Adapted exercises versus general exercise recommendations on chronic low back pain in industrial workers: A randomized control pilot study

Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 733-740
Author(s):  
Cristina Cimarras-Otal ◽  
Noel Marcen-Cinca ◽  
Juan Rabal-Pelay ◽  
Beln Lacrcel-Tejero ◽  
Andrs Alczar-Crevilln ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pilot Study ◽  
Pain Intensity ◽  
Assembly Line ◽  
Intervention Group ◽  
Exercise Program ◽  
Control Group ◽  
Low Back ◽  
General Exercise

BACKGROUND: Exercise has been demonstrated as effective for the treatment of low back pain (LBP) in workers. OBJECTIVE: The purpose of this study was to investigate whether an exercise program adapted to the characteristics of the workplace is a useful supplement to general exercise recommendations in assembly line workers with chronic LBP. METHODS: Workers were randomly assigned to intervention group-adapted exercises plus general exercise recommendations (n = 10), and control group-general exercise recommendations (n = 8). Both received 8-week exercise program through a mobile application (APP) to manage the intervention. Outcome was based on lumbar disability (Oswestry Disability Index), interference and lumbar pain intensity (Brief Pain Inventory), and kinematic parameters. RESULTS: Significant differences were obtained for the intervention group in the “pain interference” variable, in the “mood” and “enjoyment” sub-variables, as well as in “flexion angle” variable. For the control group, significant differences occurred in the “pain intensity” variable. Adapted exercise plus general recommendations seems more effective than the general recommendations for the improvement of lumbar flexion. CONCLUSIONS: An adapted exercise program for assembly line workers with chronic LBP could be an effective treatment. Future studies with a larger sample size and with an exhaustive control of the exercise adherence are required to confirm the findings of this pilot study.

Cupping as An Effective Complementary Therapy to Reduce Chronic Low Back Pain in Medical Rehabilitation Subdivision Perkebunan Hospital Jember

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Debie Saktyana Iriawandani ◽  
Hanik Badriyah Hidayati ◽  
Wahyudi Widada ◽  
Zuhrotul Eka Yulis ◽  
Azham Purwandhono
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Intervention Group ◽  
Cupping Therapy ◽  
Medical Rehabilitation ◽  
Control Group ◽  
P Value ◽  
Low Back

Pain, especially chronic pain lasts prolonged weariness, usually persistent and recurring. Thus, pain is often found in patients with Chronic Low Back Pain (CLBP). One alternative treatment to reduce chronic low back pain is cupping therapy. The main principle of cupping therapy is using of negative pressure to attract toxin substances, free radicals in the blood, inflammation cells, metabolic waste or Causative Pathological Substances (CPS), scarification in the form of skin removal and removing CPS. The aim of this study was to analyze the effect of cupping therapy on pain intensity of CLBP patients in Medical Rehabilitation Sub Division Perkebunan Hospital Jember. The design in this study was quasi experiment nonequivalent control group. The population was all CLBP patients who underwent physiotherapy in the physiotherapy room at Perkebunan Hospital Jember. The sample consisted of 34 respondents (17 respondents in the intervention group and 17 respondents in the control group) using purposive sampling. A cupping therapy was done once in the intervention group. Statistical test results using Wilcoxon obtained p value 0.000 with a value of α <0.05, so it can be concluded that there is an effect of cupping therapy on pain intensity of CLBP patients in Medical Rehabilitation Sub Division Perkebunan Hospital Jember. Cupping Therapy can be used as a complementary or alternative therapy to reduce pain of CLBP patients at Perkebunan Hospital Jember.

scholarly journals Mud Therapy Combined with Core Exercise for Chronic Nonspecific Low Back Pain: A Pilot, Single-Blind, Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Suk-Chan Hahm ◽  
Ho-Jin Shin ◽  
Min-Goo Lee ◽  
Sung Jae Lee ◽  
Hwi-Young Cho
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Dynamic Balance ◽  
Spinous Process ◽  
Intervention Group ◽  
Exercise Program ◽  
Control Group ◽  
Low Back ◽  
Muscle Properties ◽  
Mud Therapy

