The Effect of Yoga Activities in Room Temperature and High Temperature Environments on Blood Lipids, Lumbar Pain Index and Stress Hormones in Middle-aged Women with Chronic Low Back Pain

PURPOSE: This study aimed to compare the effects of 10 weeks of lumbar stability and hip mobility exercises using Pilates devices on pain level and muscle joint function in middle-aged women with chronic low back pain (CLBP). Further, we aimed to investigate the efficacy of Pilates hip mobility exercise (HME) as an exercise for improving CLBP in middle-aged women by comparing the effectiveness of lumbar stability exercise (LSE) and HME.METHODS: Thirty-two middle-aged women with CLBP were enrolled and randomly divided and placed into two groups: the LSE group (n=16) and HME group (n=16). Both groups performed Pilates exercises for 50 minutes twice a week for 10 weeks.RESULTS: The Korean Oswestry Disability Index score in both the LSE and HME groups decreased at 5 weeks (p<.05). Hip internal rotation range of motion (ROM) and external rotation ROM increased at 5 and 10 weeks in both the LSE and HME groups (p<.01). Lumbar mobility increased at 5 weeks in both the LSE (p<.01) and HME groups (p<.001). Lumbar stability in the prone plank test significantly increased at 5 weeks in the LSE group (p<.001) and at 5 and 10 weeks in the HME group (p<.001). Lumbar stability by the side plank test significantly increased at 5 and 10 weeks in both the LSE and HME groups (p<.001).CONCLUSIONS: We found that using Pilates to perform both LSE and HME helped relieve back pain and improve muscle joint function in middle-aged women with CLBP. There was no significant difference between LSE and HME in terms of efficacy. HME is a highly effective exercise for improving CLBP in middle-aged women.

Download Full-text

Efficacy of Ultrasono-Guided Caudal Epidural Steroid in Lumbar Disc Prolapse

KYAMC Journal ◽

10.3329/kyamcj.v11i2.48417 ◽

2020 ◽

Vol 11 (2) ◽

pp. 67-72

Author(s):

Mohammad Moniruzzaman ◽

Muhammad Alamgir Mandal ◽

M Matiur Rahman ◽

Syed Mozaffar Ahmed ◽

Md Mustafizur Rahman ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Mean Difference ◽

Lumbar Pain ◽

Minimal Risk ◽

Low Back ◽

Female Ratio ◽

Epidural Steroid ◽

Caudal Epidural

Background: Ultrasono-guided caudal epidural steroid injections are used for the treatment of radicular lumbosacral pain syndromes with the safest, easiest, and minimal risk. Objective: The study is to show efficacy of ultrasono-guided caudal epidural steroid in acute and chronic low back pain due to prolapsed lumbar intervertebral disc (PLID). Materials and Methods: Thirty consecutive patients with acute and chronic low back pain with radiculopathy and without red flag sign where clinical diagnosis were prospectively included in this study in Popular Medical College Hospital, Dhanmondi, Dhaka. Results: The mean age was 40.83±13.34 (mean± SD). Male and female ratio was 3:2. Regarding diagnosis, 56.66% were acute and 43.33% were chronic low back pain in which 40% had lumbar canal stenosis, 70% had right sided radiation, 20% had left sided radiation and 10% had bilateral radiation. After 4 weeks, most of the study population was significantly improved regarding Visual Analogue Scale (VAS) score in lumbar pain and radiation pain, tenderness over lumbar spine, Straight Leg Raising (SLR) test and improvement of mean difference ± Standard Deviation (SD) after 4 weeks were 4.25±3.12, 4.58±1.58, 1.7±0.92 and 29.5±16.15 accordingly. Functional improvement of Oswestry Disability Index (ODI) from baseline 39.60±7.11 to 15.67±0.96. Mean difference of all variables were statistically significant. Conclusion: Ultrasound is an effective tool, not only to guide the insertion of the needle into the caudal epidural space, but also to predict the procedural success rate. KYAMC Journal Vol. 11, No.-2, July 2020, Page 67-72

Download Full-text

Anatomic substrate to pain originating in the disc and chronic low back pain posture damage resolution

