Effectiveness of Abdominal Drawing in Maneuver with Lumbar Pelvic Exercises on Swiss Ball for Spinal Flexibility Among Patients with Low Back Pain

Author(s):  
Jay Kumar Soni ◽  
Edrish Contractor

Aims: Non specific Low back pain is defined as pain without any known pathology which affects almost all the leading occupation where body's awkward posture, twisting and stress forces are commonly encountered across the globe and it is highly prevalent 60% to 70% in a year. Studies have shown various exercise regimen individual effect on the same but superiority of regimen out of these is not clear. Study Design: Comparative Study Place and Duration of Study: Ahmedabad Institute of Medical Sciences, Duration 2013-15 Objective: To assess and compare the effect of core stability exercise, back school program and Swiss ball exercise on Pain, core endurance and Functional disability. Methodology: A group of 24 patients having non-specific low back pain between age groups 18-40 were randomly selected and allocated in to two groups. Group A(n=12) received traditional exercise whereas Swiss ball exercise was given to Group B(n=12). The subjects were treated for two weeks. Baseline data for VAS, Core endurance and MODI were taken on day1 and at the end of two weeks Result: The results were analyzed by wilcoxon signed rank test within both groups. Both groups showed significant improvement in VAS, core endurance and MODI at the end of 2weeks.Comparison between both the Group A and Group B was done by Mann- whitney U test and statistically no significant difference was seen in VAS, core endurance and MODI between the groups Conclusion: The study concluded that both the exercises are equally effective in reducing pain intensity, improves core endurance and functional status in subjects with non specific low back pain


2015 ◽  
Vol 16 (2) ◽  
pp. 202-203 ◽  
Author(s):  
Mary O'Keeffe ◽  
Peter O'Sullivan ◽  
Wim Dankaerts ◽  
Kieran O'Sullivan

Author(s):  
Hadiqa Adnan ◽  
Misbah Ghous ◽  
Syed Shakil Ur Rehman ◽  
Irum Yaqoob

Abstract Objectives: The objective of the study was to determine the effects of static exercise program verses Swiss ball training for core muscles of the lower back and pelvic region in patients with low back pain after child delivery. Methods: This was a prospective single blind randomized control trial conducted on a sample of 30 patients with low back pain from March 2018to December 2018. Patients were divided into 2 groups through seal envelop method i.e. static core exercises group (n=15) and Swiss ball training group (n=15). The outcome measures used for this study were numeric pain rating scale (NPRS), Oswestry disability index (ODI), goniometry and Core stability assessment scale. Data was analyzed by SPSS 21. Results: The mean age of patients in static core exercises group was 28.38 ± 4.8 years and mean age of Swiss Ball training group was 29.57 ± 3.3 years. Between group analysis showed non-significant difference whereas within group analysis showed significant improvement at post intervention. Conclusions: Both groups showed significant difference in reduction of pain (NPRS), in disability level due to LBP (ODI), better ROM flexion/extension of lumbar and achieving better strength at core stability assessment scale (CSA). These findings suggest that both exercise protocols are equally effective in rehabilitation of postpartum low back pain. Keywords: low back pain     Postpartum        Swiss ball training   Static Continuous...


Author(s):  
N Hopkins

Background. The low back is an integral part of the entire movement chain as it functions as part of a complex network of the skeletal, muscular and nervous system. Eighty to 90% of acute low back pain episodes dissipate within 8 - 12 weeks regardless of any intervention, but 5 - 10% regress into chronic low back pain. As a result of its undistinguished aetiology, the treatment for low back pain remains controversial. Treatment options for low back pain include the following: analgesics, muscle relaxants, antidepressants, nonsteroidal anti-inflammatory drugs, epidural steroid injections, manipulation, back schools, electromyographic biofeedback, traction, orthoses, behaviour therapy, transcutaneous electrical nerve stimulation, acupuncture, and exercise therapy. Results. Therapeutic exercises for low back pain have been shown in 6 different randomised controlled trials to be beneficial in reducing pain by up to 60% and improving functional ability by up to 47%. Furthermore, a Cochrane review on low back pain found strong evidence that exercise therapy is an effective intervention in the treatment of low back pain. When prescribing exercises for an individual with low back pain the following goals need to be considered: (i) improve performance in endurance activities; (ii) improve muscular strength around the spine; (iii) eliminate any impairments in spinal flexibility; (iv) reduce the intensity of the pain being experienced by the individual; and (v) reduce back pain-related disability. A rugby player will have increased core stability/strength and a reduced risk of injury if the internal support mechanisms of the spine have been conditioned to resist distortion or injury from external forces. Not only will improved core  stability benefit players on the field during matches or practices, it will also assist in preventing unnecessary injuries during weight training and pre-season conditioning. Conclusion. Exercise programmes which combine core stability with general strength training should be prescribed for rugby players to prepare them for the level of impact involved in the game, as well as for sport-related weight training and non-sport-related daily activities.


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