scholarly journals Back Pain and Body Posture of Non-Professional Brazilian Jiu-Jitsu Athletes

Author(s):  
Katarzyna Sędek ◽  
Aleksandra Truszczyńska-Baszak ◽  
Katarzyna Cygańska Anna ◽  
Justyna Drzał-Grabiec

Abstract Background The aim of the study was to assess the prevalence of back pain in non-professional Brazilian jiu-jitsu (BJJ) athletes, and to assess the relationship between their back pain and postural disorders. Methods The study involved 61 subjects: 31 subjects who trained Brazilian jiu-jitsu and 30 subjects who had never trained any martial arts. The mean BJJ training time in the study population was 3.89 ± 4.13 years. The athletes’ trained 4.06 ± 2.8 times a week and took 1.5 hours. Postural assessments were conducted with the use of the photogrammetric method. The assessment of back pain and injuries was conducted with the Oswestry Disability Index (ODI) and with our proprietary questionnaire. Results Among both populations, 37 subjects reported back pain − 22 athletes (71.0%) and 15 controls (50%) (p = 0,094). There were no differences in back pain location between the two groups (p > 0.05) or in functional state on the Oswestry Index (21.5% in the study population and 20% in the control group, p = 0.121). We observed significant differences between the groups in the values of four of the postural parameters. For each of these four parameters, parameter values were higher in the study population: DCK-spinal height from C1 to S1 (474.8 ± 25.4 vs 447.1 ± 25.9, p = 0.001); RKP-length of kyphosis between C7 and thoracolumbar junction (321.9 ± 15.2 vs 307.3 ± 22.2, p = 0.010); RLL-length of lordosis between S1 and thoracolumbar junction (152.9 ± 18.2 vs. 139.8 ± 17.6, p = 0.009) and KNM-pelvis inclination angle (2.24 ± 1.18 vs. 1.64 ± 1.34, p = 0.041). We found statistically significant differences in the study population between the athletes with and without back pain. These differences were found in the following parameters: RKP-length from C7 to peak of kyphosis (p = 0.01) and TT-difference between height of the waist triangles (p = 0.018). Conclusions There are no differences in back pain in regard to its frequency, intensity and location between non-professional BJJ athletes and subjects who do not train BJJ. Both in the study population and in the control group the spinal pain was minimal or moderate on the Oswestry Disability Index. BJJ athletes who reported back pain had characteristic postural changes in some of the analysed postural parameters in comparison to BJJ athletes who did not report back pain.

2019 ◽  
Vol 26 (7) ◽  
pp. 1-10
Author(s):  
Ana Claudia Aparecida Pelegrini ◽  
Eduardo Gasoto ◽  
Jean Marcos Bussolaro ◽  
Gabriel Segatti ◽  
Carlos Eduardo de Albuquerque ◽  
...  

Background/aimsDespite electrostimulation being a common adjuvant therapy for non-specific low back pain, the use of Aussie current for muscle contraction is still underreported in the literature. The present study aimed to assess the use of Aussie current in the treatment of chronic, non-specific lumbar pain.MethodsTwenty-four young women with chronic non-specific low back pain were randomly assigned to the Aussie current group or control group. Pain (visual analogue scale and McGill Pain Questionnaire), function (Oswestry Disability Index), trunk muscle resistance (the time the participant remained in a predefined static position) and multifidus muscle thickness (ultrasound images) were analysed bilaterally before, at the end of and 30 days after completing the treatment protocol. The treatment group received 12 sessions of Aussie current over a period of 4 weeks. The electrodes were arranged laterally and bilaterally to the spinous processes of the first and fifth lumbar vertebrae.ResultsThere was a reduction in the pain profile for the Aussie group, as measured by a visual analogue scale and the McGill Pain Questionnaire. There was an increase in trunk muscle resistance and in muscle thickness in the Aussie group when compared to the control group. There were no changes in the Oswestry Disability Index in either group.ConclusionsAussie current resulted in significant improvements in pain, endurance and muscle thickness in women with chronic, non-specific low back pain.


Author(s):  
Mikhael Gorshkov Mikhael Gorshkov ◽  
Nugzar Elizbarashvili Nugzar Elizbarashvili ◽  
Lukhum Chanturia Lukhum Chanturia ◽  
Otari Gaphrindashvili Otari Gaphrindashvili ◽  
Iamze Taboridze Iamze Taboridze

Objective: Deep Oscillation® is an electromechanical procedure with deep therapy that allow to create a pulsed electrostatic field between the hand applicator and the processing better tissue nutrition, enhanced cellular metabolism, faster healing. The purpose of this work is to assessment of the outcome of the treatment of spinal pain after hip arthroplasty using Deep osсillation Methods: The study included 85 patients between the ages of 40 and 75 who were referred to the Arena 2 Rehabilitation Center for post hip joint arthroplasty spine pain, including 57 women and 28 men. Patients physical modalities: complex rehabilitation programme including deep oscillation (DO - fibromyalgia programme) and kinesitherapy - active analytic exercises (including isometric exercises) and soft tissue techniques (post-isometric relaxation, stretching of the lumbar fascia, manual massage). Spinal condition was assessed before treatment after treatment using the Modified Oswestry Disability Index (ODI). Results: Mean value of points before treatment - 3.35+1.1, after treatment - 1.36+0.79. p<0.001 Oswestry Disability Index –67% and 27.2% respectively. Conclusion: After total endoprosthesis, there is a change in biomechanics and a shift in the center of gravity, which causes a change in the position of the spine and pain, so we definitely consider the spine examination and adequate rehabilitation and treatment in the post hip joint arthroplasty period. Involvement in the deep spine's treatment method reduces pain and improves the patient's quality of life, improve function and return-to-work status. Keywords: deep oscillation, hip arthroplasty, back pain.


