scholarly journals The Impact of Different Physiotherapy Programs on the Treatment of Low Back Pain

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Vilma Dudonienė ◽  
Jurgita Radzevičiūtė
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Research Group ◽  
Oswestry Disability Index ◽  
Muscle Endurance ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Low Back ◽  
Lumbar Traction ◽  
The Impact

Low back pain is one of the biggest problems in modern world. Different physiotherapy programs are used for its treatment. Lumbar traction, has been used since the time of Hippocrates, but it is still the object of discussion. The purpose of this study was to determine the impact of traditional physiotherapy (control group), and traction therapy with TherapiMaster equipment (research group) on treatment of low back pain. Subjects: 40 patients from 34 to 62 years of age with low back pain participated in the study. Methods: static and dynamic trunk muscle endurance, low back pain intensity (according to Numeric Rating Scale, and McGill pain questionnaire), and functional state (according to Roland-Morris questionnaire, and Oswestry disability index) of patients were evaluated. Patients of control group received 14 procedures of traditional physiotherapy. The patients in the research group received 14 procedures of lumbar traction with TerapiMaster equipment and exercises. Conclusions: Physiotherapy procedures improved static and dynamic trunk muscle endurance in both control and research groups (p < 0.01), reduced low back pain (p < 0.01), and improved the patients’ functional state in both groups (p < 0.01). The physiotherapy program with lumbar traction had better effect only relieving back pain assessed by McGill pain questionnaire compared to traditional physiotherapy (p < 0.05).Keywords: low back pain, lumbar traction, physiotherapy, Roland-Morris and McGill questionnaires, Oswestry disability index.

The analgesic action of Aussie current in women with non-specific chronic lumbar pain

2019 ◽  
Vol 26 (7) ◽  
pp. 1-10
Author(s):  
Ana Claudia Aparecida Pelegrini ◽  
Eduardo Gasoto ◽  
Jean Marcos Bussolaro ◽  
Gabriel Segatti ◽  
Carlos Eduardo de Albuquerque ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Visual Analogue Scale ◽  
Oswestry Disability Index ◽  
Analogue Scale ◽  
Muscle Thickness ◽  
Lumbar Pain ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Low Back

Background/aimsDespite electrostimulation being a common adjuvant therapy for non-specific low back pain, the use of Aussie current for muscle contraction is still underreported in the literature. The present study aimed to assess the use of Aussie current in the treatment of chronic, non-specific lumbar pain.MethodsTwenty-four young women with chronic non-specific low back pain were randomly assigned to the Aussie current group or control group. Pain (visual analogue scale and McGill Pain Questionnaire), function (Oswestry Disability Index), trunk muscle resistance (the time the participant remained in a predefined static position) and multifidus muscle thickness (ultrasound images) were analysed bilaterally before, at the end of and 30 days after completing the treatment protocol. The treatment group received 12 sessions of Aussie current over a period of 4 weeks. The electrodes were arranged laterally and bilaterally to the spinous processes of the first and fifth lumbar vertebrae.ResultsThere was a reduction in the pain profile for the Aussie group, as measured by a visual analogue scale and the McGill Pain Questionnaire. There was an increase in trunk muscle resistance and in muscle thickness in the Aussie group when compared to the control group. There were no changes in the Oswestry Disability Index in either group.ConclusionsAussie current resulted in significant improvements in pain, endurance and muscle thickness in women with chronic, non-specific low back pain.

scholarly journals Visually Plastic Art Therapy in Reducing Anxiety of Chronic Low Back Pain Patients

2015 ◽  
Vol 3 ◽  
pp. 434
Author(s):  
Aloida Jurčenko
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Art Therapy ◽  
Research Group ◽  
Chronic Low Back Pain ◽  
Control Group ◽  
Low Back ◽  
Pain Symptoms ◽  
Pain Patients ◽  
Selection Of

