scholarly journals Therapeutic Techniques in Rehabilitation of Core Stability Muscles among Patients with Mechanical Low Back Pain

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Azzam Alarab ◽  
Hamza Shaheen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Demographic Data ◽  
Core Stability ◽  
Low Back ◽  
Therapeutic Massage ◽  
Significant Difference ◽  
Strengthening Exercises ◽  
Group B ◽  
The Impact

The study was designed to compare between the effect of strengthening exercises and mobilization techniques among patients with mechanical low back pain. Sixteen participants were included in this study, three patients for each group were excluded. They were classified into two groups. Group A, strengthening exercises, therapeutic massage, and group B, mobilization techniques, therapeutic massage. Each group had three sessions per week, for four weeks. The participants were assessed by Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI).  Independent samples were collected, t-test was used to study the similarity of demographic data between groups, Wilcoxon Signed Ranks Test was used to study the change between pre- and post-treatment. The Mann-Whitney test was used to study the comparison between the two treatments. The comparison revealed that for VAS there was a significant difference between groups in term of the strengthening exercises group (P >0.05). For ODI, there were no statically significant differences between groups (P <0.05), but the impact of both techniques suggests that strengthening exercises have a higher effect comparing to mobilization techniques on pain. The study indicated that the strengthening exercises were more effective than mobilization techniques on pain. And finally, the study revealed that there was no significant difference between both groups on ODI.

scholarly journals To Study the effect of Traditional Back Exercises vs Exercise Ball Exercise on Pain Intensity, Core Endurance and Limitation of Activities in Individuals with Nonspecific Low Back Pain: A Comparative Study

2021 ◽  
pp. 117-123
Author(s):  
Jay Kumar Soni ◽  
Edrish Contractor
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Comparative Study ◽  
Pain Intensity ◽  
Core Stability ◽  
Low Back ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Swiss Ball

Aims: Non specific Low back pain is defined as pain without any known pathology which affects almost all the leading occupation where body's awkward posture, twisting and stress forces are commonly encountered across the globe and it is highly prevalent 60% to 70% in a year. Studies have shown various exercise regimen individual effect on the same but superiority of regimen out of these is not clear. Study Design: Comparative Study Place and Duration of Study: Ahmedabad Institute of Medical Sciences, Duration 2013-15 Objective: To assess and compare the effect of core stability exercise, back school program and Swiss ball exercise on Pain, core endurance and Functional disability. Methodology: A group of 24 patients having non-specific low back pain between age groups 18-40 were randomly selected and allocated in to two groups. Group A(n=12) received traditional exercise whereas Swiss ball exercise was given to Group B(n=12). The subjects were treated for two weeks. Baseline data for VAS, Core endurance and MODI were taken on day1 and at the end of two weeks Result: The results were analyzed by wilcoxon signed rank test within both groups. Both groups showed significant improvement in VAS, core endurance and MODI at the end of 2weeks.Comparison between both the Group A and Group B was done by Mann- whitney U test and statistically no significant difference was seen in VAS, core endurance and MODI between the groups Conclusion: The study concluded that both the exercises are equally effective in reducing pain intensity, improves core endurance and functional status in subjects with non specific low back pain

scholarly journals Psychosocial Factors in the Development of Low Back Pain Among Professional Drivers

Organizacija ◽  
2017 ◽  
Vol 50 (2) ◽  
pp. 151-162 ◽  
Author(s):  
Friderika Kresal ◽  
Tine Bertoncel ◽  
Maja Meško
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Psychosocial Factors ◽  
Demographic Data ◽  
Work Conditions ◽  
Low Back ◽  
Bus Drivers ◽  
Passenger Cars ◽  
Professional Drivers ◽  
The Impact

Abstract Background and purpose: Professional drivers as a group are exposed to high risk of developing low back pain due to ergonomic factors and work conditions. The purpose of the study was to examine to what extent the low back pain occurs among Slovene professional drivers as a result of the development of various psychosocial factors. Methodology: The study involved 275 respondents (professional bus drivers, car/van drivers, international truck/lorry drivers, and ambulance car drivers). Hypotheses were tested using multivariate statistical method (regression analysis) and analysis of variance. Data were collected by structured questionnaire comprised of three parts: socio-demographic data, basic psychosocial factors causing low back pain, and incidence, duration and severity of low back pain as a result of psychosocial risk factors, was implemented. Results: The results of quantitative survey suggest that low back pain is mostly caused by lifting and carrying heavy loads, inadequate working conditions, poor physical fitness, regular nights out, shift work, and stress. Only the impact of gender on low back pain distress among professional drivers was confirmed, predominantly among bus drivers and lorry drivers on international routes. Low back pain occurrence was less common, albeit not statistically significant, among professional drivers of vans and passenger cars. Conclusion: Our study suggests that psychosocial factors are also important cause for the development of low back pain among professional drivers and can limit the quality of their social and professional lives.