Background. Low back pain (LBP) is common in the elderly and an appropriate intervention for LBP management should be investigated. The aim of this study is to investigate the potential of mud-heat intervention combined with core exercise as an alternative intervention for relieving pain and improving motor function in individuals with nonspecific chronic LBP. Methods. Thirty-one individuals with chronic nonspecific LBP were randomly allocated to either the intervention group (n = 16) or the control group (n = 15). The intervention group used a mud pack for 30 min and performed a core-exercise program for 50 min twice a day for 4 days (8 sessions). The control group performed the core-exercise program only, at the same time point as the intervention group. Pain intensity was assessed using a 100 mm visual analog scale and a pain pressure threshold (PPT) as the primary outcomes. The secondary outcome measures included functional disability by LBP (Oswestry Disability Index), muscle properties, and static/dynamic balance. Results. There was a significant group difference in pain intensity at rest (p=0.048) and in the PPT at the two sites assessed (2 cm lateral to L3 spinous process, p=0.045; 2 cm lateral to L5 spinous process, p=0.015). No group differences were found in terms of muscle properties. Compared to core exercise only, moor-heat therapy and core exercise showed a significant improvement in static balance (p=0.026) and dynamic balance (p=0.019). Conclusion. Mud therapy combined with core exercise is effective in relieving pain and improving motor function in patients with chronic nonspecific LBP. Further research is needed to underpin these preliminary results.

scholarly journals Foot Reflexotherapy Induces Analgesia in Elderly Individuals with Low Back Pain: A Randomized, Double-Blind, Controlled Pilot Study

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Bruna Hoffmann de Oliveira ◽  
Anna Quialheiro de Abreu da Silva ◽  
Daniela Dero Ludtke ◽  
Fernanda Madeira ◽  
Graciela Mendonça da Silva Medeiros ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pilot Study ◽  
Postural Balance ◽  
Intervention Group ◽  
Control Group ◽  
Low Back ◽  
Double Blind ◽  
Elderly Individuals ◽  
Before And After

Introduction. This study evaluated the effects of foot reflexotherapy on pain and postural balance in elderly individuals with low back pain. Design. Randomized, controlled pilot study. Participants (n=20) were randomly assigned to 2 groups: individuals submitted to conventional foot massage (control group) or foot reflexotherapy (RT, intervention group) for a period of 5 weeks. Questionnaires on pain and disability (visual analogue scale [VAS] and Roland-Morris Disability Questionnaire [RMDQ]), heart rate variability, and orthostatic balance and baropodometric analysis were assessed at two intervals: before and after intervention. Results. RT group showed statistically significant differences when compared to control group in the following parameters: decrease in VAS scores for pain throughout the study, decrease in parasympathetic activity, and improvement in RMDQ scores. The two groups did not statistically differ in either orthostatic balance or baropodometric analyses. Conclusion. This study demonstrated that foot reflexotherapy induced analgesia but did not affect postural balance in elderly individuals with low back pain.

The Effects of a Digital Health Program Using Chatbot Through a Mobile Messaging App on Musculoskeletal Problems: Randomized Controlled Trial of the Self-Management Program in Workers with Neck/Shoulder Pain/Stiffness and Low Back Pain (Preprint)

2021 ◽  
Author(s):  
Tomomi Anan ◽  
Shigeyuki Kajiki ◽  
Hiroyuki Oka ◽  
Tomoko Fujii ◽  
Kayo Kawamata ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Shoulder Pain ◽  
Health Program ◽  
Digital Health ◽  
Intervention Group ◽  
Musculoskeletal Symptoms ◽  
Control Group ◽  
Low Back ◽  
Musculoskeletal Problems

BACKGROUND Musculoskeletal symptoms, such as neck and shoulder pain and stiffness and low back pain, are common health problems in the working population. They are the leading causes of presenteeism (employees being physically present at work but unable to be fully engaged). However, current medical systems do not spare sufficient resources for non-specific musculoskeletal problems. OBJECTIVE This study aimed to evaluate the improvements in musculoskeletal symptoms after use of an exercise-based artificial intelligence (AI)-assisted interactive health promotion system that operates through a mobile messaging app (the AI-assisted health program). METHODS We conducted a two-armed, randomized, controlled, and unblinded trial in workers with neck/shoulder stiffness and/or low back pain. We recruited participants with these symptoms through email notifications. We obtained 48 participants in the intervention group and 46 in the control group. The intervention group received the AI-assisted health program, in which the chatbot sent messages to users with the exercise instructions at a fixed time every day through the smart phone’s chatting app (LINE) for 12 weeks. The exercises could be performed within 1 minute. The control group continued with their usual care routines, which included exercising for 3 minutes at recess time provided by the company to prevent stiff shoulders and back pain. We assessed the subjective severities of the neck and shoulder pain/stiffness and low back pain in participants using a scoring scale of 1 to 5 for both the intervention and the control group at baseline and after 12 weeks of intervention using an online form. RESULTS We analyzed 47 patients in the intervention group and 40 in the control group. The participants in the intervention group showed significant improvements in the severities of the neck/shoulder pain/stiffness and low back pain compared to those in the control group (OR 12.74, P <.001). Based on the subjective assessment of the improvement of the pain/stiffness at 12 weeks, 36 (77%) participants in the intervention group and 3 (8%) in the control group had improved (improved, slightly improved) (OR 54.23, P <.001). CONCLUSIONS This study showed that the short exercises provided by the AI-assisted health program improved both neck/shoulder pain/stiffness and low back pain in 12 weeks. Digital health programs are low cost and safe and can save experts’ working hours and labor costs. Further studies are needed to identify the elements of the AI-assisted health program that worked. CLINICALTRIAL University hospital Medical Information Network-Clinical Trials Registry (UMIN-CTR) 000033894; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038307.

