scholarly journals Perturbation-based Trunk Stabilization Training in Elite Rowers

2021 ◽  
Author(s):  
Robin Schäfer ◽  
Hendrik Schäfer ◽  
Petra Platen
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Postural Sway ◽  
Control Group ◽  
Jump Height ◽  
Parallel Group ◽  
Before And After ◽  
Elite Rowers ◽  
Control Pain ◽  
Trunk Stabilization

Low back pain is a major health issue in elite rowers. High training volume, frequent flexion movements of the lower spine and rotational movement in sweep rowing contribute to increased spinal strain and neuropathological pattern. Perturbation-based trunk stabilization training (PTT) may be effective to treat neuromuscular deficits and back pain. All boat classes (8+, 4+/-, 2-) of the male German national sweep rowing team participated in this non-randomized, parallel group study. We included 26 athletes (PTT: n=12, control group: n=14) in our analysis. Sports therapists conducted 16 individualized PTT sessions á 30-40 minutes in 10 weeks, while the control group kept the usual routines. We collected data before and after intervention on back pain intensity and disability, maximum isometric trunk extension and flexion, jump height and postural sway of single-leg stance. We found less disability (5.3 points, 95% CI [0.4, 10.1], g=0.42) for PTT compared to control. Pain intensity decreased similar in both groups (-14.4 and -15.4 points), yielding an inconclusive between-group effect (95% CI [-16.3, 14.3]). Postural sway, strength and jump height tend to have no between and within-group effects. Perturbation-based trunk stabilization training is possibly effective to improve the physical function of the lower back in elite rowers.

scholarly journals Evaluation of a program to reduce back pain in nursing personnel

2001 ◽  
Vol 35 (4) ◽  
pp. 356-361 ◽  
Author(s):  
Neusa Maria C Alexandre ◽  
Marco Antonio A de Moraes ◽  
Heleno R Corrêa Filho ◽  
Silvia Angélica Jorge
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Intervention Group ◽  
Nursing Personnel ◽  
Musculoskeletal Symptoms ◽  
Lumbar Pain ◽  
Control Group ◽  
Cervical Pain ◽  
Before And After ◽  
Nursing Aides

OBJECTIVE: To evaluate the effectiveness of a program designed to reduce back pain in nursing aides. METHODS: Female nursing aides from a university hospital who had suffered episodes of back pain for at least six months were included in the study. Participants were randomly divided into a control group and an intervention group. The intervention program involved a set of exercises and an educational component stressing the ergonomic aspect, administered twice a week during working hours for four months. All subjects answered a structured questionnaire and the intensity of pain was assessed before and after the program using a visual analogue scale (VAS). Student's t-test or the Wilcoxon Rank Sum Test for independent samples, and Chi-square test or the Exact Fisher test for categorical analysis, were used. The McNemar test and the Wilcoxon matched pairs test were used to compare the periods before and after the program. RESULTS: There was a statistically significant decrease in the frequency of cervical pain in the last two months and in the last seven days in the intervention group. There was also a reduction in cervical pain intensity in the two periods (2 months, 7 days) and lumbar pain intensity in the last 7 days. CONCLUSIONS: The results suggest that a program of regular exercise with an emphasis on ergonomics can reduce musculoskeletal symptoms in nursing personnel.

Efficacy of EMDR Therapy on the Pain Intensity and Subjective Distress of Cancer Patients

2021 ◽  
Vol 15 (1) ◽  
pp. 18-28
Author(s):  
Naeem Abdi ◽  
Mohammad Malekzadeh ◽  
Zhila Fereidouni ◽  
Mohammad Behnammoghadam ◽  
Parisa Zaj ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Rating Scale ◽  
Therapeutic Option ◽  
Controlled Trial ◽  
Sampling Technique ◽  
Control Group ◽  
Subjective Distress ◽  
Patients With Cancer ◽  
Before And After ◽  
Emdr Therapy