The aim of the research is to check if Art therapy reduces anxiety and pain symptoms for chronic low back pain patients. The selection of the research members was made by using structured interview. For the selection of anxiety research – C.D. Spielberg anxiety position-feature self-assessment (STAI from Y-1). For the selection of pain symptom detection was used numerical analog (ranking) scale (NRS). There were patients from 30 to 60 years old, who made the selection, all with M47.2 diagnosis and anxiety pain symptoms. The capacity of the selection in the end of the research was 54 patients (26 in the research group and 28 in the control group). Research group took part in art therapy (8 sessions). There were used descriptive and conclusive statistics for data analysis. There are several conclusion verdicts. Art therapy reduces anxiety and pain symptoms in chronic low back pain patients.

scholarly journals Effects of seated lumbar rotation manipulation in treating degenerative lumbar instability: a protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rui Xie ◽  
Long Liang ◽  
Kaiming Li ◽  
Jie Yu ◽  
Minshan Feng ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Low Back ◽  
Lumbar Instability ◽  
Randomized Controlled ◽  
Lumbar Traction

Abstract Background Degenerative lumbar instability (DLI) is a common disease that causes low back pain (LBP) in clinic. It is difficult to completely recover from DLI, and it occurs repeatedly, which seriously affects the quality of life of patients. The epidemiological survey showed that 20–30% of low back pain was related to lumbar instability. Increasing evidence shows that seated lumbar rotation manipulation can effectively improve the clinical symptoms of patients with low back pain. The primary aim of this clinical trial is to observe the intervention effect of seated lumbar rotation manipulation on DLI patients. Method/design A total of 60 participants with DLI will be recruited and randomly allocated into the seated lumbar rotation manipulation group (the intervention group) or lumbar traction in supine position group (the control group) in this prospective, outcome assessor-blind, two-arm randomized controlled clinical trial. The treatment of the two groups lasted for 3 weeks, and the manipulation of the intervention group would be carried out once every other day, three times a week, a total of 9 times; the control group would be given lumbar traction once a day, five times a week, a total of 15 times. JOA (Japanese Orthopaedic Association) and VAS (Visual Analogue Scales) scores will be recorded as the primary outcomes before the treatment and at the 1st, 3rd, 5th, 8th, 10th, 12th, 15th, 17th, and 19th days after treatment and follow-up visit at the first, third, and sixth months. JOA efficacy evaluation standard will be used to evaluate the overall efficacy as the secondary outcomes. Discussion The results of this prospective, randomized controlled trial will provide a clinical evidence for the treatment of DLI with seated lumbar rotation manipulation. Trial registration Chinese Clinical Trial Registry ChiCTR2000032017. Registered on 18 April 2020, Prospective registration.

scholarly journals The Effect of Lumbar Erector Spinae Muscle Endurance Exercise on Perceived Low-back Pain in Older Adults

2021 ◽  
Vol 9 (2) ◽  
pp. 82-92
Author(s):  
Muhammad Tufail ◽  
Haebin Lee ◽  
Yang Gyu Moon ◽  
Hwang Kim ◽  
KwanMyung Kim
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Standing Position ◽  
Erector Spinae ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Exercise Fatigue ◽  
Experimental Group

This study investigates changes in lumbar erector spinae (LES) muscle endurance, perceived low-back pain (LBP), and perceived exercise fatigue in older adults, and analyzes the trends of these changes during a 5-week lumbar exercise. Sixteen older adults with LBP were equally and randomly divided into two groups: the experimental group with incline-standing and the control group with the level-standing positions. They were separately treated with lumbar exercise tasks and 10 seconds of muscle endurance tests using surface electromyography (sEMG). There was a trend of changes in both groups. The exercise tasks led to increase LES muscle endurance in the experimental group (53.7%) and the control group (45.4%) and decrease perceived LBP score significantly with the incline-standing position. There was no significant difference between the two groups in perceived exercise fatigue (p>0.05). Trunk flexion and extension with an incline-standing position can be an effective method to increase LES muscle endurance and reduce LBP in older adults.