Author(s):  
Virny Dwiya Lestari ◽  
Dewa Putu Gde Purwa Samatra ◽  
Syahmirza Indra Lesmana ◽  
Ni Wayan Tianing ◽  
Ni Nyoman Ayu Dewi ◽  
...  

Prevalensi low back pain meningkat seiring dengan meningkatnya aktivitas manusia. Aktivitas yang berlebihan dalam posisi statis dapat menimbulkan Non Specific Low back pain. Non Specific Low back pain merupakan nyeri di sekitar punggung bawah yang disebabkan karena gangguan non patologis. Non Specific Low back pain dapat mengakibatkan nyeri, spasme otot dan imbalance muscle, sehingga stabilitas otot perut dan punggung bawah mengalami penurunan, mobilitas lumbal terbatas, mengakibatkan penurunan aktivitas fungsional. Penelitian ini bertujuan untuk membuktikan intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Penelitian ini menggunakan jenis penelitian eksperimental dengan rancangan penelitian pre-test and post-test control group design. Kelompok I terdiri dari 16 orang dengan intervensi yang diberikan adalah Rhytmic Stabilization Exercise dan Kelompok II yang terdiri dari 16 orang dengan intervensi yang diberikan adalah Post Isometric Relaxation (PIR). Kemampuan fungsional diukur menggunakan Oswestry Disability Index (ODI). Hasil penelitian menunjukkan bahwa (1) terdapat peningkatan kemampuan fungsional pada Kelompok I dengan nilai rerata pre test 25,50 ± 1,751% dan post test 21,12 ± 1,962%, (2) terdapat peningkatan kemampuan fungsional pada Kelompok II dengan hasil rerata pre test 24,93 ± 2,08% dan post test 21,43 ± 2,52%, (3) terdapat perbedaan yang signifikan pada hasil tes ODI pada Kelompok I dan Kelompok II dengan hasil rerata ± SB Kelompok I 4,37 ± 1,147% dan rerata ± SB Kelompok II 3,50 ± 1,211 % dengan nilai p = 0,044 yang berarti intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Disimpulkan bahwa intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain.Kata Kunci: Oswestry Disability Index, Rhytmic Stabilization Exercise, Post Isometric Relaxation (PIR), Non Specific Low back pain


Author(s):  
Julia J. Grannemann ◽  
Sonja Holzhauer ◽  
Siegmar Blumentritt ◽  
Jörg Larsen ◽  
Lena Braunschweig ◽  
...  

Abstract Background The impact of backpack carrying on body postural changes in schoolchildren has been discussed intensively. However, findings are inconsistent mainly due to the lack of long-term results. Objective The purpose of this investigation was to study the influence of backpack weight on body posture and prevalence of back pain. Methods In our prospective, comparative study, we investigated the influence of backpack weight on 77 schoolchildren (average age 10.8 ± 0.7 years) over a 1-year period. Participants were evaluated at the beginning of the study by clinical examination and formal static posture analysis. Forty-nine students comprised the control group while 28 students in the intervention cohort had the weight of their backpacks reduced by 2 kg. All students were reevaluated after 6 and 12 months by formal postural examination. Results Children with reduced backpack weights had a significantly improved bending posture when wearing their backpacks when compared to the participants of the control group, whereas the analysis of the children while they did not wear their backpacks revealed no difference between the groups. Within the follow-up period all postural changes were reversible once the backpack weight was removed. Conclusions Schoolchildren with heavy backpack loads show postural changes while carrying their backpack but this impact was reversible when backpacks were removed. Continuous reduction of backpack loads minimizes prevalence of back pain.


Author(s):  
Vilma Dudonienė ◽  
Jurgita Radzevičiūtė

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.


2020 ◽  
Vol 33 (5) ◽  
pp. 823-828
Author(s):  
Isabela Franco Cavalcanti ◽  
Gabriel Barreto Antonino ◽  
Katia Karina do Monte-Silva ◽  
Marcelo Renato Guerino ◽  
Ana Paula de Lima Ferreira ◽  
...  

