scholarly journals Effects of an eight-week lumbar stabilization exercise programme on selected variables of patients with chronic low back pain

2020 ◽  
Vol 19 (3) ◽  
pp. 467-474
Author(s):  
Ademola O Abass ◽  
Abiola R Alli ◽  
Oladapo M Olagbegi ◽  
Candice J Christie ◽  
Samuel O Bolarinde

Background: Lumbar stabilisation exercise has been shown to reduce pain and disability in patients with low back pain but information on its potential benefits in term of back muscle endurance is scarce. Objective: This study was aimed at investigating the effects of augmenting conventional physiotherapy with lumbar stabilization exercises on selected variables of patients with non-specific chronic low back pain (NSCLBP). Methods: Forty individuals with NSCLBP aged 20-60 years were assigned to one of experimental or control groups (20 in each). The experimental group had lumbar stabilisation exercises in addition to conventional therapy (transcutaneous electrical nerve stimulator and infrared) which was the only treatment for the control group. Both groups were treated thrice weekly. Participants’ pain intensity, disability index, kinesiophobia level and back muscle endurance were evaluated at baseline and after 8 weeks. Results: There was significant reduction in pain intensity (experimental: 6.74±1.37; 3.48±1.09; control: 6.57±1.40; 2.96±1.13) and disability index (experimental: 46.60±16.67; 26.55±14.78; control: 32.10±16.16; 24.60±15.27) and increase in back muscle endurance (experimental: 11.05±8.39; 14.30±19.24s; control: 10.85±9.79; 13.90±11.63s) for both groups. Experimental group had significantly greater reduction (p < 0.05) in disability index than the controls (p = 0.048). Conclusion: Augmenting conventional physiotherapy with lumbar stabilisation exercises achieved better reduction in disability than conventional therapy alone in patients with NSCLBP. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.467-474

2017 ◽  
Vol 24 (04) ◽  
pp. 526-533
Author(s):  
Sehrish Ali ◽  
Abdul Ghafoor Sajjad ◽  
Keramat Ullah Keramat ◽  
Haider Darian

Background: Worldwide prevalence of chronic low back pain is 19.6% in thoseaged between 20-59 years and more prevalent in women. Routine physiotherapy appears to beeffective in reducing pain and improving functional outcome in chronic low back pain patients.Lumbar stabilization exercises are trending in the management of chronic low back pain thoughit is not known whether addition of these exercises produce better results as compared to routinephysiotherapy alone. Objectives: The objective of this study was to determine the effect of thelumbar stabilization exercises on pain, ROM and functional disability in the management ofchronic low back pain. A randomized control trial. Period: February 2016 to July 2016. Setting:Rehab & Research Center, Pakistan Railway General Hospital. Methodology: 42 chronic lowback pain patients (02 drop outs, one from each group). The participants were recruited throughpurposive sampling technique. Random allocation was done through coin toss method into twogroups Lumbar Stabilization Exercise (LSE) group (n=20) and Conventional Physiotherapy(CPT) group (n=20). Tools used to collect data were NPRS, Modified ODI, Goniometer (LumbarFlexion, Extension and Side bendings) and MMT (Trunk Flexors and Extensors). The data wasanalyzed (n=40) at baseline and later after 2 weeks of intervention (8 sessions) on IBM SPSS-20. Results: 28 females and 12 males participated in the study with mean age of 38.88 ±12.69.After 02 weeks of intervention both treatment groups showed improvement in decreasing painand improving functional status. LSE group had significant gains in NPRS p=0.001, ModifiedODI p=0.001, ROM Extension p= 0.027, ROM Right side bend p= 0.024 and MMT Flexion p=0.031 as compared to CPT group. Conclusion: Lumbar stabilization exercises in addition toconventional physiotherapy are found more effective in chronic low back pain managementas compared to conventional physiotherapy alone in terms of reducing pain and functionaldisability.


Spine ◽  
2010 ◽  
Vol 35 (22) ◽  
pp. E1178-E1186 ◽  
Author(s):  
Christian Larivière ◽  
Martin Bilodeau ◽  
Robert Forget ◽  
Roger Vadeboncoeur ◽  
Hakim Mecheri

2008 ◽  
Vol 89 (11) ◽  
pp. e74
Author(s):  
Gerold Ebenbichler ◽  
Richard Crevenna ◽  
Wolfgang Gruther ◽  
Christoph Leitner ◽  
Michael P. Matzner ◽  
...  

Spine ◽  
1998 ◽  
Vol 23 (23) ◽  
pp. 2616-2624 ◽  
Author(s):  
Tom Arild Torstensen ◽  
Anne Elisabeth Ljunggren ◽  
Helge Dyre Meen ◽  
Ellen Odland ◽  
Petter Mowinckel ◽  
...  

2018 ◽  
Vol 61 ◽  
pp. 250-256 ◽  
Author(s):  
Maicom Lima ◽  
Arthur Sá Ferreira ◽  
Felipe José Jandre Reis ◽  
Vanessa Paes ◽  
Ney Meziat-Filho

GeroScience ◽  
2019 ◽  
Vol 42 (1) ◽  
pp. 251-269 ◽  
Author(s):  
Gerold Ebenbichler ◽  
Richard Habenicht ◽  
Sara Ziegelbecker ◽  
Josef Kollmitzer ◽  
Patrick Mair ◽  
...  

AbstractThe impact of aging on the back muscles is not well understood, yet may hold clues to both normal aging and chronic low back pain (cLBP). This study sought to investigate whether the median frequency (MF) surface electromyographic (SEMG) back muscle fatigue method—a proxy for glycolytic muscle metabolism—would be able to detect age- and sex-specific differences in neuromuscular and muscle metabolic functions in individuals with cLBP in a reliable way, and whether it would be as sensitive as when used on healthy individuals. With participants seated on a dynamometer (20° trunk anteflexion), paraspinal SEMG activity was recorded bilaterally from the multifidus (L5), longissimus (L2), and iliolumbalis (L1) muscles during isometric, sustained back extensions loaded at 80% of maximum from 117 younger (58 females) and 112 older (56 female) cLBP individuals. Tests were repeated after 1–2 days and 6 weeks. Median frequency, the SEMG variable indicating neuromuscular fatigue, was analyzed. Maximum back extensor strength was comparable between younger and older participants. Significantly less MF-SEMG back muscle fatigue was observed in older as compared to younger, and in older female as compared to older male cLBP individuals. Relative reliability was excellent, but absolute reliability appeared large for this SEMG-fatigue measure. Findings suggest that cLBP likely does not mask the age-specific diagnostic potential of the MF-SEMG back extensor fatigue method. Thus, this method possesses a great potential to be further developed into a valuable biomarker capable of detecting back muscle function at risk of sarcopenia at very early stages.


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