scholarly journals CORE STABILITY EXCERCISE LEBIH BAIK DIBANDINGKAN MCKENZIE EXCERCISE DALAM PENURUNAN DISABILITAS PASIEN NON-SPECIFIC LOW BACK PAIN

2017 ◽  
Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Core Stability ◽  
Control Group ◽  
Low Back ◽  
The Core ◽  
Lower Back ◽  
Significant Difference ◽  
Better Than

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.

scholarly journals Effectiveness of Pilates exercises on non-specific low back pain to determine pain and disability

Biomedicine ◽  
2021 ◽  
Vol 41 (4) ◽  
pp. 825-829
Author(s):  
P Manikandan ◽  
G Mohan Kumar ◽  
V Rajalaxmi ◽  
C Priya ◽  
G Yuvarani ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Disability ◽  
Conventional Group ◽  
Patient Specific ◽  
Low Back ◽  
Mean Values ◽  
Significant Difference ◽  
Group A ◽  
Group B

Introduction and Aim: Low back discomfort is one of the commonest musculoskeletal problems. The Pilates exercises are an approach to stretching and strengthening techniques and specifically train all the core muscles. The intend of the current study was to verify the influences of the Pilates exercises among pain and disability among patients with Non-specific Low Back Pain (NSLBP).     Materials and Methods: A 100 non-specific low back pain subjects were randomly selected for this experimental study. The study includes of non-specific LBP age group between 25 to 40 years, both male and female patients with pain and disability and this study excludes spinal fractures and Pregnant Women. The estimations were taken utilizing Visual Analogue scale (VAS), Patient Specific Functional Scale (PSFS) and Modified Oswestry Low Back Pain Disability Questionnaire (MODQ). Subjects are allotted in two groups, Group A (Pilates group) receives Pilate’s exercise and Group B (conventional group) receives conventional exercise. Exercises were given for 3 times a week for 12 weeks and a regular follow up was done for every 4 weeks.   Results: Group A (Pilates group) were found to be more effective than Group B (conventional group). It shows a highly significant difference in mean values at P ? 0.001. This implies that Pilates exercise is more beneficial in decreasing pain and functional disability.   Conclusion: On comparing the mean values, Group A (Pilates group) showed significant improvement at the end of the study when compared with Group B (conventional group).

The effects of a static exercise program verses Swiss ball training for core muscles of the lower back and pelvic region in patients with low back pain after child delivery. a single blind randomized control trial

2021 ◽  
pp. 1-13
Author(s):  
Hadiqa Adnan ◽  
Misbah Ghous ◽  
Syed Shakil Ur Rehman ◽  
Irum Yaqoob
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Group Analysis ◽  
Exercise Program ◽  
Training Group ◽  
Core Stability ◽  
Low Back ◽  
Significant Difference ◽  
Swiss Ball ◽  
Static Core

Abstract Objectives: The objective of the study was to determine the effects of static exercise program verses Swiss ball training for core muscles of the lower back and pelvic region in patients with low back pain after child delivery. Methods: This was a prospective single blind randomized control trial conducted on a sample of 30 patients with low back pain from March 2018to December 2018. Patients were divided into 2 groups through seal envelop method i.e. static core exercises group (n=15) and Swiss ball training group (n=15). The outcome measures used for this study were numeric pain rating scale (NPRS), Oswestry disability index (ODI), goniometry and Core stability assessment scale. Data was analyzed by SPSS 21. Results: The mean age of patients in static core exercises group was 28.38 ± 4.8 years and mean age of Swiss Ball training group was 29.57 ± 3.3 years. Between group analysis showed non-significant difference whereas within group analysis showed significant improvement at post intervention. Conclusions: Both groups showed significant difference in reduction of pain (NPRS), in disability level due to LBP (ODI), better ROM flexion/extension of lumbar and achieving better strength at core stability assessment scale (CSA). These findings suggest that both exercise protocols are equally effective in rehabilitation of postpartum low back pain. Keywords: low back pain     Postpartum        Swiss ball training   Static Continuous...

scholarly journals Myofascial release versus Mulligan sustained natural apophyseal glides’ immediate and short-term effects on pain, function, and mobility in non-specific low back pain

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e10706
Author(s):  
Vignesh Bhat P ◽  
Vivek Dineshbhai Patel ◽  
Charu Eapen ◽  
Manisha Shenoy ◽  
Steve Milanese
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Manual Therapy ◽  
Patient Specific ◽  
Low Back ◽  
Short Term ◽  
Myofascial Release ◽  
Lumbar Flexion ◽  
Significant Difference ◽  
Strengthening Exercises

