scholarly journals IMPACT OF DIASTASIS RECTI ABDOMINIS AND LOW BACK PAIN ON QUALITY OF LIFE IN POST-PARTUM FEMALE

2021 ◽  
Vol 10 (4) ◽  
pp. 3244-3248
Author(s):  
Shruti Desphande
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Post Partum ◽  
Low Back ◽  
Lower Back ◽  
Diastasis Recti ◽  
The Impact

The literature defines DRA as a gap of more than two fingerbreadths between two rectal abdominal muscle bellies, either above or below the umbilicus. Separation is referred to as DRA. Female diastasis recti is more common in postpartum women. Lower back pain is the most common cause of daily activity limitation in postpartum females. Post-partum women express concerns about their mobility, pain, and normal activities, all of which have an impact on an individual's quality of life. The study aimed to check the Impact of diastasis recti and low back pain on quality of life in post-partum females. This research will be conducted at the Physiotherapy OPD at Ravi Nair Physiotherapy College and the AVBRH in Sawangi (Meghe), Wardha. Post-partum females will be evaluated for diastasis recti. The effect of diastasis recti and low back pain on postpartum females' quality of life. The current study significantly showed that the correlation between diastasis recti and quality of life with satisfaction is -0.473r, and the correlation between diastasis recti and importance is -0.452r, and the correlation between low back pain and quality of life is 0.025r.So the present study shows that an increase in inter rectal distance and low back pain will affect the quality of life in postpartum females. From the present study, we can conclude that an increase in rectal distance and lower back pain have an impact on the quality of life of postpartum females.

scholarly journals Effects of osteopathic manipulative treatment and bio-electromagnetic energy regulation therapy on lower back pain

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kyle Auger ◽  
Gregory Shedlock ◽  
Kasey Coutinho ◽  
Nicole E. Myers ◽  
Santiago Lorenzo
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Statistical Significance ◽  
Osteopathic Manipulative Treatment ◽  
Energy Regulation ◽  
Low Back ◽  
Lower Back

Abstract Context Lower back pain (LBP) is prevalent and is a leading contributor to disease burden worldwide. Osteopathic manipulative treatment (OMT) can alleviate alterations in the body that leads to musculoskeletal disorders such as LBP. Bio-electromagnetic Energy Regulation (BEMER; BEMER International AG), which has also been shown to relieve musculoskeletal pain, is a therapeutic modality that deploys a biorhythmically defined stimulus through a pulsed electromagnetic field (PEMF). Therefore, it is possible that combined OMT and BEMER therapy could reduce low back pain in adults more than the effect of either treatment modality alone. Objectives To investigate the individual and combined effects of OMT and BEMER therapy on LBP in adults. Methods Employees and students at a medical college were recruited to this study by email. Participants were included if they self-reported chronic LBP of 3 months’ duration or longer; participants were excluded if they were experiencing acute LBP of 2 weeks’ duration or less, were currently being treated for LBP, were pregnant, or had a known medical history of several conditions. Ultimately, 40 participants were randomly assigned to four treatment groups: an OMT only, BEMER only, OMT+BEMER, or control (light touch and sham). Treatments were given regularly over a 3 week period. Data on LBP and quality of life were gathered through the Visual Analog Scale (VAS), Short Form 12 item (SF-12) health survey, and Oswestry Low Back Pain Questionnaire/Oswestry Disability Index prior to treatment and immediately after the 3 week intervention protocol. One-way analysis of variance (ANOVA) was performed retrospectively and absolute changes for each participant were calculated. Normal distribution and equal variances were confirmed by Shapiro–Wilk test (p>0.05) and Brown-Forsythe, respectively. Significance was set at p<0.05. Results Despite a lack of statistical significance between groups, subjective reports of pain reported on the VAS showed a substantial mean percentage decrease (50.8%) from baseline in the OMT+BEMER group, compared with a 10.2% decrease in the OMT-only and 9.8% in BEMER-only groups when comparing the difference in VAS ratings from preintervention to postintervention. Participants also reported in quality of life assessed on the Oswestry Low Back Pain Questionnaire/Oswestry Disability Index, with the OMT+BEMER group showing a decrease of 30.3% in score, the most among all groups. The OMT+BEMER group also reported the greatest improvement in score in the physical component of the SF-12, with an increase of 21.8%. Conclusions The initial data from this study shows a potential additive effect of combination therapy (OMT and BEMER) for management of LBP, though the results did not achieve statistical significance.

scholarly journals A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

2017 ◽  
Vol 158 (12) ◽  
pp. 454-460 ◽  
Author(s):  
Stefánia Gitta ◽  
Zoltán Magyar ◽  
Péter Tardi ◽  
Istvánné Füge ◽  
Melinda Járomi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Short Form ◽  
Low Back ◽  
Diastasis Recti ◽  
Significant Difference