The present study was carried out to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) therapy in treating pain and subjective distress of patients with cancer. A randomized controlled trial was performed on patients with cancer suffering from moderate to severe cancer pain in Yasuj, Iran, in 2019 and 2020. Sixty patients aged 30–60 years who fulfilled the inclusion criteria were selected using a consensus sampling technique. Patients were randomly assigned to EMDR therapy or control groups based on random block allocation. EMDR therapy was administered in six to eight daily 1-hour sessions. The control group received the standard treatment provided by the hospital. A Numeric Pain-Rating Scale (NRS) and the Subjective Units of Disturbance Scale (SUDS) were used to assess pain and subjective distress before and after the intervention in each session. The collected data were analyzed by descriptive statistics, chi-square test, and independent t test using Statistical Package for the Social Sciences (SPSS) version 24. The mean pain intensity and subjective distress score in the experimental group before and after the EMDR intervention were significantly reduced (p < .001). In the control group, no decreases in NRS and SUDS scores occurred at any time (p > .05). Differences in pain scores between the groups were statistically significant (p < .001). EMDR can effectively and sustainably reduce the pain and subjective distress experienced by patients with cancer. Thus, EMDR is a recommended therapeutic option to mitigate pain and subjective distress among patients with cancer.

scholarly journals Effects of weekly pain monitoring on back pain outcomes: a non-randomised controlled study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Alice Kongsted ◽  
Tue Secher Jensen ◽  
Klaus Doktor ◽  
Lise Hestbæk
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Activity Limitation ◽  
Controlled Study ◽  
Group Differences ◽  
Control Group ◽  
Negative Effects ◽  
Randomised Controlled Study ◽  
Pain Outcomes ◽  
Randomised Controlled

Abstract Background Disease monitoring is an important element of self-management of several chronic diseases. Pain monitoring has become very easily available, but the role in musculoskeletal pain conditions is not clear. Awareness of pain might be helpful for people to understand pain, but focusing on pain may on the contrary negatively affect pain experience and behaviours. The objective of this study was to investigate the potential impact of pain monitoring on low back pain (LBP), specifically to determine if pain intensity, activity limitation and pain control, differed between patients with weekly pain monitoring over 12 months and patients with follow-ups at 2 weeks, 3 months and 12 months. Methods This was a non-randomised controlled study embedded in a cohort study with data collection November 1st 2016 to December 21st 2018. Adults seeking care for LBP were enrolled at the first visit to a chiropractor and followed with surveys after 2 weeks, 3 months and 12 months. Those enrolled first, n = 1,623, furthermore received weekly SMS-questions about pain frequency and pain intensity, whereas those enrolled next was the control group, n = 1,269 followed only by surveys. Outcomes at 12-months were compared, adjusting for group differences on baseline parameters. Results LBP intensity (0–10) was slightly lower at 12-months follow-up in the SMS group than the control group (adjusted beta − 0.40 (95% CI: − 0.62; − 0.19)). No relevant between-group differences were observed for activity limitation (0–100) (1.51 (95% CI: − 0.83; 3.85)) or ability to control pain (0–10) (− 0.08 (95% CI − 0.31; 0.15)). Conclusions Frequent pain monitoring did not demonstrate any negative effects of weekly pain monitoring, and it was perhaps even helpful. The role of self-monitoring as part of self-managing LBP should be explored further including optimal frequencies, formats, and methods for feedback. Trial registration The study was not registered as a clinical trial.

scholarly journals Effects of myofascial techniques on pain, mobility and function in patients with low back pain: a double-blind, controlled and randomized trial

2020 ◽  
Vol 18 ◽  
pp. 1-6
Author(s):  
Fabiana Forti Sakabe ◽  
Danielle Audickas Mazer ◽  
Julia Alves Cia ◽  
Daniel Iwai Sakabe ◽  
Gustavo Luiz Bortolazzo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Treatment Protocol ◽  
Spinal Mobility ◽  
Iliopsoas Muscle ◽  
Control Group ◽  
Low Back ◽  
Chain Flexibility ◽  
Quadratus Lumborum

