scholarly journals Improved respiratory characteristics in non-specific low back pain: Comparison of Feldenkrais method versus routine physiotherapy

2021 ◽  
Vol 41 (2) ◽  
pp. 99-107
Author(s):  
Vikram Mohan ◽  
Aatit Paungmali ◽  
Patraporn Sitilertpisan ◽  
Leonard Joseph ◽  
Afiqah Ramlan ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Strength ◽  
Respiratory Muscle ◽  
Rating Scale ◽  
Core Stability ◽  
Control Group ◽  
Low Back ◽  
Respiratory Muscle Strength ◽  
Feldenkrais Method

PURPOSE: Abnormal breathing patterns, decrease in respiratory muscle strength and endurance are some of the alterations, which are observed in non-specific low back pain (NS-LBP). The purpose of this study was to determine the efficacy of the Feldenkrais method (FM) on respiratory muscle strength, Maximum Voluntary Ventilation (MVV), Total Faulty Breathing Scale (TFBS), Cloth Tape Measure (CTM) and core stability among NS-LBP participants. METHODS: Participants were recruited from a rehabilitation clinic and randomized either to experimental group (EG) or the control group (CG). For the EG (FM and routine physiotherapy), and for the CG routine physiotherapy alone were carried out three days per week over a period of 8 weeks. Outcome measures including Respiratory Muscle Strength, MVV, TFBS, Numeric Rating Scale (NRS), CTM, and Pressure biofeedback device (PBU) were evaluated at baseline and 8 weeks. RESULTS: Forty participants were assigned to an EG (n = 20) and CG (n = 20) based on the study criteria. There was a significant increase in inspiratory muscle strength (MIP) (p = 0.004) for the EG, but no significant change in the CG (p = 0.455). There was also a significant increase in the expiratory muscle strength (MEP) for the EG (p = 0.001), but no changes in the CG (p = 0.574). In addition, decrease in pain, increase in xiphoid process chest expansion and improvement in core stability were observed in EG and improvement in MVV was observed in CG. CONCLUSIONS: FM is a potential training program that can improve respiratory variables among NS-LBP.

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 Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

2019 ◽  
Vol 7 (6) ◽  
pp. 949-954 ◽  
Author(s):  
Marija Gocevska ◽  
Erieta Nikolikj-Dimitrova ◽  
Cvetanka Gjerakaroska-Savevska
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
High Intensity ◽  
Rating Scale ◽  
Control Group ◽  
Ultrasound Therapy ◽  
Low Back ◽  
High Intensity Laser ◽  
Intensity Laser

BACKGROUND: Chronic low back pain lasts longer than 12 weeks and is characterised by pain, muscle weakness, reduced functional ability and psychosocial burden. AIM: To compare the effects of two physical modalities, high-intensity laser against ultrasound therapy in the treatment of patients with chronic low back pain. MATERIAL AND METHODS: This was a prospective, monocentric, controlled clinical study comprising a group of 54 patients at the age between 25 and 65 years. Patients were divided into two groups: examined group of 27 patients (high-intensity laser and exercises) and a control group of 27 patients (ultrasound therapy and exercises). The results were evaluated by the Numeric Pain Rating Scale, Oswestry Disability Index and Schober’s test. Clinical findings were evaluated at the same time points for all patients, before treatment, at two weeks and three months following treatment. Statistical analyses were made to compare the differences between the results obtained on admission and the two consecutive control check-ups. Statistical significance was defined as a P value < 0.05. RESULTS: The examined group showed statistically significantly better results than the control group after completion of the treatment (at two weeks) and at follow up after three months. CONCLUSION: This study has shown that patient with chronic low back pain treated with a high-intensity laser has significantly reduced low back pain, reduced disability and improved range of motion. Its positive effect maintained for three months. It seems to be an effective, safe and useful physical modality in the treatment of a patient with chronic low back pain.

scholarly journals A randomised controlled trial of ‘clockwise’ ultrasound for low back pain

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Adriaan Louw ◽  
Kory Zimney ◽  
Merrill R. Landers ◽  
Mark Luttrell ◽  
Bob Clair ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Leg Pain ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Experimental Group