Abstract: Introduction: There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. Aim: Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. Method: 200 women’s interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire – Urinary Incontinence Short Form questionnaires. Results: Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. Conclusions: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454–460.

scholarly journals The Impact of Sarcopenia on Low Back Pain and Quality of Life in Patients with Osteoporosis

2021 ◽  
Author(s):  
Shoji Iwahashi ◽  
Ryuki Hashida ◽  
Hiroo Matsuse ◽  
Eriko Higashi ◽  
Masafumi Bekki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Adult Spinal Deformity ◽  
Japanese Orthopaedic Association ◽  
Low Back ◽  
Ambulatory Patients ◽  
The Impact

Abstract Purpose: Osteoporosis combined with sarcopenia contributes to a high risk of falling, fracture, and even mortality. However, sarcopenia's impact on low back pain and quality of life (QOL) in patients with osteoporosis is still unknown. The purpose of this study is to investigate low back pain and QOL in osteoporosis patients with sarcopenia.Methods: We assessed 100 ambulatory patients who came to our hospital for osteoporosis treatment. Low back pain was evaluated using the Visual Analogue Scale (VAS) with 100 being an extreme amount of pain and 0 no pain. The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) score was used to assess QOL after adjustment for age, history of vertebral fracture, and adult spinal deformity. Differences in low back pain intensity assessed by VAS between groups were evaluated by the Willcoxon rank-sum test. Covariance analysis was used to assess QOL. All data are expressed as either median, interquartile range, or average, standard error.Results: Patients were classified into the sarcopenia group (n=32) and the non-sarcopenia group (n=68). Low back pain intensity assessed by VAS was significantly higher in the sarcopenia group than in the non-sarcopenia group (33.0 [0-46.6] vs. 8.5 [0-40.0]; p<0.05). The subscales of the JOABPEQ for low back pain were significantly lower in the sarcopenia group than in the non-sarcopenia group (65.0±4.63 vs. 84.0±3.1; p<0.05). Conclusion:In this cross-sectional study, sarcopenia affected low back pain and QOL in ambulatory patients with osteoporosis. Sarcopenia may exacerbate low back pain and QOL. (244/250 words)

scholarly journals The influence of low back pain on health – related quality of life and the impact of balneal treatment

2021 ◽  
pp. 433-438
Author(s):  
Liliana-Elena STANCIU ◽  
Lucian Cristian PETCU ◽  
APOSTOL Sterian ◽  
Elena-Valentina IONESCU ◽  
Doinița OPREA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Social Life ◽  
Functional Independence ◽  
Assessment Tools ◽  
Low Back ◽  
The Impact

Introduction. Low back pain has a direct and proportional impact on function and a general one on the quality of life. The present study aims to evaluate the functional impact of low back pain using specific self-assessment tools as indexes of appreciation and epidemiological correlations of potential risk factors involved. The conceptual model of our research is based on the importance of correlating symptoms with clinical assessment, using scales of pain, disability, quality of life, and determination of epidemiological correlations of these areas and the determined factors of the pathology. Material and method. The study group is made up of 106 cases with clinical diagnostic of low back pain, admitted from 28 September 2020 to 28 March 2021, at Balneal and Rehabilitation Sanatorium of Techirghiol. After performing anamnesis, general clinical examination, specific neuro-musculo-skeletal examination, the patients filled the surveys highlighting the impact of their low back pain on functionality and disability deriving from it. The survey included the Oswestry Disability Index, the Functional Independence Measure (FIM) instrument and the Visual analog scale (VAS) score evaluated at the moment of hospitalization and at discharge. Statistical analysis of data was carried out and correlations between variables resulting from study were highlighted. The study was conducted according to the norms of deontology and medical ethics. The authors declare no conflict of interest. Results and discussions. Lumbar pathology is common in patients who are hospitalized for a complex balneary-physical-kinetic treatment at Balneal and Rehabilitation Sanatorium of Techirghiol. About 80% of patients who have addressed to our unit in which the study was conducted, have presented low back pain. The majority of patients were females, representing 57,55% of the total number. Regarding the patients’ age, 58,5% of them were in the 50-70 years interval. The study reveals a major positive impact of our treatment on spinal symptomatology, an effect pointed out by the relevant statistical differences between the admittance and discharge VAS scores(p<0.001). Reporting the investigated disability with the Oswestry questionnaire of painful lumbar syndrome, and functional evaluation scale (FIM) demonstrates the impact of this pathology on the patient's social life, once again emphasizing the special attention to be paid to axial pathology, both as curative treatment and the importance of prophylactic treatment. Statistical analysis of identified risk factors, reveals the importance of prophylaxis and patient’s education in this area. A strong and important statistical correlation was found between the Oswestry total score and the walking and standing items, and a moderate, but strong correlation with the other items. Regarding the sex life item, the correlation is existent, but at a modest level. Conclusions. The study reveals the importance of correlation of the data obtained from anamnesis, the general clinical examination and the specific examination neuromioarthrokinetic with assessment tools that determine the level of functional independence, the functional impact on social life in high-frequency pathologies treated in medical facilities that provide healthcare in the field of medical recovery. It is necessary to quantify the therapeutic results obtained, in order to assess the level of improvement in quality of life. Keywords: low back pain, balneal, functional indicators, quality of life,

scholarly journals Restauration Fonctionnelle du Rachis : Effet du Niveau Initial de Douleur sur Les Performances des Sujets Lombalgiques Chroniques