scholarly journals The Prevalence and Association of Stress Urinary Incontinence, Core Muscle Endurance, and Low Back Pain among Married Women in Saudi Arabia: A Case-Control Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ahmad H. Alghadir ◽  
Cynthia Tse ◽  
Amir Iqbal ◽  
Mariam Al-Khater ◽  
Ghadeer Al-Rasheed
Keyword(s):  
Saudi Arabia ◽  
Urinary Incontinence ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Control ◽  
Married Women ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Healthy Women

Purpose. There may be a strong association among stress urinary incontinence (SUI), low back pain (LBP), and core muscle endurance (CME) in married women. This study is aimed at evaluating the prevalence and clinical association between SUI, CME, and LBP among married women in Saudi Arabia. Methods. The study was based on a case-control research design, conducted among 143 women with LBP (mean age, 32 ± 7.4 years) and 160 healthy women (mean age, 31.7 ± 6.7 years). SUI, CME, and functional disability were assessed using the international consultation on the Incontinence Questionnaire-Short Form (ICIQ-SF), prone plank test (PP), and Oswestry Disability Index for LBP-United Arab Emirates edition (ODI-UAE). Results. The prevalence of SUI was found to be 60% in the LBP group while 20% in the control group. CME revealed a stronger negative correlation with SUI in the LBP group ( r s = − 0.75 ) than in the control group ( r s = − 0.63 ). Conclusions. The prevalence of SUI was observed higher in women with LBP than healthy women. CME exhibited a stronger association with SUI than LBP among women with LBP compared to healthy women in Saudi Arabia. Therefore, the role of CME in SUI development or vice versa among married women with LBP may be subjected to further research.

A Comparison of 6 Weeks of Aquatic Exercise and Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain

2021 ◽  
Vol 30 (1) ◽  
pp. 37-42
Author(s):  
Yaser Alikhajeh ◽  
Elyas Barabadi ◽  
Gholam Rasul Mohammad Rahimi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Controlled Trial ◽  
Aquatic Exercise ◽  
Control Group ◽  
Low Back ◽  
Kinesio Taping ◽  
The Impact

Context: In many societies, although chronic low back pain (LBP) is a significant problem, there is no consensus on the optimal therapeutic intervention. Objective: To compare the impact of aquatic exercise (AE) and kinesio taping (KT) on the pain intensity and functional incapacity in women with chronic nonspecific LBP. Design: Randomized controlled trial. Setting: Outpatient clinic. Participants: Thirty-six women with chronic nonspecific LBP (mean [SD]: age = 50.69 [4.187] y) participated. Interventions: Participants randomly assigned to AE (n = 12), KT (n = 12), and nontreatment control (n = 12) groups for 6 weeks. Main Outcome Measures: Pain intensity and functional disability were evaluated at baseline and the end of the intervention. Results: Pain intensity decreased more in the AE group than in the KT group (5.9–0.5 cm [91.6% decrease] vs 5.7–2.4 cm [58.1% decrease], respectively; P < .001 for both after Bonferroni post hoc test); the values decreased more in the 2 treatment groups than in the control group (P < .001 for between-group comparisons). Disability decreased more in the AE group (43.2%–18.8% [55.6% decrease]) than the KT group (37.8%–19.3% [48.3% decrease]) (P < .001 for both comparisons), but increased in the control group (38.7%–41.2% [6.5% increase]; P = .045). Conclusion: These results suggest AE and KT treatment methods provide pain intensity and disability improvements in women with chronic nonspecific LBP. Nevertheless, AE was more effective than KT.

scholarly journals EFFECTIVENESS OF CHIROPRACTIC ADJUSTMENT IN LUMBAR PAIN IN CROSSFIT PRACTITIONERS

2017 ◽  
Vol 16 (3) ◽  
pp. 193-197 ◽  
Author(s):  
DESIREE MOEHLECKE ◽  
LUIZ ALBERTO FORGIARINI JUNIOR
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Life Questionnaire ◽  
Low Back ◽  
Joint Range Of Motion ◽  
Before And After ◽  
Joint Range

