The effects of an exercise program for core muscle strengthening in patients with low back pain after cesarean-section: a single blind randomized controlled trial

2021 ◽  
pp. 1-15
Author(s):  
Iqra Nayyab ◽  
Misbah Ghous ◽  
Syed Shakil ur Rehman ◽  
Irum Yaqoob
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Programme ◽  
Core Stability ◽  
Low Back ◽  
Post Intervention ◽  
Muscle Strengthening ◽  
Home Based ◽  
Group I ◽  
Single Blind

Abstract Objective: To determine the effects of an exercise programme for core muscle strengthening in patients with low back pain after caesarean section. Method: The single-blind randomised controlled trail was conducted from August 2018 to January 2019 at the Helping Hand for Relief and Development Comprehensive Rehabilitation Centre, Chakwal, Pakistan, and comprised post-caesarean section women aged 25-40 years with low back pain. Patients were randomised into supervised group I and unsupervised group II using the sealed envelope method. Group I received supervised core stability exercise programme, while group II received unsupervised, home-based core stability exercise programme. Baseline and post-intervention values were compared for numeric pain rating scale, Oswestry disability index, inclinometer and core stability assessment. Data was analysed using SPSS 21. Results: Of the 30 subjects, there were 15(50%) in each of the two groups. There was no significant difference at baseline between the groups (p>0.05). Post-intervention results showed significant intra-group and inter-group differences (p<0.05) with respect to all parameters. No improvement was observed for right and left side bending (p>0.05). Conclusion: Supervised core stability exercise programme was more effective in reducing pain and disability, and improved core muscle activation than unsupervised, home-based core exercise programme. Clinical Trial Number: ISRCTN: 12478688 https://doi.org/10.1186/ISRCTN12478688. Key Words: Core stability, C-section, Exercise, Continuous...

scholarly journals PENAMBAHAN SWISS BALL PADA CORE STABILITY EXERCISE DAN CORE STABILITY EXERCISE DAPAT MENINGKATKAN LINGKUP GERAK SENDI DAN AKTIVITAS FUNGSIONAL PADA PETANI WANITA DENGAN LOW BACK PAIN NON SPESIFIK DI KOTA TOMOHON

2019 ◽  
Author(s):  
Novtiyas Maria Pombu ◽  
Susy Purnawati ◽  
S. Indra Lesmana ◽  
Alex Pangkahila ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Group ◽  
Range Of Motion ◽  
Functional Activity ◽  
Core Stability ◽  
Low Back ◽  
Group I ◽  
Group Ii ◽  
Swiss Ball

ABSTRACTBackground: Non-specific low back pains are low back pain caused by disorders or abnormalities in the musculoskeletal element without the presence of neurological disorders that can arise due to potential tissue damage leading to range of motion limitations and decreased functional activity. Objective: To prove that the addition of Swiss ball to core stability exercise and core stability exercise can improve the range of motion and functional activity in female farmers with non-specific low back pain in Tomohon City. Method: This research used true experimental method, with pre-test and post-test group design. This study used 18 subjects divided into 2 groups, Treatment Group I with core stability exercise and Treatment Group II addition of Swiss ball on core stability exercise. Both treatment groups were given training 3 times a week for 4 weeks. The measuring instrument used to measure lumbar LGS is the modified-modified Schober test and lumbar disability is a modified Oswestry disability index. Results: For the result of paired sample t-test of treatment group I LGS flexion and extension obtained p = 0.000 (p <0.05) and treatment group II LGS flexion and extension obtained result p = 0.000 (p <0.05). The decrease of modified ODI value in treatment group I obtained p = 0.000 (p <0.05) and treatment group II was obtained p = 0.000 (<0.05). The independent t-test results showed LGS flexion in treatment group I with p = 0.879 (> 0.05). The value of LGS extension in treatment group I with p value = 0.733 (> 0.05). The result of hypothesis test showed that the decrease of lumbar disability can be evaluated modified ODI in treatment group I with p = 0.891 (> 0.05). Conclusions: There is no statistically different Swiss ball addition to the core stability exercise and core stability exercise in increasing the range of motion and functional activity in female farmers with non-specific low back pain. Keywords: Non-specific low back pain, Swiss ball, core stability exercise, modified-modified Schober test, modified Oswestry disability index.

Does a Program of Pilates Improve Chronic Non-Specific Low Back Pain?

2006 ◽  
Vol 15 (4) ◽  
pp. 338-350 ◽  
Author(s):  
Valerie Gladwell ◽  
Samantha Head ◽  
Martin Haggar ◽  
Ralph Beneke
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Outcome Measures ◽  
Chronic Low Back Pain ◽  
General Health ◽  
Controlled Trial ◽  
Core Stability ◽  
Control Group ◽  
Low Back ◽  
Post Intervention

Objective:To evaluate the effect of a program of modified Pilates for active individuals with chronic non-specific low back pain.Design:A single blind randomized controlled trial.Participants:49 individuals with chronic low back pain were randomly allocated to control (n = 24) or Pilates group (n = 25). Thirty-four individuals completed the study (14 and 20 individuals for control and Pilates group, respectively).Intervention:The Pilates group undertook a six week program of Pilates. Both groups continued with normal activity.Main Outcome Measures:An assessor blinded to group allocation conducted functional and questionnaire-based assessments pre- and post- intervention.Results:Improvements were seen in the Pilates group post- intervention period with increases (P < 0.05) in general health, sports functioning, flexibility, proprioception, and a decrease in pain. The control group showed no significant differences in the same measures post- intervention.Conclusions:These data suggest that Pilates used as a specific core stability exercise incorporating functional movements can improve non-specific chronic low back pain in an active population compared to no intervention. Additionally, Pilates can improve general health, pain level, sports functioning, flexibility, and proprioception in individuals with chronic low back pain.

