The effects of lumbar stabilization exercise on transversus abdominis muscle activation capacity and function in low back pain patients

2020 ◽  
Vol 28 (2) ◽  
pp. 147-152
Author(s):  
Sung Ho Kwon ◽  
Seung Jun Oh ◽  
Do Hyun Kim
Keyword(s):  
Low Back Pain ◽  
Muscle Activation ◽  
Transversus Abdominis ◽  
Low Back ◽  
Stabilization Exercise ◽  
Lumbar Stabilization ◽  
And Function ◽  
Pain Patients ◽  
Activation Capacity ◽  
Transversus Abdominis Muscle

scholarly journals Physical Therapy and Maternity Support Garment: Influence on Core Stability and Low Back Pain during Pregnancy and after Delivery

2018 ◽  
Vol 3 (86) ◽  
Author(s):  
Pavelas Zachovajevas ◽  
Brigita Zachovajevienė ◽  
Jūratė Banionytė ◽  
Arvydas Siaurodinas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Muscle Activation ◽  
Core Stability ◽  
Transversus Abdominis ◽  
Spinal Stability ◽  
Low Back ◽  
Diastasis Recti ◽  
Transversus Abdominis Muscle

Research background and hypothesis. Transversus abdominis muscle experiences extraordinary overstretching during gestation period and thus the ability of this muscle to stabilize spine decreases. These changes can cause chronic low back pain during pregnancy and after delivery. In order to solve this problem it is essential to apply proper and effective treatment methods. Hypothesis: physical therapy exercises are more effective than maternity support garment in low back pain treatment and core stability during pregnancy and after delivery.Research aim was to evaluate the influence of physical therapy and maternity support garment on spinal stability and low back pain during pregnancy and after delivery.Research methods. Study sample comprised 40 pregnant women. The assessments were made twice: at 28–35 weeks of gestation and 8–9 weeks after delivery. The low back pain was evaluated using SAS, core stability and transversus abdominis muscle activation were objectively tested using special device stabilizer and the presence of diastasis recti was tested as well. Research results. Physiotherapy is 42.4% more effective than maternity support garment in low back pain control during pregnancy and after delivery (p < 0.05). The best results of transversus abdominis muscle activation were observed in physiotherapy group with maternity support garment whereas participants without physiotherapy could not properly activate this muscle. The diastasis recti after delivery occurred only in control group, and in the group with maternity support garment it occurred 36.7% less frequently than in the group where women did not use this garment.Discussion and conclusions. 1. Perceived low back pain after delivery was less expressed in women wearing maternity support garment both among women attending and not attending physiotherapy exercises. Nevertheless, physical therapy was more effective in reducing low back pain than maternity support garment during pregnancy and after delivery. 2. Core stability after delivery improved among women attending physical therapy exercises, but in case of maternity support garment it improved better. In contrast, in case of not attending physiotherapy the spinal stability after delivery improved only for women wearing maternity support garment. 3. Core stability during pregnancy and after delivery was better among women attending physical therapy but not wearing maternity support garment compared to women not attending physical therapy but wearing maternity support garment. 4. Physical therapy and maternity support garment improves core stability during pregnancy and has a positive effect on activity of rectus abdominis muscles following delivery.Keywords: obstetrics, transversus abdominis muscle, exercises.

scholarly journals Effect of Lumbar Stabilization Exercises on Stable versus Unstable Surface on Pain and Function in Mechanical Low Back Pain-an Evidence Based Study

2021 ◽  
Vol 6 (2) ◽  
pp. 273-279
Author(s):  
Rima Paraskumar Pandya ◽  
Yagna Unmesh Shukla
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Core Stability ◽  
Low Back ◽  
Level Of Evidence ◽  
Stabilization Exercise ◽  
Unstable Surface ◽  
Lumbar Stabilization ◽  
And Function ◽  
Disability Level