ABSTRACT Objective: To evaluate the efficacy of acute chiropractic adjustment in individuals who practice CrossFit with regard to complaints of low back pain and the joint range of motion in this region. Methods: A randomized clinical trial comprised of CrossFit practitioners from a box in Novo Hamburgo-RS, of both sexes and aged 18 to 40 years who had low back pain at the time of the study. The following tools were used: Semi-structured Anamnesis Questionnaire, Visual Analog Scale, McGill Pain Questionnaire, and SF-36 Quality of Life Questionnaire. Individuals in the control group answered the questionnaires before and after CrossFit training. The chiropractic group performed the same procedure, plus pre-training chiropractic adjustment and joint range of motion (ROM) before and after lumbar adjustment. Results: There was a significant increase in pain in the control group, and a significant decrease in pain in the chiropractic group, including one day after the chiropractic adjustment. In the chiropractic group, the joint ranges of motion had a significant increase in flexion and extension of the lumbar spine after chiropractic adjustment. Conclusion: The chiropractic group achieved a significant improvement in pain level and joint range of motion, suggesting that acute chiropractic adjustment was effective in reducing low back pain.

scholarly journals Endurance Training of the Trunk Extensor Muscles in People With Subacute Low Back Pain

1999 ◽  
Vol 79 (11) ◽  
pp. 1032-1042 ◽  
Author(s):  
Beverley Chok ◽  
Raymond Lee ◽  
Jane Latimer ◽  
Seang Beng Tan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Endurance Training ◽  
Recovery Process ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Low Back ◽  
Subacute Low Back Pain ◽  
Trunk Extensor ◽  
Experimental Group

Abstract Background and Purpose. Clinicians treating patients with low back pain often use exercise to reduce pain and improve function. The aim of this study was to evaluate the effectiveness of trunk extensor endurance training in reducing pain and decreasing disability in subjects with subacute low back pain (ie, onset of back pain within 7 days to 7 weeks). Subjects and Methods. Patients were randomly assigned to either an experimental group or a control group. A visual analog scale and the Pain Rating Index (PRI) of the McGill Pain Questionnaire (MPQ) were used to obtain baseline measurements of pain. The Roland-Morris Disability Questionnaire (RMDQ) was used to measure disability, and the Sorensen Test was used to measure trunk extensor endurance. Subjects in the experimental group attended exercise sessions 3 times per week for 6 weeks. Subjects in the control group did not do exercises. Both groups were given back care advice and hot packs for 15 minutes, 3 to 5 times per week. Reassessments were carried out at 3 and 6 weeks. Results. There were differences between the 2 groups at 3 weeks with regard to pain intensity during the evaluation session, pain experienced over the preceding 24 hours, the total MPQ PRI, the sensory component of the MPQ PRI, and the RMDQ. At 6 weeks, no differences were found for pain measurements, disability scores, and holding time on the Sorensen Test. Conclusion and Discussion. Trunk extensor endurance training reduced pain and improved function at 3 weeks but resulted in no improvement at 6 weeks when compared with the control group. Endurance exercise is considered to expedite the recovery process for patients with an acute episode of low back pain.

scholarly journals INTERVENSI RHYTMIC STABILIZATION EXERCISE LEBIH BAIK DARIPADA INTERVENSI POST ISOMETRIC RELAXATION (PIR) DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL PADA KONDISI NON SPECIFIC LOW BACK PAIN

2018 ◽  
Author(s):  
Virny Dwiya Lestari ◽  
Dewa Putu Gde Purwa Samatra ◽  
Syahmirza Indra Lesmana ◽  
Ni Wayan Tianing ◽  
Ni Nyoman Ayu Dewi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Oswestry Disability Index ◽  
Control Group ◽  
Low Back ◽  
Control Group Design ◽  
Stabilization Exercise ◽  
Group Design ◽  
Post Test ◽  
Test Control

