scholarly journals EFFECTIVENESS OF LUMBAR STABILIZATION EXERCISES IN NON-SPECIFIC LOW BACK PAIN AMONG OCCUPATIONAL THERAPISTS

2019 ◽  
Vol 8 (1) ◽  
pp. 43-48
Author(s):  
Jaza Rizvi ◽  
Neelum Zehra ◽  
Hira Masood
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Rating Scale ◽  
Occupational Therapists ◽  
Life Time ◽  
Numeric Rating Scale ◽  
Low Back ◽  
Lumbar Stabilization ◽  
Group A

BACKGROUND AND AIMS Low Back Pain (LBP) is considered as the second leading source of musculoskeletal disorders, affecting 85% individuals worldwide at some point in their life time. Numerous studies estimated Occupational Therapists have predominant risk of developing LBP due to nature of their daily activities therefore the aim of this study is to evaluate the effectiveness of lumbar stabilizing exercises among Occupational Therapists with non specific LBP. METHODOLOGY A single blind, RCT was conducted at Dr. Ziauddin Hospital included 30 Occupational Therapists divided in to Group A and B that received lumbar stabilization and general extension exercises respectively. Both the groups received 4 weeks of intervention on 6 days/week. Data was collected Pre and Post the treatment on Numeric Rating Scale and Oswestry LBP Disability Questionnaire. RESULTS Both the groups showed significant results (p<0.05), however Group A showed marked reduction in pain and disability in comparison to Group B that showed moderate decrease in both outcome measures. CONCLUSION Lumbar stabilization exercises are more effective to reduce LBP as compared to general extension exercises. Multi-center trials are recommended in the management of LBP in healthcare professionals to prevent musculoskeletal disorders.

Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial

2020 ◽  
Vol 29 (2) ◽  
pp. 179-185 ◽  
Author(s):  
TaeYeong Kim ◽  
JaeHyuk Lee ◽  
SeJun Oh ◽  
Seungmin Kim ◽  
BumChul Yoon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Oswestry Disability Index ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Low Back ◽  
Baseline Values ◽  
Numeric Rating

Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled trial. Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland–Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F = 21.422; P = .01). There were no significant differences in the numeric rating scale (F = 1.696; P = .21), Oswestry disability index (F = 1.848; P = .20), Roland–Morris disability (F = 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland–Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults 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 Comparison of Mckenzie approach versus Lumbar Stabilization Exercises in the treatment of chronic low back pain

2021 ◽  
Vol 3 (1) ◽  
pp. 24-31
Author(s):  
Faria Aqil ◽  
Muhammad Affan Iqbal ◽  
Suhail Karim ◽  
Muhammad Umar Iqbal ◽  
Muhammad Junaid Akram ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Status ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Low Back ◽  
Post Intervention ◽  
Lumbar Stabilization ◽  
Numeric Pain Rating Scale

Introduction: Lumbar stabilization and McKenzie exercises are becoming a popular trend for managing chronic low back pain though it is currently not known whether lumbar stabilization exercises produce better results in improving functional status compared to McKenzie approach. The purpose of this study was to determine the effectiveness of the McKenzie approach versus lumbar stabilization in the treatment of chronic low back pain. Material & Methods: This was a randomized controlled trial. Lottery method was used to randomly divide individuals who fulfilled inclusion criteria into 2 groups. Assessments of the patients were done in OPD. Baseline assessment was done on day 1 and post intervention assessment was done after 2 weeks. A total of 8 treatment sessions spread across 2 weeks were given (4 days per week). Data were assessed at baseline level and post intervention. Data was entered and analysed by SPSS version 21. Results: A total of 28 females and 02 males (mean age of 50.88 ±12.29) participated in the study. After 02 weeks of intervention, both treatment groups showed improvement in decreasing pain and improving functional status. The lumber stabilization group showed significant gains on Numeric Pain Rating Scale and (p=0.001) and Modified Oswestry Disability Index (p=0.001) compared to the Mckenzie group. Conclusion: Patients in both lumber stabilisation and McKenzie groups showed significant improvement, however, the patients in lumbar stabilization group were superior than the patients in McKenzie group on the selected outcomes.

Efficacy of Integrating Cervical Posture Correction With Lumbar Stabilization Exercises for Mechanical Low Back Pain: A Randomized Blinded Clinical Trial

2020 ◽  
pp. 1-9
Author(s):  
Aliaa M. Elabd ◽  
Salah-Eldin B. Rasslan ◽  
Haytham M Elhafez ◽  
Omar M. Elabd ◽  
Mohamed A. Behiry ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Vertical Axis ◽  
Low Back ◽  
Sagittal Vertical Axis ◽  
Significant Group ◽  
Lumbar Stabilization ◽  
Group A ◽  
Craniovertebral Angle ◽  
Cervical Posture