Background Myofascial release (MFR) and Mulligan Sustained Natural Apophyseal Glides (SNAGs) are manual therapy techniques routinely practiced in the management of non-specific low back pain (NSLBP). As a solo intervention or along with other therapies, both methods have reported positive results for individuals with NSLBP. However, which technique improves NSLBP-related pain, restricted range of motion (ROM) and disability, warrants further research. Objective To study the comparative effects of MFR and SNAGs on pain, disability, functional ability, and lumbar ROM in NSLBP. Method A parallel-group study was conducted at tertiary care hospitals. Sixty-five Sub-acute or chronic NSLBP patients were allocated to receive strengthening exercises along with either MFR (n = 33) or SNAGs (n = 32) for six treatment sessions over one week. An independent assessor evaluated outcome measures such as the Visual Analog Scale (VAS), Patient-Specific Function Scale (PSFS), and ROM at baseline, immediate (after 1st treatment), and short-term (post-sixth day of the intervention). The Modified Oswestry disability index (MODI) was assessed at baseline and short-term. Results Within-group analysis found clinically and statistically significant (p < 0.05) changes for VAS and PSFS at immediate and short-term for both the groups. The lumbar extension also showed improvement immediately and in the short-term. Improvement in Lumbar flexion was seen only in the SNAGs group over the short-term. A statistically significant improvement was seen for MODI in both the groups but was not clinically significant in the MFR group. The analysis observed no statistically significant difference (p < 0.05) between the groups at both the immediate and short-term. Conclusions Pain and restricted function associated with NSLBP can be improved using SNAGs or MFR, along with strengthening exercises. For limited lumbar flexion ROM, Mulligan SNAGs have a better outcome than MFR over the short-term. Hence, both manual therapy techniques can be incorporated along with exercises for immediate and short-term management of sub-acute to chronic NSLBP. Clinical Trial Registration. CTRI/2018/12/016787 (http://ctri.nic.in/Clinicaltrials/).

Do Different Types of Anaesthesia for Cesarean Delivery cause Subacute Low Back Pain ?

2021 ◽  
Vol 15 (9) ◽  
pp. 2699-2702
Author(s):  
Mohamed G. Ali ◽  
Abeer A. Mohammed ◽  
Mohammed A. Soliman ◽  
Rehab S. Mamoon ◽  
Mohammed A. Sarhan ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cesarean Delivery ◽  
Low Back ◽  
Versus Group ◽  
Subacute Low Back Pain ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Group D

Background: Low back pain is a common complaint after cesarean delivery, different causes may be involved however they are poorly understood due to many confounders. Methodology: We performed this retrospective cohort study to assess the intensity of low back pain among 38 women (26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery date, they were classified into: epidural anaesthetic group (Group A) n.=6, spinal anaesthetic group (Group B) n.=13, general anaesthetic group (Group C) n.=7 and they were either primiparous or multiparous who did not receive any type of anaesthesia for at least one year prior to the last obstetric anaesthesia while the other 12 women were the control group (Group D) who didn’t experience any pregnancy or anaesthesia. Results: The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ±1.67, 4.62 ±1.12, 5.14 ±1.21, and 2.17 ±0.71, respectively. The ANOVA test revealed a significant difference in VAS among groups A, B, C, and D. Despite, the post-hoc test revealed a significant difference in VAS between group A versus group D, group B versus group D, and group C versus group D, but there were no significant differences between group A versus group B, group A versus group C, and group B versus group C. Conclusion: Cesarean delivery with different anaesthetic types as: epidural, spinal and general anaesthesia was associated with subacute low back pain without significant differences in pain intensity between these anaesthetic types. Key words: Neuraxial Anaesthesia, General Anaesthesia,Cesarean Delivery, Subacute Period, Low Back Pain.

scholarly journals Low back pain among health workers

2020 ◽  
Vol 73 (7-8) ◽  
pp. 200-204
Author(s):  
Jarmila Lacokova-Krasnikova ◽  
Dejan Dimitrov ◽  
Rastislava Krasnik ◽  
Jelena Zvekic-Svorcan ◽  
Mirjana Kolundzic ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Work Experience ◽  
Formal Education ◽  
Health Workers ◽  
Low Back ◽  
Disability Score ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Impact

