Effects of two training programs on health variables in adults with chronic low back pain: a randomized clinical trial

Aim: To analyze the effects of two training programs on health variables in adults with low back pain (LBP). Methods: Thirty-eight adults were randomly divided into three groups: resistance training (RG); resistance training with core training (RCG) and control (CG). Results: There were reductions in body mass index (BMI) in RG and RCG, waist circumference in RG and RCG, pain in RG, RCG and CG, CK in RCG, stress in RG and RCG, functional deficiency in RG and RCG and increases in trunk flexor and extensor strength in the RG and RCG. Conclusion: Resistance training, with or without core training exercises, reduced the levels of LBP, functional disability, stress and CK, and increased the strength of trunk flexors and extensors. Trial registration: Brazilian Clinical Trials Registry: ReBEC (RBR-5khzxz)

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Examining the efficacy of short foot exercises as an effective stand-alone treatment for mechanical low back pain associated with foot overpronation

Isokinetics and Exercise Science ◽

10.3233/ies-210178 ◽

2021 ◽

pp. 1-12

Author(s):

Waleed S. Mahmoud

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Low Back ◽

Abductor Hallucis ◽

Cross Sectional ◽

Significant Difference ◽

Foot Posture ◽

Physical Therapy Treatment ◽

And Control

BACKGROUND: Abnormal foot mechanics in foot over-pronation has an identified relationship with mechanical low back pain (MLBP). OBJECTIVE: To explore the use of short foot exercises (SFEs) as a standalone treatment for MLBP with foot over-pronation. METHODS: Forty-six patients with MLBP (PwMLBP) presenting with and foot over-pronation were analyzed. They were randomized into the SFE (short foot exercise), SFE plus traditional physical therapy treatment (SFE+TPT), and control (CG) groups. Functional disability and pain level were measured using the Oswestry Disability Index (ODI) and visual analog scale (VAS), respectively. Ultrasonography measured the cross-sectional area (CSA) of the abductor hallucis (AbdH) muscle. The foot posture and navicular drop (ND) were investigated using the foot posture index-6 (FPI) score and ND test, respectively. RESULTS: The CSA of the AbdH and VAS scores improved significantly (p< 0.001) between the groups, more in the SFE+TPT group than in the SFE group (p< 0.001). The ND, FPI, and ODI measures improved significantly among the groups (p< 0.001), with no significant difference (p> 0.002) between the SFE and SFE+TPT groups. The CG did not show significant differences in the outcome measures (p> 0.002). Based on the effect size, SFEs significantly improved all the variables of interest (d>1). CONCLUSION: SFEs, with or without TPT may offer an effective treatment for PwMLBP with foot over-pronation.

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EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN

QUALITY OF LIFE IN PATIENTS WITH NEUROGENIC COMMUNICATION DISORDER ◽

10.52567/trj.v5i01.53 ◽

2021 ◽

Vol 5 (1) ◽

pp. 208-212

Author(s):

Abdul haseeb Bhutta ◽

◽

Danish Rauf ◽

Nimra Ilyas Bhutta ◽

Wahaj Ali ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Latissimus Dorsi ◽

Functional Disability ◽

Control Group ◽

Low Back ◽

Large Effect Size ◽

And Control ◽

Experimental Group

Objective: To determine effects of latissimus dorsi stretching on functional disability related to chronic low back pain. Methodology: A single group pretest-posttest design trial was conducted in NOSIS clinics Mansehra Pakistan. Patients with the age between 20-60 years had chronic mechanical low back pain lasting for 7-12 weeks were included in the study. A total of n=64 randomly divided into experimental and control group, those received stabilization exercises (SE) plus latissimus dorsi stretching (LDS) and stabilization exercises alone respectively. Oswestry Disability Index (ODI) was used to determine functional disability. The level of significance was set at 95% CI (p≤0.05). Results: A total of n=61 participants participated in the study. The mean age of the study participants was 39.60 ± 10.02 and sitting time was 6.54± 1.23. It was observed that both the experimental group {p<0.001, ɳp2=0.934} and control group {p<0.001, ɳp2=0.875} significantly improved the ODI score with large effect size after 4 weeks of intervention. However, between the comparison showed significant improvement with large effect size in experimental group as compared to control group, after first week (p<0.001), and 2nd week (p<0.001) of intervention. Conclusion: the combination of spinal stabilization exercises and stretching of latissimus dorsi effective in improving functional disability related to chronic low back pain.