Effect of a 12-week workplace interview intervention on physical activity and low back pain: a single-center, randomized controlled study

2020 ◽  
Author(s):  
Kazuhiro Shimo ◽  
Mami Hasegawa ◽  
Seiko Mizutani ◽  
Tomomi Hasegawa ◽  
Takahiro Ushida
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapist ◽  
Intervention Group ◽  
Office Workers ◽  
Controlled Study ◽  
Control Group ◽  
Low Back ◽  
Face To Face

Abstract Background Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear if workplace PA interventions can improve LBP. This study aimed to investigate the effects of workplace interview intervention on increasing PA and improving LBP among office workers. Methods We recruited 37 workers of a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention group (n=20) or control group (n=17). We affixed waist-worn accelerometers to monitor PA in all participants, and provided face-to-face counseling with a physical therapist or nurse once a week for 12 weeks as workplace PA program to reassurance and encourage participants to keep high levels of PA. PA and LBP severity were assessed at baseline, 3 and 6 months. Results Baseline characteristics were similar in both groups, but PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, was PA significantly increased at 3 and 6 months from baseline and LBP severity improved significantly at 6 months from baseline. We calculated the effect size of the interview intervention, and found that workplace interview intervention had a medium to large effect on PA and LBP severity. Conclusions Our data suggests that workplace PA intervention can increase PA and improve LBP among office workers. Trial registration UMIN-CTR Clinical Trial UMIN000038864 (https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044321). Registered 12 December 2019, retrospectively registered.

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 Myofascial trigger-point compression therapy as an adjunct to exercise program is superior in alleviating chronic low back pain compared to exercise program alone

2020 ◽  
Author(s):  
Rawan Masarwa ◽  
Ofir Uri ◽  
Givon Peled ◽  
Gil Laufer ◽  
Gabriel Gutman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Exercise ◽  
Exercise Program ◽  
Compression Therapy ◽  
Trigger Points ◽  
Control Group ◽  
Low Back ◽  
Myofascial Trigger Points

Abstract Background Current guidelines for the treatment of low back pain (LBP) endorse physical exercise programs and a range of non-pharmacological complementary therapies. Myofascial trigger points (MTrPs) compression therapy is a well-established form of manual therapy, which aims to induce temporary ischemia and over-stimulation of mechanoreceptors over a desired area in order to restore tissue normal functional conditions required for healing response. The purpose of the current study was to evaluate the effect of MTrPs compression therapy as an adjunct to active exercise program in alleviating chronic non-specific low back pain. Methods One-hundred and three patients with chronic non-specific LBP were retrospectively reviewed, 45 of them were treated with MTrPs compression therapy as an adjunct to physical exercise program (MTrPs group) and 58 were treated with exercise program alone (control group). Pain and functional scores were compared before initiating treatment and at 3-month follow-up. Results Pain reduction at 3-month follow-up was 5.6 points (0–10 numerical scale) in the MTrPs group compared to 3.6 points in the control group (p < 0.001). Oswestry Disability Index and SF-12 life quality scores also improved significantly more in the MTrPs group compared to the control group at 3-month follow-up (p < 0.001). Conclusions Myofascial trigger points compression therapy as an adjunct to active exercise program provides superior pain and disability relief to patients with chronic LBP compared to active exercise program alone.

scholarly journals The effect of the local cold application on low back pain and vascular complications of patients undergoing coronary angiography

