Differences in Lumbar Multifidus Activity and its Association with Lumbar Range of Motion among patients With Unilateral Chronic Low Back Pain

2021 ◽  
Vol 15 (10) ◽  
pp. 3178-3181
Author(s):  
Aftab Ahmed Mirza Baig ◽  
Basit Ansari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Surface Electromyography ◽  
Low Back ◽  
Physical Medicine ◽  
Lumbar Multifidus ◽  
Lumbar Range Of Motion ◽  
Flexion And Extension

Aim: To determine the significant difference in lumbar multifidus activity within the patient with unilateral chronic low back pain and its association with lumbar range of motion. Study design: Analytical cross-sectional study Study setting and duration: Former institute of Dow University of Health Sciences, Karachi, Pakistan (Institute of Physical Medicine and Rehabilitation) which has become Sindh Institute of Physical Medicine and Rehabilitation and study duration was March 2020 to December 2020. Methodology: About 128 patients with unilateral chronic low back pain were assessed for the lumbar multifidus activity based on the percentage of maximum voluntary contraction through surface electromyography. Lumbar flexion and extension range of motion was measured through Modified-Modified Schober’s test. All the data were analyzed through the Statistical Package of Social Sciences 21. Nonparametric tests were employed. The level of significance was 0.05. Results: The lumbar multifidus activity was significantly increased (p<0.001) on the painful side than the non-painful side. However, there was a significant negative correlation (rh=- 0.551, -0.703; p<0.001) of only painful side lumbar multifidus activity with flexion and extension range of motion. Conclusion: Activity of painful side lumbar multifidus increases in unilateral chronic low back pain. Furthermore, it increases with a decrease in lumbar flexion and extension range of motion. Keywords: Correlation Study, disability, Low Backaches, non-specific low back pain, Surface Electromyography

Reliability of the Assessment of Lumbar Range of Motion and Maximal Isometric Strength in Patients With Chronic Low Back Pain

2008 ◽  
Vol 89 (4) ◽  
pp. 788-791 ◽  
Author(s):  
Nathalie A. Roussel ◽  
Steven Truijen ◽  
Ilse De Kerf ◽  
Dirk Lambeets ◽  
Jo Nijs ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Isometric Strength ◽  
Low Back ◽  
Lumbar Range Of Motion

scholarly journals Lumbar range of motion in chronic low back pain is predicted by task‐specific, but not by general measures of pain‐related fear

2019 ◽  
Vol 23 (6) ◽  
pp. 1171-1184 ◽  
Author(s):  
Thomas Matheve ◽  
Liesbet De Baets ◽  
Katleen Bogaerts ◽  
Annick Timmermans
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Lumbar Range Of Motion

Comparison of Lumbar Range of Motion Using Three Measurement Devices in Patients With Chronic Low Back Pain

Spine ◽  
1994 ◽  
Vol 19 (7) ◽  
pp. 779-783 ◽  
Author(s):  
Fred R. Shirley ◽  
Patrick OʼConnor ◽  
Michael E. Robinson ◽  
Michael MacMillan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Measurement Devices ◽  
Lumbar Range Of Motion

scholarly journals Efficacy of spinal extension exercise program versus muscle energy technique in treatment of chronic mechanical low back pain

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
E. Fahmy ◽  
H. Shaker ◽  
W. Ragab ◽  
H. Helmy ◽  
M. Gaber
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Functional Disability ◽  
Exercise Program ◽  
Low Back ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Group B ◽  
Lumbar Range Of Motion

Abstract Background Mechanical low back pain (MLBP) is a major cause of illness and disability, especially in people of working age. People with chronic low back pain often experience anger, fear, anxiety, decrease in physical ability, and inadequacy of role fulfillment. Objective This study aimed to compare the efficacy of extension exercise program versus muscle energy technique in treating patients with chronic mechanical low back pain. Subjects and methods Forty patients complaining of chronic mechanical low back pain participated in the study. Patients were randomly allocated into two equal groups: group A which received spinal extension exercise program and group B which received muscle energy technique. Treatment sessions were given three times per week for four successive weeks. Patients were assessed before and after treatment using visual analogue scale (VAS), Oswestry Disability Index (ODI), and digital goniometer to assess pain intensity, functional disability, and range of motion (ROM) of lumbar spine respectively. Results There was significant decrease in the scores of pain and functional disability in both groups post-treatment especially in group B. There was significant increase in lumbar range of motion in both groups post-treatment, especially in group A. Conclusion Extension exercise program had better effect on improving lumbar range of motion, whereas muscle energy technique was better in decreasing pain and functional disability in patients with chronic mechanical low back pain.

scholarly journals Effect of Medicinal Cannabis Therapy (Mct) On Severity of Chronic Low Back Pain, Sciatica and Lumbar Range of Motion

2016 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Chronic Low Back Pain ◽  
Sagittal Plane ◽  
Treatment Protocol ◽  
Adjunctive Treatment ◽  
Low Back ◽  
Patient Reported ◽  
Medicinal Cannabis

Background: Anecdotal evidence indicates the possible efficacy of cannabis use as an adjunctive treatment in chronic low back pain. The purpose of the current study was to assess the results of treatment of patients suffering from chronic low back pain by medicinal cannabis (MCT). Methods: A cohort of 46 patients was followed for a minimum of twelve months. They were evaluated at baseline prior to MCT, 3 months later when MCT was begun and up to 12 months of MCT by patient reported outcome questionnaire (SF-12), visual analogue scale (VAS) and the Brief Pain Inventory (BPI), back specific function was assessed using the Oswestry score, range of motion was measured using the Saunders digital inclinometer. Opiate use was assessed using pharmacy dispensation records at baseline and after 12 months of MCT. Inclusion criteria included: age over 25 years, sciatica with documented treatment for at least 12 months, evidence on CT or MRI scan of disc herniation or spinal stenosis, failure of at least two narcotic drugs, and consent to use medicinal cannabis. Exclusion criteria included evidence of bone cancer, evidence of diabetic neuropathy, and evidence of prior psychotic reactions. Treatment protocol: Cannabis usage was at a fixed dosage of 20 grams per month, dose increase was considered at least after 6 months of treatment. The cannabis was smoked at a recommended rate of 4 dosages per day. Results: After 12 months of MCT BPI VAS decreased from 8.4 ± 1.4 to 2.0 ± 2.0; SF12-PCS improved from 47 ± 14 to 55 ± 12; SF12-MCS improved from 44 ± 6 to 50 ± 10; and sagittal plane active range of motion improved from 34º ± 8º degrees to 48º ± 8º, In conclusion, short term usage of smoked medicinal cannabis appear to improve both physical and mental function while decreasing pain levels of chronic low back pain sufferers.

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