Although current lumbar stabilization exercises are beneficial for chronic mechanical low back pain, further research is recommended focusing on global spinal alignment normalization. This randomized, controlled, blinded trial was conducted to determine the effects of adding cervical posture correction to lumber stabilization on chronic mechanical low back pain. Fifty adult patients (24 males) with chronic mechanical low back pain and forward head posture received 12 weeks treatment of either both programs (group A) or lumbar stabilization (group B). The primary outcome was back pain. The secondary outcomes included the craniovertebral angle, Oswestry Disability Index, C7-S1 sagittal vertical axis, and sagittal intervertebral movements. The multivariate analysis of variance indicated a significant group-by-time interaction (P = .001, partial η2 = .609). Pain, disability, C7-S1 sagittal vertical axis, and l2-l3 intervertebral rotation were reduced in group A more than B (P = .008, .001, .025, and .001). Craniovertebral angle was increased in A when compared to B (P = .001). However, there were no significant group-by-time interactions for other intervertebral movements. Within-group comparisons were significant for all outcomes except for craniovertebral angle within patients in the control group. Adding cervical posture correction with lumber stabilization for management of chronic low back pain seemed to have better effects than the application of a stabilization program only.

scholarly journals RELATIONSHIP BETWEEN URODYNAMIC PARAMETERS AND LEVEL OF SPINAL CORD INJURY

2021 ◽  
Vol 37 (37) ◽  
pp. 7-15
Author(s):  
Anna Barnaś ◽  
Ewa Chlebuś ◽  
Agnieszka Wareńczak ◽  
Joanna Pałucka ◽  
Przemysław Lisiński
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Facet Joint ◽  
Numeric Rating Scale ◽  
Safe Procedure ◽  
Low Back ◽  
Pain Disability ◽  
Gait Parameters ◽  
Cord Injury

Introduction Low back pain and comorbid afflictions influence negatively on the quality of life, postural control and gait. Facet joint syndrome is one of the causes of low back pain. Cryoablation is a minimal invasive percutaneuous technique for zygapophysial joint syndrome. Aim The aim of the study was to investigate the effectiveness of the cryoablation in patients with chronic low back pain on pain, disability and spatiotemporal gait parameters in the course of facet joint syndrome. Material and methods The study included 19 patients (13 women, 7 men) with chronic low back and facet arthropathic changes in MRI, and with failure in conservative treatment. The evaluation was performed before and with one-month follow-up after cryoablation and included pain assessment (Numeric Rating Scale), the evaluation of functional state and disability (Revised Oswestry Low Back Pain Disability Index, Roland-Morris Disability Questionnaire) and an analysis of spatiotemporal gait parameters (treadmill). Results A significant improvement in pain, functioning and spatiotemporal gait parameters such as distance and the number of steps were found. Conclusions Cryoablation is an effective method for pain reduction in facet joint syndrome, which improves functioning and gait. Cryoanalgesia is a safe procedure for the treatment of low back pain related to facet joint syndrome if earlier conservative management failed. Keywords: cryoablation, low back pain, functional assessment, gait

scholarly journals HUBUNGAN POSTUR TUBUH DAN LAMA BERDIRI DENGAN KEJADIAN LOW BACK PAIN PADA PEKERJA DI CIKARANG

2021 ◽  
pp. 331-342
Author(s):  
Mayang Ameilia Putri ◽  
Mila Citrawati ◽  
Riezky Valentina Astari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Simple Random Sampling ◽  
Numeric Rating Scale ◽  
Entire Body ◽  
Low Back ◽  
Body Map ◽  
Rapid Entire Body Assessment ◽  
Numeric Rating

Low back pain (LBP) merupakan sebuah sindrom klinis ditandai dengan timbulnya gejala nyeri di sekitar punggung bawah yang tanpa atau dapat disertai penjalaran pada tungkai bawah. Posisi tidak ergonomis seperti membungkuk, memiringkan badan, dan posisi menggapai atau berlutut yang dapat menyebabkan beberapa dampak, salah satunya LBP. Penelitian ini dilakukan untuk menganalisis hubungan postur tubuh dan lama berdiri dengan kejadian LBP pada pekerja bidang produksi dan logistik di Cikarang. Penelitian ini menggunakan analitik observasional dengan desain penelitian potong lintang karena membahas dua variabel (independen dan dependen) selanjutnya diobservasi atau diukur hanya sekali pada setiap variabel dalam waktu yang sama. Sampel penelitian berjenis kelamin lakilaki, berjumlah 62 responden, berusia 18-40 tahun dengan kata lain termasuk kriteria inklusi dan teknik pengambilan sampel berupa simple random sampling. Analisis postur tubuh menggunakan Rapid Entire Body Assessment (REBA), untuk lokasi serta pengukuran intensitas nyeri LBP menggunakan kuesioner Nordic Body Map (NBM) dan Numeric Rating Scale (NRS), analisis bersifat kuantitatif karena didasarkan pada skala yang tersedia pada kategori setiap instrumen penelitian. Hasil uji Fisher hubungan postur tubuh dengan kejadian LBP diperoleh nilai signifikansi p=1,000 (p> 0,05) dan untuk lama berdiri dengan kejadian LBP didapatkan nilai signifikansi p=0,067 (p> 0,05). Kesimpulan hasil tersebut tidak terdapat hubungan antara postur tubuh dan lama berdiri dengan kejadian LBP pada pekerja. Hal ini dapat dipengaruhi usia pekerja yang dominan termasuk kategori usia produktif sehingga sifat fisiologis otot masih sangat menunjang produktivitas kerja. Selain itu disela-sela kegiatan, para pekerja dapat leluasa melakukan peregangan minimal pada tubuhnya sehingga kekakuan pada otot di sekitar punggung bawah dapat dihindari.