2020 ◽  
Vol 11 (4) ◽  
pp. 7754-7762
Author(s):  
Fariba Ebrahimi-Shalmani ◽  
Farideh Hasavari ◽  
Salman Nikfarjam ◽  
Ehsan Kazemnejad Leili ◽  
Nazila Javadi-Pashaki
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Coronary Angiography ◽  
Interaction Analysis ◽  
Intervention Group ◽  
Vascular Complications ◽  
Control Group ◽  
Low Back ◽  
Time Interaction ◽  
Cold Application

Coronary angiography due to the risk of vascular complications and low back pain development can lead to undesirable outcomes. This clinical trial was performed on 110 patients undergoing CAG through the femoral artery in 2019. Low back pain was assessed by VAS at baseline, 2, 4, 6 and 24 hours after angiography and vascular complications were investigated 9 times in this period. Results of group and time interaction analysis revealed that pain and vascular complications were significantly different between these two groups (P <0.001). After controlling for individual, clinical and technical variables, the scores of low back pain were associated with the intervention group compared to the control group (P <0.001), Body Mass Index (P=0/035) and INR (P <0.001). The extent of hematoma was associated with group (P = 0.003) and also the extent of ecchymosis was associated with group (P = 0.002), education (P = 0.44) and BMI (P = 0.035). In this study, the local cold was effective in back pain and vascular complications in patients undergoing CAG.

Efficacy of risk factor education on pain intensity and disability in office workers with nonspecific neck or low back pain: A pilot cluster randomized clinical trial

2020 ◽  
pp. 1-9
Author(s):  
Rattaporn Sihawong ◽  
Pooriput Waongenngarm ◽  
Prawit Janwantanakul
Keyword(s):  
Risk Factor ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Exercise Program ◽  
Office Workers ◽  
Low Back ◽  
Home Based ◽  
Cluster Randomized ◽  
Disability Level

BACKGROUND: Musculoskeletal disorders are of multi-factorial origin, including individual, physical, and psychosocial factors. An effective education program for musculoskeletal disorders should include predisposing factors. OBJECTIVE: This study aimed to examine the effect of risk factor education on pain intensity and disability levels compared to a home-based exercise program in office workers with nonspecific neck or low back pain. METHODS: A pilot cluster randomized clinical trial was conducted in 46 workers with neck or low back pain. The education group received checklists of risk factors and handbooks providing information on how to manage them. The exercise group received a home-based exercise program to manage their neck or low back pain. The primary outcome measures were pain intensity and disability levels. RESULTS: There was no significant difference in pain intensity or disability level between groups at baseline and follow-ups. However, neck and low back pain intensity, but not disability level, at the 3-month and 6-month follow-ups was significantly lower than those at baseline in both groups. CONCLUSION: Risk factor education was not more effective than the home-based exercise program in terms of pain intensity or disability reduction in workers with nonspecific neck or low back pain.

The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial

2018 ◽  
Vol 32 (9) ◽  
pp. 1249-1257 ◽  
Author(s):  
David Cruz-Díaz ◽  
Marta Romeu ◽  
Carmen Velasco-González ◽  
Antonio Martínez-Amat ◽  
Fidel Hita-Contreras
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Low Back ◽  
Randomized Controlled ◽  
Disability Questionnaire

Objective: To assess the effectiveness of 12 weeks of Pilates practice on disability, pain and kinesiophobia in patients with chronic non-specific low back pain. Design: This is a randomized controlled trial. Setting: This study was conducted in the university laboratory. Subjects: A total of 64 participants with chronic non-specific low back pain were included. Interventions: Participants were randomly allocated to intervention group consisted in Pilates intervention during 12 weeks ( n = 32) or control group who received no treatment ( n = 32). Main measures: Disability, pain and kinesiophobia were assessed by Roland Morris Disability Questionnaire, visual analogue scale and Tampa Scale of Kinesiophobia, respectively. Measurements were performed at baseline, at 6 and 12 weeks after study completion. Results: There were significant differences between groups with observed improvement in Pilates intervention group in all variables after treatment ( P < 0.001). Major changes on disability and kinesiophobia were observed at six weeks of intervention with no significant difference after 12 weeks ( P < 0.001). Mean changes of the intervention group compared with the control group were 4.00 (0.45) on the Roland Morris Disability Questionnaire and 5.50 (0.67) in the Tampa Scale of Kinesiophobia. Pain showed better results at six weeks with a slightly but statistically significant improvement at 12 weeks with Visual Analogue Scale scores of 2.40 (0.26) ( P < 0.001). Conclusion: Pilates intervention in patients with chronic non-specific low back pain is effective in the management of disability, pain and kinesiophobia.

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