2014 ◽  
Vol 19 (5) ◽  
pp. e133-e138 ◽  
Author(s):  
Isabelle Caby ◽  
N Olivier ◽  
F Mendelek ◽  
R Bou Kheir ◽  
J Vanvelcenaher ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Severe Pain ◽  
Functional Restoration ◽  
Low Back ◽  
Functional Restoration Program ◽  
The Impact

BACKGROUND: Chronic low back pain is a persistent lumbar pain of multifactorial origin. The initial pain level remains poorly used to analyze and compare responses in low back pain patients in a reconditioning program.OBJECTIVE: To assess and evaluate the responses of subjects with very painful chronic low back pain in a dynamic and intensive care program.METHODS: A total of 134 patients with chronic low back pain were included in a spine functional restoration program for five weeks. The subjects were classified into two groups by level of pain: a group experiencing severe pain (n=28) and a group experiencing mild to moderate pain (n=106). All subjects received identical support consisting primarily of physiotherapy, occupational therapy, cardiovascular and muscular reconditioning as well as psychological counselling. The physical parameters (flexibility, muscular strength) and psychological (quality of life) were measured before (T0) and after the program (T5sem).RESULTS: All physical and functional performances of the subjects with severe pain were lower and the impact of back pain on quality of life for these subjects was increased. All significant differences at T0 between the two groups were no longer present at T5sem.DISCUSSION: Muscular atrophy is more important in subjects with severe pain at T0. The intense pain would cause kinesiophobia and central inhibition in chronic low back pain. The analgesic effects of the spine functional restoration program allowed subjects to obtain similar physical, functional and psychological performances at the end of the five weeks of support.CONCLUSIONS: Patients with very painful chronic low back pain respond favourably to the dynamic and intensive program. The intensity of low back pain had no effect on responses to the program. The spine functional restoration program enables patients to better manage their pain, whatever its level.

scholarly journals TREATMENT OF NON-SPECIFIC CHRONIC LOW BACK PAIN: RESISTANCE TRAINING WITH OR WITHOUT USING WEIGHTS?

2021 ◽  
Vol 27 (6) ◽  
pp. 603-609
Author(s):  
Camila Teixeira de Oliveira ◽  
Michel Kanas ◽  
Marcelo Wajchenberg
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Resistance Training ◽  
Chronic Low Back Pain ◽  
Abdominal Fat ◽  
Low Back ◽  
The Impact ◽  
Abdominal Strength

ABSTRACT Introduction: Dysfunction of the core muscles contributes to the persistence of pain in patients with chronic low back pain. Evidence shows that the active approach is beneficial in the rehabilitation of these patients. However, there is uncertainty as to the most effective methods or form of exercise, as the literature offers little guidance in this regard. Objective: To analyze and compare the impact on quality of life, function, flexibility, abdominal strength and abdominal fat rate in patients with non-specific chronic low back pain after a program of resistance training using two different forms of exercise. Methods: Thirty individuals, aged between 18 and 65 years, participated in the study. Twenty performed physical training program twice a week for eight weeks, and ten did not perform any physical exercises, but received guidance and pain relief. The physically active individuals were randomly divided in two groups and received similar resistance training, focusing on the same muscle groups. Ten performed training with dumbbells and bodybuilding machines (TRCP) and ten did not use this equipment (TRSP). All were assessed before and after the intervention, through questionnaires on quality of life and function, and tests for flexibility, abdominal strength and measurement of the abdominal fat rate. Results: In the intra-group comparison (initial vs eight weeks), there were no significant differences in quality of life in any of the groups. However, regarding function, the three groups showed significant improvement, with TRSP showing the best evolution. For flexibility and abdominal strength gain, TRCP showed the best evolution in both instruments. For decrease in abdominal fat rate, only TRCP showed significant differences. In the intergroup comparison, there were no significant differences for any of the evaluated outcomes. Conclusion: The two exercise programs were effective in improving function, flexibility and abdominal strength in patients with chronic, non-specific low back pain. However, there were no statistically significant differences in any of the outcomes in the comparison between groups. Level evidence II, Comparative prospective study.

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