Prevalensi low back pain meningkat seiring dengan meningkatnya aktivitas manusia. Aktivitas yang berlebihan dalam posisi statis dapat menimbulkan Non Specific Low back pain. Non Specific Low back pain merupakan nyeri di sekitar punggung bawah yang disebabkan karena gangguan non patologis. Non Specific Low back pain dapat mengakibatkan nyeri, spasme otot dan imbalance muscle, sehingga stabilitas otot perut dan punggung bawah mengalami penurunan, mobilitas lumbal terbatas, mengakibatkan penurunan aktivitas fungsional. Penelitian ini bertujuan untuk membuktikan intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Penelitian ini menggunakan jenis penelitian eksperimental dengan rancangan penelitian pre-test and post-test control group design. Kelompok I terdiri dari 16 orang dengan intervensi yang diberikan adalah Rhytmic Stabilization Exercise dan Kelompok II yang terdiri dari 16 orang dengan intervensi yang diberikan adalah Post Isometric Relaxation (PIR). Kemampuan fungsional diukur menggunakan Oswestry Disability Index (ODI). Hasil penelitian menunjukkan bahwa (1) terdapat peningkatan kemampuan fungsional pada Kelompok I dengan nilai rerata pre test 25,50 ± 1,751% dan post test 21,12 ± 1,962%, (2) terdapat peningkatan kemampuan fungsional pada Kelompok II dengan hasil rerata pre test 24,93 ± 2,08% dan post test 21,43 ± 2,52%, (3) terdapat perbedaan yang signifikan pada hasil tes ODI pada Kelompok I dan Kelompok II dengan hasil rerata ± SB Kelompok I 4,37 ± 1,147% dan rerata ± SB Kelompok II 3,50 ± 1,211 % dengan nilai p = 0,044 yang berarti intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Disimpulkan bahwa intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain.Kata Kunci: Oswestry Disability Index, Rhytmic Stabilization Exercise, Post Isometric Relaxation (PIR), Non Specific Low back pain

scholarly journals Physiotherapy combined with therapeutic neuroscience education versus physiotherapy alone for patients with chronic low back pain: A pilot, randomized-controlled trial

2021 ◽  
Vol 67 (3) ◽  
pp. 283-290
Author(s):  
Hatice Gül ◽  
Suat Erel ◽  
Naciye Füsun Toraman
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Muscle Endurance ◽  
Control Group ◽  
Low Back ◽  
Flexor Muscle ◽  
Significant Difference ◽  
Neuroscience Education

Objectives: The aim of this study was to investigate the effect of therapeutic neuroscience education (TNE) combined with physiotherapy on pain, kinesiophobia, endurance, and disability in chronic low back pain (CLBP) patients. Patients and methods: Between November 2016 and December 2017, a total of 31 patients with CLBP (5 males, 26 females; mean age: 42.3±10.8 years; range, 20 to 58 years) were randomly allocated to receive physiotherapy combined with TNE (experimental group, EG, n=16) and physiotherapy alone (control group, CG, n=15). All participants received physiotherapy consisting of five sessions per week for a total of three weeks. In addition to physiotherapy, the EG received TNE sessions consisting of two sessions per week for a total of three weeks. The primary outcomes were pain intensity as assessed by Visual Analog Scale (VAS) and kinesiophobia by Tampa Scale for Kinesiophobia (TSK), while and the secondary outcomes were trunk muscle endurance as assessed by the partial curl-up test (trunk flexor endurance [TFE]) and modified Sorensen test (trunk extensor endurance [TEE]) and disability by Roland-Morris Disability Questionnaire (RMDQ). Results: All patients completed the study. The median VAS, TSK, TFE, TEE, and RMDQ scores for the EG significantly improved after three weeks, while there was only significant improvement in the VAS, TSK, and RMDQ scores in the CG. The TSK decreased more in the EG than in the CG. The significant difference was evident in TSK and TFE in favor of the EG (p<0.05). Conclusion: These results suggest that the combination of TNE with physiotherapy can improve kinesiophobia and trunk flexor muscle endurance of patients with CLBP in the short-term.

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