scholarly journals Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

2018 ◽  
Vol 11 (4) ◽  
pp. 16-22 ◽  
Author(s):  
Leonard H. Joseph, PhD ◽  
Benjamaporn Hancharoenkul, MSc, PT ◽  
Patraporn Sitilertpisan, PhD ◽  
Ubon Pirunsan, PhD ◽  
Aatit Paungmali, PhD
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Repeated Measures ◽  
Weight Lifting ◽  
Tissue Blood Flow ◽  
Low Back ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Clinical Benefits

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.Setting: The study was conducted at the campus for National Olympic weight lifting training camp.Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.

The Effect of Kinesio Taping on Pain Pressure Threshold in Work Related Low Back Pain for Computer Professionals

2021 ◽  
Vol SP (1) ◽  
Author(s):  
Prasanna Mohan ◽  
Rama Chandra L.A ◽  
Anjali Suresh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Program ◽  
Low Back ◽  
Work Related ◽  
Kinesio Taping ◽  
Lower Back ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Computer Professionals

Background/aim: In many countries low back pain is a long-term disability, where 90% of people suffer from it at some point of time. Low back pain has high prevalence rate and incidence of low back problems leads to disability, sickness further leads to sickness absenteeism, early retirement and lost working days. Computer work has generated a new genre of occupational health problems, i.e., of computer-related musculoskeletal disorder. Work related Musculoskeletal Disorders (WMSD) are damages caused to joint, muscle, tendon and ligament due to repeated strain given to the structure lead to musculoskeletal pain and discomfort and most common joint affected are neck, lower back, shoulder, elbow and wrist. Musculoskeletal discomfort can occur anywhere in the body and typically are not caused by a single traumatic event, but is due to micro trauma to tissues that does not heal during rest. Postural back pain is a major public and occupational health problem, especially in the information technology (IT) and BPO sectors. Various intervention strategy used to treat chronic back pain such as physical agents, exercise and back school program. The aim of this study was to determine the effect of Kinesio taping compared with rigid taping along with TENS and back exercise program on pain pressure threshold for subjects with work related low back pain in computer professionals. Methods and Materials: 112 subjects satisfied the inclusion criteria had been selected from among the eligible participants of 196 subjects works in medium and large-scale IT industry reported with lower back pain for more than three months. Subjects were divided randomly in to two group and intervened by kinesio taping or rigid taping with common protocol of TENS and back exercise program. Pain pressure threshold was measured before and after treatment, compared the mean difference by ANOVA to find out the effect of intervention Results: The data were analyzed by SPSS version 20.0 using descriptive statistics such as normality test, mean standard deviation and graphs and charts. Inferential statistics such as ANOVA. Both the groups improved in pain pressure threshold and kinesio taping group was better in improving pain pressure threshold with high statistical significance of P ≤ 0.05. Conclusion: kinesio taping compared with rigid taping along with TENS and core stability exercise found Kinesio tape is better than rigid tape in all parameters with the significance of p ≤ 0.05 except quadratus lumborum left and L2-L3 level were the significance was P=0.078 and P=0.152 respectively.

Intraabdominal Pressure Rise During Weight Lifting as an Objective Measure of Low-Back Pain

Spine ◽  
1980 ◽  
Vol 5 (2) ◽  
pp. 179-184 ◽  
Author(s):  
JEREMY C. T. FAIRBANK ◽  
JOHN PATRICK OʼBRIEN ◽  
PETER R. DAVIS
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pressure Rise ◽  
Objective Measure ◽  
Weight Lifting ◽  
Intraabdominal Pressure ◽  
Low Back

scholarly journals Clinical principles for the diagnosis and treatment of musculoskeletal (non-specific) lower back pain

2021 ◽  
Vol 13 (3) ◽  
pp. 107-112
Author(s):  
V. A. Golovacheva ◽  
A. A. Golovacheva ◽  
T. G. Fateyeva
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Interdisciplinary Approach ◽  
Interventional Treatment ◽  
Low Back ◽  
Lumbar Stenosis ◽  
Red Flags ◽  
Lower Back ◽  
Symptoms And Signs