Ozone Therapy ◽

10.4081/ozone.2016.6472 ◽

2017 ◽

Vol 1 (3) ◽

pp. 61

Author(s):

Alfredo Romeo ◽

Marianna Chierchia ◽

Carolina Baiano ◽

Dante Ronca

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Psychological State ◽

Lumbar Pain ◽

Inflammatory Factors ◽

Venous Stasis ◽

Low Back ◽

Functional Rehabilitation ◽

Lower Limb Pain

Chronic low back pain is a disease that most often affects people between 45 and 64 years. The incidence of low back pain goes from 60 to 90% and the annual incidence is 5%. Often low back pain is accompanied or replaced by an irradiated lower limb pain, configuring the symptomatology of lumboradiculalgia, whose most frequent cause is the disco-radicular conflict. The cause of the onset of pain, even excruciating, in cases of radicular compression of disc origin is not yet clear. Low back pain of disc origin is thought to be caused by direct mechanical compression factors; by indirect mechanical factors ischemia or venous stasis of vasa nervorum; and by type of immune-mediated inflammatory factors (reaction hernia) and/or biochemical evidence related to the disc type (the presence of substances which induce the inflammatory reaction). When a patient is suffering by chronic low back pain, apart from the algic problem, a series of changes in posture will occur, which contribute to worsen low back pain itself. The effects of a polluted posture and, therefore, the muscle retraction manifest in the joints in the form of compression, axial rotation and translation, resulting in modifications of the skeletal morphology (scoliotic attitudes, hyperkyphosis, valgus and varus of the knee, <em>etc</em>.) and possibly evolving into important postural disorders. Currently, the treatment of chronic low back pain and postural secondary disorders is still an open problem. The aim of this preliminary study is: i) to highlight the high incidence of low back pain by providing evidence that there is an anatomical substrate to low back pain originating in the disc; ii) and to assess the effects of the use of oxygen-ozone percutaneous paravertebral intramuscular therapy in synergy with a functional rehabilitation program in a group of patients suffering from chronic low back pain. From the data obtained, the combination of percutaneous paravertebral intramuscular oxygen-ozone therapy with functional rehabilitation is confirmed as an effective and safe method, whose favorable results are evident at the level of lumbar pain symptoms, postural secondary abnormalities, disability in activities of daily living, the mood and tone of the psychological state.

Download Full-text

The Effect of Progressive Resistance Exercise and Obeisance Exercise on Functional Disorder, Back Pain, and Strength in Middle-Aged Female Patients with Chronic Low Back Pain for Wellness

Journal of the Korea Entertainment Industry Association ◽

10.21184/jkeia.2017.06.11.4.237 ◽

2017 ◽

Vol 11 (4) ◽

pp. 237-247

Author(s):

You-Sin Kim ◽

Nam-Ju Lee

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Resistance Exercise ◽

Chronic Low Back Pain ◽

Low Back ◽

Functional Disorder ◽

Middle Aged ◽

Female Patients ◽

Progressive Resistance Exercise ◽

Progressive Resistance

Download Full-text

Lumbosacral Angle Variations in Middle Aged Patients with Chronic Low Back Pain - A Retrospective Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/40 ◽

2021 ◽

Vol 8 (04) ◽

pp. 208-212

Author(s):

Ushnish Mukherjee ◽

Sourav Kundu ◽

Rachit Gulati ◽

Prabir Mandal

Keyword(s):