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THU0566 THE EFFECT OF KINESIO-TAPING ON CHRONIC NONSPECIFIC LOW BACK PAIN: PRELIMINARY RESULTS OF A DOUBLE BLINDED RANDOMIZED CLINICAL TRIAL.

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.2979 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 524.1-525

Author(s):

I. Aachari ◽

K. Samia ◽

T. Latifa ◽

T. Fatima Zahrae ◽

S. Afilal ◽

...

Keyword(s):

Clinical Trial ◽

Low Back Pain ◽

Placebo Group ◽

Back Pain ◽

Randomized Clinical Trial ◽

Clinical Characteristics ◽

Functional Disability ◽

Low Back ◽

Kinesio Taping ◽

Secondary Outcomes

Background:The technique of Kinesio-Taping is a method of adhesive bandage exerting traction on the skin which would favorably influence the muscular and articular systems by reducing the pressure exerted on the subcutaneous mechanoreceptors thus reducing pain and muscle tension.Objectives:The aim of this study is to assess the effectiveness of Kinesio-Taping in the short and medium term on pain and function in patients with chronic nonspecific low back pain compared to a placebo.Methods:We conducted a double-blind, two-arm randomized clinical trial. The study should include a total of 70 patients randomized into 2 groups: Kinesio-Taping (n = 35) and control group (n = 35). To this date we have included 46 patients.All patients receives four I-shaped adhesive strips arranged in a star-like shape and applied to the most painful region of the lower back with a tension between 25% to 30% in the taping group. The placebo group received a taping procedure with no tension.Taping is applied three times (at baseline, fourth and eighth day). Patients are assessed at baseline, on day 14 and at 4 weeks by the Arabic version of the Oswestry Physical and Functional Disability Index (ODI) which is the primary outcome. The secondary outcomes are the assessment of pain and functional disability according to the visual analog scale (VAS) evaluated on a scale of 0 to 10, as well as Rolland-Morris score.Results:Both groups were comparable at baseline concerning the demographical and clinical characteristics (P > 0.05) (table 1). The result of repeated measures ANOVA showed a significant change in ODI score and in VAS for pain and functional disability as well as Rolland-Morris score in both groups. Using the ANCOVA, controlling for pre-test scores, a significant difference was found between the two groups (table 2).Table 1. Clinical characteristics of study population.Conclusion:Our clinical trial offers preliminary evidence on the superiority of Kinesio-Taping in the treatment chronic back pain compared to placebo concerning the reduction of pain and disability. Thus, it can be used as a complementary method in chronic non-specific low back pain.Table 2. Primary and secondary outcomes in the Kinesio-Taping and placebo group.Disclosure of Interests:None declared

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PMS105 - EXAMINATION OF CORE TRAINING PROGRAM ON THE CHANGE OF LOW BACK PAIN, MUSCLE STRENGTH AND LUMBAR MOTOR CONTROLL AMONG PROFESSIONAL FIREFIGHTERS

Value in Health ◽

10.1016/j.jval.2018.09.1819 ◽

2018 ◽

Vol 21 ◽

pp. S305-S306

Author(s):

V. Bogos ◽

M. Járomi ◽

E. Bogos ◽

I. Boncz ◽

B. Szilágyi

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Strength ◽

Training Program ◽

Low Back ◽

Core Training

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Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis

Sports Medicine - Open ◽

10.1186/s40798-021-00306-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Nicholas Tataryn ◽