Low back pain (LBP) is one of the most common reasons for a neurologist visit. In 90–95% of cases, LBP is nonspecific (musculoskeletal). The diagnosis of nonspecific LBP based on symptoms, somatic and neurological examination data, the absence of «red flags» (symptoms and signs characteristic of specific causes of back pain, discogenic radiculopathy, or lumbar stenosis). We review the modern principles of acute, subacute, and chronic nonspecific LBP treatment. We also discuss interventional and non-interventional treatment approaches, emphasizing the importance of combination therapy and an interdisciplinary approach.

Hip-Abduction Torque and Muscle Activation in People With Low Back Pain

2015 ◽  
Vol 24 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Mark A. Sutherlin ◽  
Joseph M. Hart
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Muscle Function ◽  
Muscle Activation ◽  
Low Back ◽  
Hip Muscle ◽  
Hip Abduction ◽  
History Of

Context:Individuals with a history of low back pain (LBP) may present with decreased hip-abduction strength and increased trunk or gluteus maximus (GMax) fatigability. However, the effect of hip-abduction exercise on hip-muscle function has not been previously reported.Objective:To compare hip-abduction torque and muscle activation of the hip, thigh, and trunk between individuals with and without a history of LBP during repeated bouts of side-lying hip-abduction exercise.Design:Repeated measures.Setting:Clinical laboratory.Participants:12 individuals with a history of LBP and 12 controls.Intervention:Repeated 30-s hip-abduction contractions.Main Outcome Measures:Hip-abduction torque, normalized root-mean-squared (RMS) muscle activation, percent RMS muscle activation, and forward general linear regression.Results:Hip-abduction torque reduced in all participants as a result of exercise (1.57 ± 0.36 Nm/kg, 1.12 ± 0.36 Nm/kg; P < .001), but there were no group differences (F = 0.129, P = .723) or group-by-time interactions (F = 1.098, P = .358). All participants had increased GMax activation during the first bout of exercise (0.96 ± 1.00, 1.18 ± 1.03; P = .038). Individuals with a history of LBP had significantly greater GMax activation at multiple points during repeated exercise (P < .05) and a significantly lower percent of muscle activation for the GMax (P = .050) at the start of the third bout of exercise and for the biceps femoris (P = .039) at the end of exercise. The gluteal muscles best predicted hip-abduction torque in controls, while no consistent muscles were identified for individuals with a history of LBP.Conclusions:Hip-abduction torque decreased in all individuals after hip-abduction exercise, although individuals with a history of LBP had increased GMax activation during exercise. Gluteal muscle activity explained hip-abduction torque in healthy individuals but not in those with a history of LBP. Alterations in hip-muscle function may exist in individuals with a history of LBP.

scholarly journals Pregnancy in Patients With Low Back Pain

2019 ◽  
Vol 6 (3) ◽  
pp. 79-82
Author(s):  
Afsoun Seddighi ◽  
Amir Saied Seddighi ◽  
Shiva Jamshidi ◽  
Hesam Rahimi Baghdashti
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Clinical Presentation ◽  
Review Article ◽  
Weight Lifting ◽  
Present Review ◽  
Pelvic Girdle Pain ◽  
Low Back ◽  
Low Education

Pregnancy-related lumbopelvic pain has been a serious and common problem since ancient time. The present review article focuses on terminology, types, clinical presentation, and management of these problems. There are two entities regarding pregnancy-related lumbopelvic pain: pelvic girdle pain (PGP), and pregnancy-related low back pain (LBP). There are multiple mechanisms behind these disabilities. Age, multiparty, heavy weight lifting, hard physical activity, previous LBP, and low education increase the prevalence. About one-half of women with pregnancy-related lumbopelvic pain have PGP, one-third LBP, and one-sixth have both conditions. Overall, the literature reveals that PGP deserves serious attention from the clinical and economic standpoints.

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