BACKGROUND: Spinal pain is an important public health issue that brings biopsychosocial problems. Global Postural Re-education (GPR) is one of its treatments. OBJECTIVE: Evaluate the effects of GPR on pain, flexibility, and posture of individuals with non-specific low back pain and/or neck pain for more than six weeks. METHODS: The study enrolled 18 individuals, which were randomized into two groups: GPR group (GPRG; n= 09), submitted to 10 sessions of GPR and control group (CG; n= 09), not submitted to any technique. The evaluations were done before and after the GPRG sessions, for pain perception (Visual Analogue Scale – VAS), flexibility (finger-floor test) and posture (SAPO). The re-evaluation was done in the GPRG after the end of 10 treatment sessions and, in the GC, after the time equivalent to 10 sessions. The level of significance was set at p< 0.05. RESULTS: This pilot study has no homogeneity between groups. GPRG presented improvement in pain and flexibility, but showed no changes in posture. In the CG, there was no difference in the variables evaluated in this study. CONCLUSION: GPR had positive effects on pain and flexibility, but did not present a significant effect on posture.


2020 ◽  
Vol 48 (4) ◽  
pp. 329-334
Author(s):  
Soo Jin Han ◽  
Seung Mi Lee ◽  
Sohee Oh ◽  
Subeen Hong ◽  
Jeong Won Oh ◽  
...  

AbstractBackgroundIn monochorionic twin pregnancy, placental anastomosis and inter-twin blood transfusion can result in specific complications, such as twin-twin transfusion syndrome (TTTS) and twin anemia-polycythemia sequence (TAPS). It is well established that adverse outcomes are increased in TTTS, but reports on the neonatal and long-term outcomes of TAPS are lacking. The objective of this study was to evaluate the neonatal and neurodevelopmental outcomes in spontaneous TAPS.MethodsThe study population consisted of monochorionic twin pregnancies with preterm birth (24–37 weeks of gestation) between November 2003 and December 2016 and in which cord blood was taken at the time of delivery. According to the result of hemoglobin in cord blood, the study population was divided into two groups: a spontaneous TAPS group and a control group. Neonatal and neurodevelopmental outcomes were compared between the two groups.ResultsDuring the study period, 11 cases were diagnosed as spontaneous TAPS (6.4%). The TAPS group had lower gestational age at delivery and had a higher risk for cesarean delivery. However, neonates with TAPS were not at an increased risk for neonatal mortality and significant neonatal morbidity. In addition, the frequency of severe cerebral lesion during the neonatal period and the risk of cerebral palsy at 2 years of age were not different between the two groups.ConclusionThe spontaneous TAPS diagnosed by postnatal diagnostic criteria was not associated with the increased risk of adverse neonatal and neurodevelopmental outcomes. Further studies are needed to evaluate the morbidity of antenatally diagnosed TAPS.


Author(s):  
Erin H Feser ◽  
Christian Korfist ◽  
Kyle Lindley ◽  
Neil E Bezodis ◽  
Kenneth Clark ◽  
...  

Time constraints often result in the challenge to fit desired programming into training time allotments. Wearable resistance (WR) may be an option to optimise the training content in function of constrained training time. The purpose of this study was to determine the effects of a lower-limb WR sprint running training intervention on athlete speed capabilities following a nine-week off-season, low volume training period within a sample of American football high school athletes. Nineteen athletes completed pre- and post-intervention testing of two maximal effort 30 m sprints. Horizontal force-velocity mechanical profiling variables, sprint times, and maximal velocity were calculated from sprint running velocity data collected by a radar device. The athletes completed seventeen dedicated sprint training sessions during the off-season. The intervention (WR) group completed the sessions with 1% body mass load attached to the shanks (i.e. 0.50% body mass load on each limb). The control group completed the same training sessions unloaded. Post-intervention, no statistically significant between group differences were observed ( p > 0.05). However, athletes in both groups experienced increases in velocity measures following the sprint training. The greater adjusted mean theoretical maximal velocity scores ( p > 0.05; ES = 0.30) found for the WR group compared to the control group at post-intervention may suggest that WR amplifies the nuances of the training protocol itself. Coaches can consider using lower-limb WR training to increase in-session workloads during periods of low volume training but more research is needed to better understand to what extent WR training might provide an added value to optimise both the training content and planning, as well as the athlete’s training response in order to improve sprint running performance.


Author(s):  
R.F.M.R. Kersten ◽  
J. Fikkers ◽  
N. Wolterbeek ◽  
F.C. Öner ◽  
S.M. van Gaalen

BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.


Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 810
Author(s):  
I. Concepción Aranda-Valera ◽  
Juan Luis Garrido-Castro ◽  
Alfonso Martínez-Galisteo ◽  
José Peña-Amaro ◽  
Cristina González-Navas ◽  
...  

Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterized by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromyography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyze the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI ≥ 4) and non-active (BASDAI < 4) patients. The reliability (using intraclass correlation coefficients (ICC)), criterion validity and discriminant validity using the area Under the curve (AUC) for the inverse flexion/relaxation ratio (1/FRR) were evaluated. Significant differences (p < 0.05) were observed between axSpA patients and the control group in lumbar electric activity, especially during flexion, relaxation, and extension and in FRR and 1/FRR (0.66 ± 0.39 vs. 0.25 ± 0.19, respectively). In addition, significant differences were found between active and non-active but also between non-active and healthy subjects. The sEMG showed good reliability (ICC > 0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC = 0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status.


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