applicability in clinical practice, the results should be interpreted carefully because the differences in mean erector spinae endurance of up to 13 seconds may be related to measurement error.

scholarly journals A randomised controlled trial of ‘clockwise’ ultrasound for low back pain

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Adriaan Louw ◽  
Kory Zimney ◽  
Merrill R. Landers ◽  
Mark Luttrell ◽  
Bob Clair ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Leg Pain ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Experimental Group

Aims: To examine how the choice of words explaining ultrasound (US) may influence the outcome of physiotherapy treatment for low back pain (LBP).Methods: Sixty-seven patients with LBP < 3 months were randomly allocated to one of three groups – traditional education about US (control group [CG]), inflated education about US (experimental group [EG]) or extra-inflated education about US (extra-experimental group [EEG]). Each patient received the exact same application of US that has shown clinical efficacy for LBP (1.5 Watts/cm2 for 10 minutes at 1 Megahertz, pulsed 20% over a 20 cm2 area), but received different explanations (CG, EG or EEG). Before and immediately after US,measurements of LBP and leg pain (numeric rating scale), lumbar flexion (distance to floor) and straight leg raise (SLR) (inclinometer) were taken. Statistical analysis consisted of mixed-factorial analyses of variance and chi-square analyses to measure differences between the three groups, as well as meeting or exceeding minimal detectable changes (MDCs) for pain, lumbar flexion and SLR.Results: Both EG and EEG groups showed a statistically significant improvement for SLR (p < 0.0001), while the CG did not. The EEG group participants were 4.4 times (95% confidence interval: 1.1 to 17.5) more likely to improve beyond the MDC than the CG. No significant differences were found between the groups for LBP, leg pain or lumbar flexion.Conclusion: The choice of words when applying a treatment in physiotherapy can alter the efficacy of the treatment.

Strength and Flexibility Characteristics of Athletes with Chronic Low-Back Pain

1996 ◽  
Vol 5 (4) ◽  
pp. 275-286 ◽  
Author(s):  
Kathleen J. Ashmen ◽  
C. Buz Swanik ◽  
Scott M. Lephart
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Erector Spinae ◽  
Control Group ◽  
Low Back ◽  
Leg Length ◽  
Mean Differences ◽  
Division I Athletes ◽  
Abdominal Strength

The purpose of this study was to identify strength and flexibility deficits in subjects with chronic low-back pain (CLBP). Subjects were 16 female Division I athletes: 8 athletes who had experienced CLBP for at least 6 months prior to testing and a control group of 8 matched subjects. Athletes with neurological symptoms, previous back operations, and leg length discrepancies and those who were diagnosed with scoliosis, spondylolisthesis, or spondylolysis were excluded from this study. Variables assessed included abdominal strength, erector spinae endurance, hip flexion and extension endurance, torso lateral flexibility, and low-back flexibility. Strength and endurance were calculated as a function of time in seconds. Goniometric measurements were used to determine flexibility. Significant mean differences were found by using dependentttests for abdominal strength, erector Spinae endurance, hip extension, and right lateral flexion of the torso. The results validate the necessity for pelvic stabilization and indicate that strength and flexibility deficits vary among populations.

scholarly journals Effects of combining diaphragm training with electrical stimulation on pain, function, and balance in athletes with chronic low back pain: a randomized clinical trial

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Khadijeh Otadi ◽  
Noureddin Nakhostin Ansari ◽  
Shahriar Sharify ◽  
Zahra Fakhari ◽  
Hadi Sarafraz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Electrical Stimulation ◽  
Low Back Pain ◽  
Back Pain ◽  
Dynamic Balance ◽  
Static Stability ◽  
Control Group ◽  
Low Back ◽  
Amateur Athletes ◽  
Experimental Group

Abstract Background It is unknown how diaphragm training combined with electrical stimulation affects pain, function, static stability, and balance in athletes with chronic low back pain (CLBP). This study aimed to explore the effects of combining diaphragm training with electrical stimulation on pain, function, static stability, and dynamic balance in athletes with nonspecific CLBP. Methods The design was a randomized clinical trial. A total of 24 amateur athletes (12 women, 12 men, mean age: 35.2 ± 9.8) with nonspecific CLBP were randomly allocated into two groups. The experimental group (n = 12) received diaphragm training plus Transcutaneous Electrical Nerve Stimulation (TENS), while the control group (n = 12) received TENS alone. Both groups underwent 12 sessions over a four-week period. Static stability, dynamic balance, pain, and function were measured pre- and post-intervention. Results Analysis of variance 2 × 2 revealed greater improvements in pain (p < 0.001), static stability (p < 0.001), and dynamic balance (p < 0.01) in the experimental group compared to the control group. Function was improved in both groups following the interventions (p < 0.001), and there was a trend of a larger improvement in the experimental group than the control group (p = 0.09). Fisher’s exact test showed that the experimental group reported ≥50% improvement only in the pain score, not function, compared to the group that received TENS alone (p = 0.005). Conclusions Pain, function, static stability, and dynamic balance were improved in both groups following 12 intervention sessions. However, pain, static stability, and dynamic balance were improved to a greater extent in diaphragm training plus TENS than TENS alone in amateur athletes with CLBP. Therefore, it seems beneficial to add diaphragm training to the rehabilitation program for athletes with nonspecific CLBP. Trial registration The trial was retrospectively registered in the Iranian Registry of Clinical Trials (www.irct.ir) on September 10, 2020 as IRCT20090228001719N8.

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 Effectiveness of classification-based treatment for patients with chronic low back pain

2019 ◽  
Vol 1 (12) ◽  
Author(s):  
Justė Knatauskaitė ◽  
Danguolė Satkunskienė
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Chronic Low Back Pain ◽  
Treatment Strategy ◽  
Treatment Method ◽  
Control Group ◽  
Low Back ◽  
Lumbar Range Of Motion ◽  
Experimental Group

Research background. The most prevalent question in treating low back pain is how to choose specifc treatment method not considering treatment strategy. Scientists and clinicians propose subgrouping because the group of low back pain in patients is heterogeneous. One of the classifcations proposed is treatment – based classifcation described by A. Delitto et al. (1995) which will be used in our research. We are going to use clinical prediction rules according to which we are supposed to choose specifc treatment method and improve treatment outcomes. Consequently the main point of our research is a strategy of treatment process. Methods. Sixty people with chronic low back pain participated in our study. The following factors were estimated in the research: intensity of pain using a scale of numbers, functional state using Roland–Morris disability questionnaire, lumbar range of motion with a Modifed–Modifed Schober test, static endurance of trunk muscles with 5 min endurance tests. Results. Low back pain intensity decreased in the experimental group after 4 days and in control group – after 9 days (p < 0.05). Functional disability and back muscles static endurance was better in the experimental group after 9 days compared to the control group (p < 0.05). Lumbar range of motion and abdomen muscle static endurance was not different between groups after physical therapy. Conclusion. Classifcation – based treatment strategy is effective in treating patients with chronic low back pain.Keywords: physical therapy, low back pain, classifcation

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