Background: Low back pain is the most common complaint all over the world. Lumbar instability is an important causative factor for low back pain. Lumbar stabilization exercises are helpful in reducing and preventing its recurrence. Purpose: To study the evidences regarding effect of lumbar stabilization exercises on stable versus unstable surface on pain and function in mechanical low back pain. Methodology: The study was conducted according to Preferred Reporting Items for systematic reviews and meta-analysis guidelines. Evidences selected since year 2010-February 2020 from PubMed, Google Scholar, Physiotherapy Evidence Database (PEDro), Research Gate, Science Direct and Cumulative Index of Nursing and Allied Health Literature. Key words used were: Lumbar stabilization exercise, Core stability exercise, Pain and Function. Analysis was done using 2 scales: PEDro scale and Centre for Evidence-Based Medicine Levels of Evidence Scale. Total 202 articles were found, out of which 22 articles were relevant and from those 17 articles were included in the study and other articles were excluded as per eligibility criteria. Results: 11 studies were shown that core stability exercise is effective treatment for reducing pain and improving disability. (Level of evidence-1a,1b,2b). 2 studies were showed that motor control exercise was more effective than core stability exercise. (Level of evidence-1b). 4 studies shown that lumbar stabilization exercise performed on unstable surfaces showed significant improvement in back pain and disability (Level of evidence-1b, 2b). Conclusion: Lumbar stabilization exercise performed on unstable surface provide significant benefit in reducing pain and improving function in patients with mechanical low back pain. Keywords: Lumbar stabilization exercise, Core stability exercise, Pain and Function Low Back Pain.

scholarly journals Transversus abdominis and multifidus asymmetry in runners measured by MRI: a cross-sectional study

2019 ◽  
Vol 5 (1) ◽  
pp. e000556
Author(s):  
Ulrike H Mitchell ◽  
A Wayne Johnson ◽  
Patrick J Owen ◽  
Timo Rantalainen ◽  
Daniel Belavy
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activation ◽  
Cross Sectional Study ◽  
Transversus Abdominis ◽  
Low Back ◽  
Sectional Study ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
The Right

ObjectiveThe transversus abdominis muscle (TrA) is active during running as a secondary respiratory muscle and acts, together with the multifidus, as trunk stabiliser. The purpose of this study was to determine size and symmetry of TrA and multifidus muscles at rest and with contraction in endurance runners without low back pain.DesignCross-sectional study.SettingA medical imaging centre in Melbourne, Australia.ParticipantsThirty middle-aged (43years±7) endurance-trained male (n=18) and female (n=12) runners without current or history of low back pain.Outcome measuresMRI at rest and with the core engaged. The TrA and multifidus muscles were measured for thickness and length (TrA) and anteroposterior and mediolateral thickness (multifidus). Muscle activation was extrapolated from rest to contraction and compared with the same and contralateral side. Paired t-tests were performed to compare sides and contraction status.ResultsLeft and right TrA and multifidus demonstrated similar parameters at rest (p>0.05). However, with contraction, the right TrA and multifidus (in mediolateral direction) were 9.2% (p=0.038) and 42% (p<0.001) thicker, respectively, than their counterparts on the left. There was no TrA thickness side difference with contraction in left-handed participants (p=0.985). When stratified by sex, the contracted TrA on the right side remained 8.4% thicker, but it was no longer statistically significant (p=0.134). The side difference with contraction of the TrA became less with increasing training age.ConclusionsRight-handed long-term runners without low back pain exhibit a greater right side core muscle activation when performing an isometric contraction. This activation preference diminishes with increasing training age.

scholarly journals Evaluation of pain level and function on low back pain patients treated with Back School program

2005 ◽  
Vol 12 (1) ◽  
Author(s):  
Eliana Zeraib Caraviello ◽  
Sílvia Wasserstein ◽  
Therezinha Rosane Chamlian ◽  
Danilo Masiero
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Pain Level ◽  
School Program ◽  
Back School ◽  
And Function ◽  
Pain Patients
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