Body Mass Index ◽

Low Back Pain ◽

Back Pain ◽

Retrospective Study ◽

Chronic Low Back Pain ◽

Significant Positive Correlation ◽

P Value ◽

Low Back ◽

Middle Aged ◽

Aged Patients

BACKGROUND Chronic low back pain (CLBP) is one of the common debilitating condition in middle-age population. Often the pain is "non-specific" or related to mechanical origin; so, often it is termed as chronic mechanical low back pain. Among the various predisposing factors, abnormal lumber lordosis is more often seen. Radiographic assessment of lumbar lordosis can be done by measuring lumbosacral angle (LSA). Therefore, study of variations in LSA among these patients can give important clues in both pathogenesis and management. The aim of the study is to determine different factors leading to the variations of lumbosacral angle amongst the middle-aged patients presenting with chronic mechanical low back pain. METHODS This retrospective study was conducted by analysing records of 105 CLBP patients of both sex (male = 32, female = 73) in the age group of 45 - 65 years. LSA was directly measured digitally by Ferguson technique from the selected patients’ lateral lumbosacral radiographs. Data was collected in Microsoft Excel 2016 and analysis was done with International Business Machines Statistical Package for the Social Sciences (IBM SPSS) Statistics version 23. RESULTS The difference in median of LSA of male [Median (IQR) = 37.00 (10.00)] and female [Median (IQR) = 45.00 (8.50)] patients was statistically significant (p-value 0.000). Significant positive correlation was also found between LSA and BMI for both sexes, but more in case of female (Spearman’s rho 0.806 p = 0.000) than male (Spearman’s rho 0.680 p-value 0.000). CONCLUSIONS Variation of LSA was found to have significant relations with sex and body mass index (BMI), but not with the age. Statistically significant positive correlation between LSA and BMI alongside higher BMI of the females in the study group suggested that they are more prone to develop CLBP. To formulate proper rehabilitation protocol for middle aged CLBP patients, LSA variations and related factors can be kept in mind. KEYWORDS Chronic Low Back Pain (CLBP), Lumbosacral Angle (LSA), Lordosis, Rehabilitation, Body Mass Index, Lordosis, Spine, Radiography, Rehabilitation

Download Full-text

Differences in Proprioception Between Young and Middle-Aged Adults With and Without Chronic Low Back Pain

Frontiers in Neurology ◽

10.3389/fneur.2020.605787 ◽

2020 ◽

Vol 11 ◽

Author(s):

Sabina M. Pinto ◽

Jason P. Y. Cheung ◽

Dino Samartzis ◽

Jaro Karppinen ◽

Yong-ping Zheng ◽

...

Keyword(s):

Young Adults ◽

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Triceps Surae ◽

Low Back ◽

Middle Aged ◽

Stable Surface ◽

Unstable Surface ◽

Middle Aged Adults

Introduction: While young adults with chronic low back pain (CLBP) exhibit impaired lumbar proprioception, it remains unclear if the same phenomenon is observed in middle-aged adults with CLBP.Objectives: This study aimed to investigate whether young or middle-aged adults with CLBP displayed different proprioception ability as compared to age-matched asymptomatic controls.Methods: Sixty-four young adults with [median age:34 [interquartile range (IQR): 29–37] years] and without [median age:29 (IQR; 23–34) years] CLBP, and 87 middle-aged adults with [median age:53 (IQR: 49–58) years] and without [median age: 54 (IQR: 45–64) years] CLBP underwent postural sway tests on a force-plate with (unstable surface) and without a foam (stable surface), while bilateral L5/S1 multifidi and triceps-surae were vibrated separately. An individual's proprioception reweighting ability was estimated by relative proprioceptive reweighting (RPW). Higher RPW values indicate less reliance on lumbar multifidus proprioceptive signals for balance. Participants also underwent lumbar repositioning tests in sitting to determine repositioning errors in reproducing target lumbar flexion/extension positions.Results: Young adults with CLBP demonstrated significantly higher median RPW values than age-matched asymptomatic controls for maintaining standing balance [stable surface: CLBP: 0.9 (IQR: 0.7–0.9), asymptomatic: 0.7 (IQR: 0.6–0.8), p < 0.05; unstable surface: CLBP: 0.6 (IQR: 0.4–0.8), asymptomatic: 0.5 (IQR: 0.3–0.7), p < 0.05]. No significant differences in repositioning error were noted between young or middle-aged adults with and without CLBP (p > 0.05). RPW values were unrelated to repositioning errors in all groups (p > 0.05).Conclusion: Young adults with CLBP, and middle-aged adults with and without CLBP had inferior proprioceptive reweighting capability. This finding may indicate potential age-related deterioration in central and peripheral processing of lumbar proprioceptive signals. Future studies should use advanced imaging and/or electroencephalogram to determine mechanisms underlying changes in proprioceptive reweighting in middle-aged adults.

Download Full-text