scholarly journals Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 104 ◽  
Author(s):  
Xue-Qiang Wang ◽  
Yan-Lin Pi ◽  
Pei-Jie Chen ◽  
Bin-Lin Chen ◽  
Lei-Chao Liang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Low Back ◽  
Vibration Exercise ◽  
Randomized Controlled ◽  
Single Blind

scholarly journals To Study the effect of Traditional Back Exercises vs Exercise Ball Exercise on Pain Intensity, Core Endurance and Limitation of Activities in Individuals with Nonspecific Low Back Pain: A Comparative Study

2021 ◽  
pp. 117-123
Author(s):  
Jay Kumar Soni ◽  
Edrish Contractor
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Comparative Study ◽  
Pain Intensity ◽  
Core Stability ◽  
Low Back ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Swiss Ball

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

scholarly journals EFFECT OF SELECTED YOGIC PRACTICES PHYSICAL EXERCISES AND PHYSIOTHERAPY TREATMENT ON SITTING OF LOW BACK PAIN PATIENTS

2017 ◽  
Vol 5 (4(SE)) ◽  
pp. 63-68
Author(s):  
N.T. Lethi ◽  
A.M. Moorthy
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Analysis Of Covariance ◽  
Low Back ◽  
Physiotherapy Treatment ◽  
Group V ◽  
Group Iii ◽  
Physical Exercises ◽  
Group I ◽  
Pain Patients

The purpose of the study was to investigate the effect of selected yogic practices physical exercises and physiotherapy treatment on sitting of low back pain patients. One hundred low back pain patients are taken from the Thavanur town, Kerala. The age, height and weight of the subjects ranged from 30 to 40 years, 158 to 169 centimetres and 55 to 70 kilograms respectively. The selected subjects were randomly assigned into five equal groups of 20 subjects each. Group I underwent Yogic practices, group II underwent physical exercises, group III underwent physiotherapy treatments, group IV yoga and physiotherapy treatments and group V acted as control.  Prior to and after the training the subjects were tested on sitting of low back pain patients through the Oswestry low back pain disability questionnaire. Analysis of covariance was used to determine the significantly difference existing between pretest and posttest on sitting of low back pain patients. The result of the study proved that due to twelve weeks of the experimental training was reduced back pain while sitting for the low back pain patients.

scholarly journals Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial

2021 ◽  
Author(s):  
Joshua Fenton ◽  
Anthony Jerant ◽  
Peter Franks ◽  
Melissa Gosdin ◽  
Ilona Fridman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Watchful Waiting ◽  
Standardized Patient ◽  
Low Back ◽  
Patient Trust ◽  
Post Intervention ◽  
Acute Low Back Pain ◽  
Spinal Imaging ◽  
Acute Back Pain

Abstract Background: Patients with acute low back pain frequently request diagnostic imaging, and clinicians feel pressure to acquiesce to such requests to sustain patient trust and satisfaction. Spinal imaging in patients with acute low back pain poses risks from diagnostic evaluation of false-positive findings, patient labeling and anxiety, and unnecessary treatment (including spinal surgery). Watchful waiting advice has been an effective strategy to reduce some low-value treatments, and some evidence suggests a watchful waiting approach would be acceptable to many patients requesting diagnostic tests. Methods: We will use key informant interviews of clinicians and focus groups with primary care patients to refine a theory-informed standardized patient-based intervention designed to teach clinicians how to advise watchful waiting when patients request low-value spinal imaging for low back pain. We will test the effectiveness of the intervention in a cluster randomized clinical trial. We will recruit 8-10 primary care and urgent care clinics (~55 clinicians) in Sacramento, CA; clinicians will be randomized 1:1 to intervention and control groups. Over a 3 to 6 month period, clinicians in the intervention group will receive 3 visits with standardized patient instructors (SPIs) portraying patients with acute back pain; SPIs will instruct clinicians in a three-step model emphasizing establishing trust, empathic communication, and negotiation of a watchful waiting approach. Control physicians will receive no intervention. The primary outcome is the post-intervention rate of spinal imaging among actual patients with acute back pain seen by the clinicians adjusted for rate of imaging during a baseline period. Secondary outcomes are: use of targeted communication techniques during a follow-up visit with an SP; clinician self-reported use of watchful waiting with actual low back pain patients; post-intervention rates of diagnostic imaging for other musculoskeletal pain syndromes (to test for generalization of intervention effects beyond back pain); and patient trust and satisfaction with physicians. Discussion: This trial will determine whether standardized patient instructors can help clinicians develop skill in negotiating a watchful waiting approach with patients with acute low back pain, thereby reducing rates of low-value spinal imaging. The trial will also examine the possibility that intervention effects generalize to other diagnostic tests. Trial registration: NCT 04255199, ClinicalTrials.gov (January 20, 2020)

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