Introduction: Low back pain is one of the most frequent causes of disability, with several associated etiologies. Osteopathic manipulative treatment is widely used to evaluate and manage musculoskeletal disorders. The aim of the study was to evaluate the immediate and late effects of 3 sessions of myofascial osteopathic techniques on pain intensity, posterior chain flexibility, lumbar mobility and level of disability in patients with chronic low back pain. Methods: 60 subjects of both genders, randomly divided into 3 experimental groups: healthy control (HC n = 20), low back pain control group (CG, n = 20) and treated low back pain group (TG, n = 20). Initially, the 3 groups were evaluated using the Visual Analogue Scale (VAS), Oswestry questionnaire, Wells bench and measurement of lateral spine tilt and fingertip-to-floor test. The TG was submitted to 3 sessions of myofascial techniques (lasting 40 minutes), 1x / week. The session consisted of the application of 6 myofascial techniques (thoracolumbar fascia, quadratus lumborum fascia, iliopsoas muscle stretching, quadratus lumborum stretching and iliolumbar ligaments). Subjects were reevaluated immediately after the first session, 7 days after the last session and one month after treatment completion (follow up). Results: There was an improvement in posterior chain flexibility (20.3 ± 7.4 cm pre to 26.3 ± 8 cm after 3 sessions), spinal mobility (fingertip-to-floor: 13.3 ± 11.33 cm pre to 4.8 ± 10.5 cm after 3 sessions), as well as pain intensity reduction (3.3 ± 1.9 cm pre to 1 ± 1.7 after 3 sessions) and reduction in the level of lumbar disability (15.8 ± 7.3 in the pre to 9.2 ± 8.6 after 3 sessions) for TG. In HC and CG there was no change in any of the variables. The results shown for TG remained even one month after the intervention. Conclusion: The osteopathic treatment protocol with myofascial techniques was effective for the treatment of low back pain.

scholarly journals PLYOMETRIC TRAINING IMPROVES SWIMMING PERFORMANCE IN RECREATIONALLY-TRAINED SWIMMERS

2020 ◽  
Vol 26 (5) ◽  
pp. 436-440
Author(s):  
Rodrigo Cañas-Jamett ◽  
Julio Figueroa-Puig ◽  
Rodrigo Ramirez-Campillo ◽  
Marcelo Tuesta
Keyword(s):  
Swimming Performance ◽  
Training Group ◽  
Control Group ◽  
Jump Height ◽  
Plyometric Training ◽  
Level Of Evidence ◽  
Squat Jump ◽  
Strength Performance ◽  
Swimming Time ◽  
Before And After

ABSTRACT Introduction: Plyometric training significantly improves strength performance, including in aquatic sports. Objective: To compare changes in thigh girth, hamstring flexibility, squat jump height, and 200m swimming trial time induced by plyometric training in recreationally-trained swimmers. Methods: Eighteen recreationally-trained male swimmers (age=18-20 years) were randomly divided into a plyometric training group (PTG) and a control group (CG). All the swimmers completed a six-week speed swimming training plan. In the PTG only, the last ~15 min of each session was replaced with plyometric exercises. The physical characteristics and the thigh girth were measured before and after the six weeks of training. In addition, sit-and-reach flexibility and squat jump tests were conducted, as well as a 200m swimming trial. Results: Two-way ANOVA with post-hoc analysis revealed an increase in sit-and-reach flexibility (PRE: 4.5±5.3 cm; POST: 10.9±5.9 cm, p<0.01) and squat jump height (PRE: 24.9±3.7 cm; POST: 28.3±4.2 cm, p<0.01) and a decrease in 200m-swimming time (PRE: 220±26.5 sec; POST: 204±24.4 sec, p<0.01) for the PTG only. Comparing the absolute changes (post-pre) between the groups by the Student's t-test, the PTG showed a greater increase in distance reached in the sit-and-reach flexibility (PTG: 6.34±0.6 cm vs. CG: 2.4±1.2 cm, p<0.01) and squat jump height (PTG: 3.4±0.7 cm vs. CG: 0.7±0.3 cm, p<0.01) than the CG. In addition, the 200m swimming time decreased significantly more than in the CG (PTG: -15.1±2.4 sec vs. CG: -0.8±2.7 sec, p<0.01). Conclusion: Plyometric training improves jump height, flexibility, and 200m swimming performance in recreationally-trained adult swimmers. Level of Evidence II; Lesser quality RCT.