Introduction. Back pain is often present among health workers. The aim of the study was to determine the impact of gender and years of work experience on the incidence of low back pain. Material and Methods. A prospective cross-sectional study included 67 subjects of both genders, and it was conducted in the period between June 1 and 15, 2020, in two health centers in Serbia. The impact of gender, age, years of work experience on the incidence of low back pain was analyzed, measured by the Roland-Morris disability questionnaire. Results. In the examined sample (n = 67), the majority were females (55, 82.1%). The average age of the respondents was 45.5 ? 12.2 years, with an average work experience of 20.62 ? 12.03 years. Low back pain was present in 35 subjects (52.2%). There was no statistically significant difference between male and female subjects regarding the Roland-Morris disability score (3.83 ? 4.50 vs. 4.96 ? 4.53; p > 0.05). There was a statistically significant positive correlation between the age of subjects and the Roland-Morris disability score (r = 0.407; p < 0.01). Subjects with more years of work experience presented with a higher Roland-Morris disability score (r = 0.371; p < 0.01). Conclusion. Low back pain is common in older health workers with longer work experience, regardless of the level of formal education. Additional education of health workers on the application of protective attitudes, movements, and exercise, is needed in order to prevent the development of low back pain in the work environment.

scholarly journals Effects of Pilates and Classical Kinesiotherapy on chronic low back pain: a case study

2015 ◽  
Vol 28 (4) ◽  
pp. 759-765
Author(s):  
Ivanna Avila Ribeiro ◽  
Tiago Damé de Oliveira ◽  
Cleci Redin Blois
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Low Back ◽  
Therapeutic Exercise ◽  
Significance Level ◽  
Significant Difference ◽  
Group B ◽  
Pain Symptoms

Abstract Introduction : Chronic low back pain (LBP) is characterized by daily lower back pain lasting more than three consecutive months. It may lead to functional disability and can be treated by several physical therapy techniques, including therapeutic exercise. The aim of this study was to investigate the effects of pilates and classical kinesiotherapy on the treatment of pain and functional disability in patients with chronic low back pain. Materials and methods : The study sample consisted of five patients with a diagnosis of chronic low back pain and a mean age of 32.4 ± 15.6 years. A Visual Analogue Scale (VAS) was used for pain assessment, and the Oswestry Disability Index was used to assess functional disability at the beginning and at the end of the intervention. Patients were divided into two groups and received 20 individual sessions of therapeutic exercise at a frequency of two sessions per week. Group A was treated with classical kinesiotherapy and group B was treated with pilates exercises. Statistical analysis was performed using Wilcoxon's test. The significance level was set at 5%. Results : There was a significant reduction in pain (p = 043) and functional disability (p = 042) in both groups. We found no significant differences between the effects of pilates and classical kinesiotherapy on pain and functional disability. Conclusions : We conclude that, in the population studied here, both pilates and classical kinesiotherapy were effective in treating chronic low back pain symptoms, with no significant difference between them.

scholarly journals Comparison of Core Endurance and Hamstring Flexibility of Adults with and without Low Back Pain

2021 ◽  
Vol 11 (10) ◽  
pp. 220-227
Author(s):  
Heta D Baxi ◽  
Megha S Sheth
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Study ◽  
Trunk Muscles ◽  
Low Back ◽  
Cross Sectional ◽  
The Core ◽  
Significant Difference ◽  
Hamstring Flexibility ◽  
Group B

Introduction: Reduced endurance of trunk muscles as well as poor hamstring flexibility have been found in subjects with backache. Few studies have explored the variations in core endurance and hamstring flexibility in non-athlete subjects with low back pain and normal individuals in Indian community at large. This study aims at comparing the core endurance and hamstring flexibility of the healthy individuals and subjects with low back pain. Method: This cross-sectional study was conducted in physiotherapy department and community of Ahmedabad. Males and females of 18-65 years with low back pain of any duration and cause were included in Group: A. Subjects with acute/severe back pain where core endurance tests would flare up the pain, diagnosed psychiatric illness, neurological conditions, rheumatic diseases were excluded. Group B had subjects with no back pain. Exclusion criteria was the same for Group: B. Core endurance was assessed with McGill’s core endurance test. Hamstring flexibility was assessed using Sit and reach test. Comparison between the two groups was done using Mann Whitney test and t-test respectively. Results: Total 101 subjects were approached for the study out of which 96 participated in the study. Statistically significant difference was found between the core endurance [U=563.5, p<0.001 for trunk flexor endurance; U=294.5, p<0.001 for trunk extensor endurance U=573.0, p<0.001; U=522.0, p<0.001 for trunk side bridge test (right and left respectively)] and hamstring flexibility (t= -3.063, df=94; p=0.003) in persons with and without low back pain. Conclusion: There is a significant difference in core endurance time and hamstring flexibility in subjects with and without LBP. Key words: Low back pain; Core endurance; sit and reach test; muscle tightness; flexibility.

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