Aims: To examine how the choice of words explaining ultrasound (US) may influence the outcome of physiotherapy treatment for low back pain (LBP).Methods: Sixty-seven patients with LBP < 3 months were randomly allocated to one of three groups – traditional education about US (control group [CG]), inflated education about US (experimental group [EG]) or extra-inflated education about US (extra-experimental group [EEG]). Each patient received the exact same application of US that has shown clinical efficacy for LBP (1.5 Watts/cm2 for 10 minutes at 1 Megahertz, pulsed 20% over a 20 cm2 area), but received different explanations (CG, EG or EEG). Before and immediately after US,measurements of LBP and leg pain (numeric rating scale), lumbar flexion (distance to floor) and straight leg raise (SLR) (inclinometer) were taken. Statistical analysis consisted of mixed-factorial analyses of variance and chi-square analyses to measure differences between the three groups, as well as meeting or exceeding minimal detectable changes (MDCs) for pain, lumbar flexion and SLR.Results: Both EG and EEG groups showed a statistically significant improvement for SLR (p < 0.0001), while the CG did not. The EEG group participants were 4.4 times (95% confidence interval: 1.1 to 17.5) more likely to improve beyond the MDC than the CG. No significant differences were found between the groups for LBP, leg pain or lumbar flexion.Conclusion: The choice of words when applying a treatment in physiotherapy can alter the efficacy of the treatment.

scholarly journals Utilization of Back Movement Technique to Intensity of Low Back Pain in Third Trimester Pregnant Women

2020 ◽  
Vol 9 (2) ◽  
pp. 535-542
Author(s):  
Putri Maretyara Saptyani ◽  
Ari Suwondo ◽  
Runjati Runjati
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Low Back ◽  
Third Trimester ◽  
Control Group Design ◽  
Numeric Rating

One of the discomforts in third-trimester pregnancy is lower back pain.The prevalence of back pain during pregnancy can reach 80%. The study aims to prove the use of back movement technique to decrease the intensity of low back pain in third trimester pregnant women. The study used quasy-experimental, pretest-posttest with control group design. The sample of the study was third-trimester pregnant women with low back pain totaling 40 respondents. The instrument used to measure back pain in pregnancy is the Numeric Rating Scale (NRS). Data analysis used wilcoxon and man-whitney. There was a decrease in intensity of low back pain before treatment by 4.75 cm and after being given a back movement technique of 1.55 cm (p = 0.001). Back movement technique is proven to be more effective in reducing the intensity of low back pain in third-trimester pregnant women.

scholarly journals A novel (targeted) kinesio taping application on chronic low back pain: Randomized clinical trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250686
Author(s):  
María Lourdes Peñalver-Barrios ◽  
Juan Francisco Lisón ◽  
Javier Ballester-Salvador ◽  
Julia Schmitt ◽  
Aida Ezzedinne-Angulo ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Treatment Time ◽  
Control Group ◽  
Low Back ◽  
Kinesio Taping ◽  
Experimental Group

The aim of the present clinical trial is to evaluate the efficacy of kinesio taping on patients with chronic low back pain, when the exploration identifies skin/fascia mobilization as a factor that could modify the treatment effect. This study is a randomized controlled trial with intention-to-treat analysis. Sixty-two participants with chronic low back pain were therefore recruited from a tertiary referral hospital. Targeted kinesio taping, according to skin/fascia mobility exploration, was applied in the experimental group (17 female/13 male; 49.47 ± 11.15 years) once a week for four sessions. The control group (17 female/14 male; 48.87 ± 9.09 years) underwent a placebo taping application. At post-treatment time there was a statistically significant reduction both in disability (Roland-Morris Disability Questionnaire) and pain (Numeric Pain Rating Scale) in the experimental group (disability: −2.88, 95% confidence interval [CI] −4.56 to −1.21, P < .001; pain: −1.58, 95% CI −2.67 to −0.54 P = .001) and the control group (disability: −1.82, 95% CI −3.46 to −0.17 P = .025; pain: −1.30, 95% CI −2.32 to −0.28 P = .008). However, at six months, these changes only remained significant in the experimental group (disability: −2.95, 95% CI −4.72 to −1.18, P < .001; pain: −1.06, 95% CI −2.07 to −0.04, P < .05). As a conclusion, the application of targeted kinesio taping produced a significant reduction in pain and disability, at 4 weeks and at 6 moths follow-up, although there were no differences between groups at any measurement time point.

Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain: a randomised control trial

2020 ◽  
Vol 34 (12) ◽  
pp. 1449-1457 ◽  
Author(s):  
Hanieh Ahmadi ◽  
Hanieh Adib ◽  
Maryam Selk-Ghaffari ◽  
Misagh Shafizad ◽  
Siavash Moradi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Core Stability ◽  
World Health ◽  
Randomised Control Trial ◽  
Interoceptive Awareness ◽  
Low Back ◽  
Feldenkrais Method

Objective: To investigate the effect of the Feldenkrais method versus core stability exercises on pain, disability, quality of life and interoceptive awareness in patients with chronic non-specific low back pain. Design: A single-blinded, randomised, controlled trial. Setting: Outpatient, sports medicine clinic of Mazandaran medical university. Participants: Sixty patients with chronic non-specific low back pain randomised equally into the Feldenkrais method versus core stability exercises groups. Intervention: Intervention group received Feldenkrais method consisting of training theoretical content and supervised exercise therapy two sessions per week for five weeks. Control group received educational programme and home-based core stability exercises for five weeks. Outcome measures: All patients were examined by World Health Organization’s Quality of life Questionnaire, McGill Pain Questionnaire, Oswestry Disability Questionnaire and Multidimensional Assessment of Interoceptive Awareness Questionnaire. All outcomes were measured at baseline and the end of the intervention Results: There were statistically significant differences between groups for quality of life ( P = 0.006, from 45.51 to 60.49), interoceptive awareness ( P > 0.001, from 2.74 to 4.06) and disability ( P = 0.021, from 27.17 to 14.5) in favour of the Feldenkrais method. McGill pain score significantly decreased in both the Feldenkrais (from 15.33 to 3.63) and control groups (from 13.17 to 4.17), but there were no between-groups differences ( P = 0.16). Conclusion: Feldenkrais method intervention gave increased benefits in improving quality of life, improving interoceptive awareness and reducing disability index.

scholarly journals Dynamics of Changes in Isometric Strength and Muscle Imbalance in the Treatment of Women with Low back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jacek Wilczyński ◽  
Alicja Kasprzak
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Muscle Strength ◽  
Control Group ◽  
Study Group ◽  
Low Back ◽  
Flexor Muscles ◽  
Group A ◽  
Group B

The aim of the study was to evaluate the dynamics of isometric changes in strength and muscular lumbar-pelvic imbalances in the treatment of women with low back pain. Forty-one women, nineteen in the study group (A) and twenty-two in the control group (B), participated in the study. Magnetic resonance imaging (MRI) was performed to assess the degree of degenerative changes in the lumbar spine. The diagnosis of isometric muscle strength and their imbalances was performed with the Tergumed 700 device. After six weeks of therapy in the study group (A), there was a significant improvement in the strength of all the examined muscle groups. However, in the control group (B), significant improvement occurred only in the strength of the lumbar flexor muscles and the flexor muscles on the left side. Furthermore, there was a significant intensification of the imbalance of left flexor muscle strength compared to right flexor strength in group B. Significant differences in favour of the study group (A) concerned the strength of the rotator muscles to the left, the strength of the extensor muscles of the lumbar spine, the strength of the flexors of the lumbar spine to the right, and the balance of the strength of the lumbar spine flexors to the left compared to the strength of the flexor muscles to the right. Therapy with the Tergumed 700 system leads to an increase in the muscle strength of the lumbar and pelvic complex, compensating for its imbalance, bringing beneficial effects in the treatment of low back pain.

scholarly journals Proprioceptive Neuromuscular Facilitation versus Sensory Motor Training in Non-Specific Low Back Pain

2021 ◽  
pp. 1-10
Author(s):  
Made Hendra Satria Nugraha ◽  
Ni Komang Ayu Juni Antari ◽  
Anak Ayu Nyoman Trisna Narta Dewi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Rating Scale ◽  
Control Group ◽  
Motor Training ◽  
Low Back ◽  
Lower Back ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Sensory Motor

Background: Non-specific low back pain is a type of pain that is located in spine area and does not radiate to the legs. Non-specific low back pain can limit daily activities and cause inability to do work. The aim of this study is to compare the effectiveness of proprioceptive neuromuscular facilitation (PNF) versus sensory motor training (SMT) in the treatment of ultrasound therapy (UST) and kinesio tape (KT) insertion in non-specific low back pain. Methods: This research is an experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The control group (n = 10) is given UST+PNF+KT combination, while the treatment group (n = 10) is given UST+SMT+KT combination. Therapeutic evaluation measures include: pain scale with a numeric rating scale, range of motion with a goniometer, and lower back disability with the Indonesian Version of Oswestry Disability Index. The intervention is given 3 times per 1 week for 3 weeks. Results: The results showed improvement in pain, range of motion, and lower back disability in each group (p<0.05). However, there were no significant differences when compared between groups. Conclusion: Based on these results, it can be concluded that the UST+PNF+KT combination has the same good results as the UST+SMT+KT combination in improving pain, range of motion, and lower back disability in non-specific low back pain.

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