scholarly journals Effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with chronic low-back pain

2019 ◽  
Vol 2 (1) ◽  
pp. 15-21
Author(s):  
R Finta ◽  
I Polyák ◽  
T Bender ◽  
E Nagy
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Exercise Therapy ◽  
Chronic Low Back Pain ◽  
Postural Stability ◽  
Training Group ◽  
Training Programme ◽  
Low Back ◽  
Before And After

Purpose We examined the effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with low-back pain. Materials and methods Subjects were divided into a chronic low-back pain (CLBP; n = 10) group and a healthy control (C; n = 10) group. Group CLBP took part in an 8-week training programme, whereas group C did not. The thickness of the multifidus in both groups was assessed using ultrasonography before and after 8 weeks, in prone and kneeling positions, in relaxed and contracted states. A standing heel-raising test was used to assess postural stability. Results After the intervention in group CLBP, the thickness of the contracted multifidus increased in the prone position, whereas the thickness of both the contracted and relaxed multifidus decreased in the kneeling position. In group C after 8 weeks, multifidus thickness decreased in both positions, while both relaxed and contracted. Group C performed the standing heel-raising test significantly better than group CLBP before the 8-week period. After the training, group CLBP improved significantly, but no changes were found in group C. Discussion and conclusions Changes in thickness of the multifidus correlate with improved postural stability and decreased pain intensity. Decreasing thickness in healthy individuals may be an early sign of developing CLBP.

KNEE FLEXION EXTENSION AND STRENGTHENING (FELS) EXERCISE TO PAIN INTENSITY IN KNEE OSTEOARTHRITIS PATIENTS

2018 ◽  
Vol 2 (2) ◽  
pp. 274
Author(s):  
Marthalena Simamora ◽  
Galvani Volta Simanjuntak ◽  
Henny Syapitri
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Intervention Group ◽  
Control Group ◽  
Knee Oa ◽  
Randomized Design ◽  
Strengthening Exercise ◽  
Flexion Extension ◽  
Before And After ◽  
Quasi Experimental

Introduction. Osteoarthritis (OA) is a degenerative disease due to the thinning of the joint cartilage, mostly in the knee joint (89.91%) with the pain manifestation. If the pain is not managed, it could lead to the limitation of movement and disruption of daily activities. Having physical exercise regularly could reduce pain. The purpose of study was to determine the effect of knee fl exion extension and strengthening (FELS) exercise in reducing pain intensity. Methods. This was a quasi-experimental study with pretest-posttest control randomized design, where 70 respondents were recruited and consisted of 53 in intervention and 17 in control group. Result. The statistical analysis used ordinal regression revealed (1) FELS exercise was effective in reducing pain intensity (p = 0.013); (2) a signifi cant difference in pain intensity before and after FELS exercise (p = 0.000); (3) a signifi cant difference of pain intensity in the intervention group compared to the control group (p = 0.004); (4) effect of other activities in reducing pain intensity (p = 0.042). While the factors of age, gender, pain experience, anxiety and support system were not signifi cantly effective in reducing pain. Discussion. FELS exercise was helpful in reducing pain intensity in patients with knee osteoarthritis. It was then suggested to OA patients are requested to perform regular FELS exercise while the families are keep on giving support to the patient to do FELS exercise.Keywords: Knee fl exion extension, strengthening exercise, pain intensity, knee OA

scholarly journals Effects of Ai Chi and Yamamoto new scalp acupuncture on chronic low back pain

2015 ◽  
Vol 28 (4) ◽  
pp. 723-730 ◽  
Author(s):  
Bárbara Maria Camilotti ◽  
Neiva Leite ◽  
Daysi Alberti ◽  
Inara Aparecida Francisco ◽  
Vera Lúcia Israel
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Functional Capacity ◽  
Chronic Low Back Pain ◽  
Scalp Acupuncture ◽  
Control Group ◽  
Low Back ◽  
Aquatic Therapy ◽  
Therapy Program