Vini Simas ◽

Tailah Catterall ◽

James Furness ◽

Justin W. L. Keogh

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Resistance Training ◽

Muscle Strength ◽

Adverse Events ◽

Muscular Strength ◽

Meta Analysis ◽

Low Back ◽

Pain Level ◽

General Exercise

Abstract Background While chronic exercise training has been demonstrated to be an effective non-pharmacological treatment for chronic low back pain (CLBP), there has been a relative lack of evidence or clinical guidelines for whether a posterior chain resistance training programme provides any benefits over general exercise (GE). Objectives To determine if chronic posterior chain resistance training (PCRT), defined as exercise programmes of ≥6 weeks duration focused on the thoracic, lumbar and hip extensor musculature, is more effective than GE in improving pain, level of disability, muscular strength and the number of adverse events in recreationally active and sedentary individuals with CLBP. Methods Four electronic databases were systematically searched from 25 September 2019 until 30 August 2020. Using the Joanna Briggs Institute (JBI) Critical Appraisal Tools checklist for randomized controlled trials (RCTs), articles were critically appraised and compared against the inclusion/exclusion criteria. Standardized mean difference (SMD), risk difference (RD) and confidence interval (CI) were calculated using Review Manager 5.3. Results Eight articles were included, with a total of 408 participants (203 PCRT, 205 GE). Both PCRT and GE were effective in improving a number of CLBP-related outcomes, but these effects were often significantly greater in PCRT than GE, especially with greater training durations (i.e. 12–16 weeks compared to 6–8 weeks). Specifically, when compared to GE, PCRT demonstrated a greater reduction in pain (SMD = − 0.61 (95% CI − 1.21 to 0.00), p = 0.05; I2 = 74%) and level of disability (SMD = − 0.53 (95% CI − 0.97 to − 0.09), p = 0.02; I2 = 52%), as well as a greater increase in muscle strength (SMD = 0.67 (95% CI 0.21 to 1.13), p = 0.004; I2 = 0%). No differences in the number of adverse events were reported between PCRT and GE (RD = − 0.02 (95% CI − 0.10 to 0.05), p = 0.57; I2 = 72%). Conclusion Results of the meta-analysis indicated that 12–16 weeks of PCRT had a statistically significantly greater effect than GE on pain, level of disability and muscular strength, with no significant difference in the number of adverse events for recreationally active and sedentary patients with CLBP. Clinicians should strongly consider utilizing PCRT interventions for 12–16 weeks with patients with CLBP to maximize their improvements in pain, disability and muscle strength. Future research should focus on comparing the efficacy and adverse events associated with specific PCRT exercise training and movement patterns (i.e. deadlift, hip lift) in treating this population. Trial registration PROSPERO CRD42020155700.

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Comparison of electromyographic response patterns during posture and stress tasks in chronic low back pain patterns and control

Journal of Psychosomatic Research ◽

10.1016/0022-3999(86)90042-5 ◽

1986 ◽

Vol 30 (2) ◽

pp. 135-141 ◽

Cited By ~ 22

Author(s):

Michael J. Cohen ◽

Gretchen A. Swanson ◽

Bruce D. Naliboff ◽

Steven L. Schandler ◽

David L. McArthur

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Low Back ◽

Response Patterns ◽

And Control

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Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-019-0124-5 ◽

2019 ◽

Vol 55 (1) ◽

Author(s):

E. Fahmy ◽

H. Shaker ◽

W. Ragab ◽

H. Helmy ◽

M. Gaber

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Functional Disability ◽

Exercise Program ◽

Low Back ◽

Muscle Energy Technique ◽

Muscle Energy ◽

Group B ◽

Lumbar Range Of Motion

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.

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EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE TRAINING ON CORE MUSCLE IN SUBJECTS WITH NON SPECIFIC LOW BACK PAIN

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i6.17714 ◽

2017 ◽

Vol 10 (6) ◽

pp. 308

Author(s):

Bijal Majiwala ◽

Trupti Warude ◽

Amrutkuvar Pawar

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Functional Disability ◽

Isometric Exercise ◽

Low Back ◽

Endurance Test ◽

Isotonic Exercise ◽

Group A ◽

Pre Treatment ◽

Group B

Objective: To compare the effects of isometric (stability) and isotonic training on core muscle in patients with non-specific low back pain on pain, endurance, and functional disability.Methods: Forty participants of both genders aged between 20 and 35 years suffering from non-specific low back pain were taken and equally divided into two groups: Group A isometric exercise and Group B isotonic exercise, both the group received baseline treatment of transcutaneous electrical nerve stimulation and hot moist pack. Outcomes measure visual analog scale, endurance test, and modified Oswestry disability index were used the pre-treatment and at the end of 4 weeks.Results: Experiment of both the groups showed a non-significant improvement in pain, endurance, and functional disability. Except for extensor endurance test which shows significant different in Group A.Conclusion: Both isometric and isotonic exercises are equally effective in reducing pain, increase endurance, and improve functional disability in patients with non-specific low back pain.

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