scholarly journals Endoscopic radiofrequency facet joint treatment in patients with low back pain: technique and long-term results. A prospective cohort study

2020 ◽  
Vol 12 ◽  
pp. 1759720X2095897
Author(s):  
Stefano Meloncelli ◽  
Giorgio Germani ◽  
Ignazio Urti ◽  
Marco Divizia ◽  
Maria Rosciano ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Facet Joint ◽  
Numeric Rating Scale ◽  
Long Term Results ◽  
Interventional Treatment ◽  
Low Back ◽  
Facet Joints

Aims: The aim of the study was to evaluate the efficacy of endoscopic rhizotomy (ER) for denervation of lumbar facet joints in patients with chronic low back pain (LBP) due to facet joint syndrome (FJS). Methods: A total of 50 consecutive patients suffering from chronic LBP due to facet joints were screened to be treated with ER. The patients participating in the study had a 2-year follow up. Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were assessed in the preoperative and postoperative period. To evaluate secondary endpoints, patients were divided into groups. One group included the patients previously treated with percutaneous radiofrequency (RF). The other group comprised patients at their first interventional treatment. We also compared patients dividing them by age and by number of joints treated, trying to elucidate if these parameters could be predictive of effectiveness of the procedure. Results: All patients had a reduction in NRS and an improvement in ODI. NRS was reduced significantly after 1 month and remained the same until the end of the study. ODI was significantly improved from T1 (1 month after surgery) up to T7 (end of the study). The improvements did not differ whether already treated with percutaneous rhizotomy or not. Patients less than 60 years or with 1–2 joints treated had better improvement compared with the others. Conclusion: The results obtained demonstrate that ER for denervation of the facet joint is an effective treatment in patients with chronic LBP, with consistent and stable results at 2-year follow up. The technique has a rapid learning curve and no major complications occurred. Moreover, the previous percutaneous RF treatment had no influence on the results obtained with endoscopic technique. There is evidence that best results are obtained in younger patients and/or in patients with 1–2 joints treated. Lay summary Low-back pain has facet joints inflammation or degeneration as pain generator in 20–40% of cases. Nervous lesion of the dorsal ramus innervating the facet joints has been shown as an efficacious treatment to obtain good analgesia. Percutaneous techniques have provided short term results for several reasons. This research aimed to see whether endoscopic denervation, which guarantees a more precise approach to anatomical structure, would result in more durable results. The study conducted on 40 patients has made it clear that this approach gives significant analgesia for at least 2 years, which was the time of patient follow up.

scholarly journals Effectiveness of Muscle Energy Technique Versus Strain Counter Strain Technique on Trigger Points of Quadratus Lumborum among Low Back Pain Patients

2021 ◽  
Vol 15 (8) ◽  
pp. 2451-2453
Author(s):  
Sadaf Tubassam ◽  
Saima Riaz ◽  
Rehan Ramzan Khan ◽  
Sobia Ghafoor ◽  
Sajid Rashid ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Trigger Points ◽  
Low Back ◽  
Muscle Energy Technique ◽  
Quadratus Lumborum ◽  
Group A ◽  
Muscle Energy ◽  
Group B

Objective: To determine the effectivness of muscle energy technique versus strain counter strain techniques on trigger points of quadratus lumborum among patients with low back pain. Methodology: A quasi-experimental trial was conducted on 40 patients who had low back pain due to trigger points in Sialkot medical complex hospital, Sialkot. The participants were divided into group A (MET) and group B (SCS). Group A was treated with muscle energy techniques and moist heat therapy, while Group B was treated with strain counter strain technique and moist heat therapy for two weeks. Numeric pain rating scale and Modified Oswestry Disability Questionnaire were used. Data was analyzed on SPSS 21. Results: The mean score of the Oswestry Disability Index (ODI) was 53.10±7.35 and 56.60 ± 7.89 at the start of treatment in group A (MET) and group B (SCS), respectively. The final ODI score for group A (MET) and group B (SCS) was 22.25± 5.87 and 37.70± 7.87, respectively. The mean value of pain intensity on the Numerical Pain Rating Scale (NPRS) was 7.30±1.25 vs. 7.85±1.26 at the start of treatment in Group A (MET) and Group B (SCS), respectively. The post-treatment NPRS score was 3.20 ±1.16 vs. 4.55±1.20 for Group A (MET) and Group B (SCS), respectively. Conclusion: According to the findings of this study, both METS and SCS significantly improved pain and functional disability in patients with low back pain caused by trigger points in the quadratus lumborum. However, in terms of mean difference, METS are more effective than SCS. Keywords: Strain counter strain, METS, Trigger points, Quadratus lumborum, Low back pain

Sign in / Sign up

Export Citation Format

Share Document