Abstract Introduction : Low Back pain affects a large part of the population and represents a major socioeconomic problem. There are many resources for treatment of this symptom, among them: acupuncture and aquatic therapy. Objective : To compare the effects of an aquatic physical therapy program (AI CHI) and Yamamoto New Scalp Acupuncture (YNSA) in pain intensity and functionality in patients with chronic low back pain. Material and methods : a clinical trial with a randomized sample. Sixty six individuals with chronic low back pain, of both genders were selected, however 44 individuals completed the study. The individuals were divided into three groups AI CHI (n = 15), YNSA (n = 15) and Control (n = 14). Ten 10 interventions with a program of aquatic therapy method (Ai Chi) and Yamamoto New Scalp Acupuncture (YNSA), were made, twice a week. The control group received the intervention only after the end of the study. Pain intensity was assessed by a visual analogue scale (VAS) and the functional capacity by Owestry functionality Index. Results : There was significant reduction in pain and improvement in functional capacity (p < 0.05) in YNSA and AI CHI and when compared to the control group. Conclusion : It was concluded that the YNSA and AI CHI were effective in reducing pain and improving the functionality of the lumbar spine in patients with chronic low back pain.

scholarly journals Effect of a “T-Band” Kick Training Protocol on Postural Sway

1998 ◽  
Vol 7 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Andrew G. Baker ◽  
William G. Webright ◽  
David H. Perrin
Keyword(s):  
Postural Sway ◽  
Stability Index ◽  
Control Group ◽  
Eyes Closed ◽  
Before And After ◽  
Proprioceptive Training ◽  
Eyes Open ◽  
Potential Benefits ◽  
Experimental Group ◽  
Training Protocol

The purpose of this study was to examine the effects of a resistive tubing kick training protocol on postural sway in uninjured collegiate wrestlers. An experimental group (n= 10) performed a progressive resistive tubing kick training protocol three times per week for 6 weeks. A control group (n= 9) performed no resistive tubing training during the 6 weeks. Postural sway (stability index) was assessed before and after the 6-week training period. ANOVAs demonstrated no significant interactions, although significant main effects were found for group and eye condition. The experimental group demonstrated less postural sway than the control group regardless of training, and postural sway was greater with the eyes closed than with the eyes open. Resistive tubing kick training does not significantly improve postural sway in healthy collegiate wrestlers. Further research should examine the potential benefits of proprioceptive training using a greater intensity of training and/or using subjects who have a greater potential for improvement.

scholarly journals The Effect of Topical Rosa damascena (Rose) Oil on Pregnancy-Related Low Back Pain

2016 ◽  
Vol 22 (1) ◽  
pp. 120-126 ◽  
Author(s):  
Mahbobeh Shirazi ◽  
Safieh Mohebitabar ◽  
Sodabeh Bioos ◽  
Mir Saeed Yekaninejad ◽  
Roja Rahimi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Controlled Clinical Trial ◽  
Rosa Damascena ◽  
Low Back ◽  
Before And After ◽  
Rose Oil ◽  
To Receive ◽  
The Rose

The study aimed to assess the efficacy of topical rose oil in women with pregnancy-related low back pain. A randomized controlled clinical trial was conducted on 120 women with pregnancy-related low back pain. Patients were allocated to 3 parallel groups to receive topical rose oil (in the carrier of almond oil), placebo (carrier oil), or no intervention. All groups were followed for 4 weeks. All participants were evaluated by Visual Analog Scale and the Roland-Morris Disability Questionnaires to assess the pain intensity and its impact on daily activities before and after the intervention. Significant decrease in pain intensity compared to carrier oil or no intervention was observed. The rose oil also improves the functional ability of these patients in contrast with no intervention, while its effect on function is not significant compared to carrier oil. Rose oil reduced pregnancy-related low back pain intensity without any significant adverse effect.

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