scholarly journals Effect of Yoga Therapy on Low Back Pain Management Among Older Adults: Implications for Gerontology Counselling

2019 ◽  
Vol 11 (8) ◽  
pp. 1
Author(s):  
Joy I. Anyanwu ◽  
Oliver Rotachukwu Ngwoke ◽  
Vera Victor-Aigbodion ◽  
Ogechi Nnamani ◽  
Bartholomew C. Nwefuru

OBJECTIVE: This research aimed to determine the effect of yoga therapy in managing low back pain (LBP) among older adults. METHOD: 40 participants who were having low back pain were assessed. All participants completed baseline evaluation before beginning the Yoga intervention and at 6, 12 and 18 weeks. Participants completed a questionnaire titled Oswestry Low Back Pain Disability Questionnaire (ODQ). The statistical tool used for data analysis was within-and-between subjects ANOVA. RESULTS: The finding showed no significant difference in the baseline assessment for LBP between the treatment group and the waitlisted control group, F(1,38) = 2.697, P=.000, η2 = .066. The posttest assessment at 6th week revealed a significant reduction of LBP among older adults in the yoga treatment group compared with those in the waitlisted control group, F(1,37) = 3209.376, P = .000, η2 = .989. The assessment at 12th week revealed significant reduction in LBP among older adult in the yoga treatment group compared with those in the waitlisted control group, F(1,36) = 2389.154, P = .000, η2 = .985. The assessment at 18th week further revealed a significant reduction in LBP among older adult in the yoga treatment group compared with those in the waitlisted control group, F(1,36) = 2775.162, P = .000, η2 = .987. CONCLUSION: Yoga therapy is an effective intervention for managing low back pain among older adults. Thus, gerontology counsellors can provide help to older people with low back pain within the framework of Yoga therapy. Further studies are required to find out and corroborate the efficacy of Yoga Therapy in managing low back pain among older adults.

2019 ◽  
Vol 11 (1) ◽  
pp. 45
Author(s):  
Siti Harwanti ◽  
Budi Aji ◽  
Nur Ulfah

ABSTRACT Low back pain ( LBP ) is a musculoskeletal disorder that occurs in the lower back which can be caused by various diseases and  activity of the body being less good. One effort to overcome the LBP is back exercise. The research purpose is to find out the effect of back exercise therapy which concern to lowering painful complaint of batik artisants in Kauman village Sokaraja subsdistrict. This research is using Quasi Experiment technique phenomenological non equivalen control group design (pre -post test). Sample taking is using purposive sampling technique. Data analysis use Friedman experiment for treatment group and Repeated Annova experiment for control group. Experiment analysis is different between treatment group and control group with using Mann Whitney experiment. The result of Friedman experiment in treatment group shows that p-value=0,000(p<0,05), it means the therapy those given is effective to lowering painful complaint. The result of Repeated Annova experiment in control group shows that p-value=0,234(p>0,05), it means the painful complaint seems not different in control group. The result of Mann Whitney experiment shows that p-value=0,000(p<0,05) it means there are differences between painful complaint in treatment group and control group after doing back exercise. There is the effect by giving back exercise therapy which concern to lowering the complaint of low back pain for batik artisants in Kauman village Sokaraja subdistrict.   Key words: Handmade Batik, Low back pain, back exercise


Author(s):  
I Made Dhita Prianthara ◽  
I Made Jawi ◽  
Wahyuddin ◽  
I Nengah Sandi ◽  
I Putu Adiartha Griadhi ◽  
...  

Background: Mechanical low back pain is pain that resulting from poor posture which cause decreased disability and limitation of lumbar range of motion. Purpose: The purpose of this study was to prove mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching among tile craftsman with Mechanical low back pain in Darmasaba village. Methods: This research was an experimental study with pre and post test control group design. Sample of this study is tile craftsman with mechanical low back pain with 20 samples aged 30-55. Samples were divided into two groups, which the first group (n = 10) was given Mulligan bent leg raise, while the second group was given slump stretching. Do exercise 3 times a week for 4 weeks. Lumbar range of motion was measured with modified-modified schober test while level of disability was measured with modified oswestry disability index. Result: Paired Sample T-test in Group 1 and Group 2 obtained p=0,000 that showed in each Group 1 and Group 2 there is significant difference. Independent Samples Test of Group 1 and Group 2 showed the result p=0,000 which mean that there is significant difference in increased lumbar range of motion and decreased disability. Conclusion: Mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching to tile craftsman with mechanical low back pain in Darmasaba village.


Author(s):  
Shi-Zheng Chen ◽  
An-Ni Tong ◽  
He-Hu Tang ◽  
Zhen Lv ◽  
Shu-Jia Liu ◽  
...  

Abstract Objective To identify a diagnostic indicator of lumbar spondylolysis visible in plain X-ray films. Methods One hundred and seventy-two patients with low back pain who received X-ray and computerized tomography (CT) examinations were identified and studied. They were divided into three groups: the spondylosis without spondylolisthesis (SWS) group, comprising 67 patients with bilateral pars interarticularis defects at L5 and without spondylolisthesis, the isthmic spondylolisthesis (IS) group, comprising 74 patients with L5/S1 spondylolisthesis and bilateral L5 pars interarticularis defects, and the control group, comprising 31 patients with low back pain but without spondylolysis. The sagittal diameters of the vertebral arch (SDVAs) of L4 and L5 were measured in lateral X-ray image, and the differences in SDVA between L4 and L5 (DSL4-5) in each case were calculated and analyzed. Results There were no significant differences in demographic characteristics among the three groups. In the SWS and IS groups, the SDVA of L5 was significantly longer than the SDVA of L4 (p < 0.001), whereas no significant difference found in the control group (p > 0.05). DSL4-5, in which the SDVA of L4 was subtracted from the SDVA of L5, significantly differed among the three groups (p < 0.001), and the normal threshold was provisionally determined to be 1.55 mm. Conclusions In bilateral L5 spondylolysis, the SDVA of L5 is wider than the SDVA of L4, and this difference is greater in isthmic spondylolisthesis. This sign in lateral X-rays may provide a simple and convenient aid for the diagnosis of spondylolysis.


2015 ◽  
Vol 1 (4) ◽  
pp. 191 ◽  
Author(s):  
Angel Rajakumari G ◽  
Soli T. K. ◽  
Malathy D

Aim: To assessment of effectiveness of spinal exercises and body mechanics on low back pain among post menopausal women.Participants and setting: A quasi experimental non equivalent control group pretest post test design was adapted. The study was conducted in the urban area of suryapet. 40 post menopausal women who fulfilled the inclusion criteria were selected by nonprobability purposive sampling technique.Intervention: The intervention such as spinal exercises and body mechanics were performed to overcome the level of low back pain among post menopausal women. The pre and post assessment was done by using a combined numerical and categorical pain scale.Measurement and findings: The women completed the demographic and obstetrical information and pain was measured by 0- 10 Modified combined numerical categorical pain intensity scale. This study revealed that there was high significant difference found in low back pain at p<0.001level between study group.Conclusion: The overall findings in the present study revealed that the spinal exercises and body mechanics was effectives and had brought about significant change in the reduction of low back pain among post menopausal women compared to pre test level of low back pain.


Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.


Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarina Francescato Torres ◽  
Ana Carolina Brandt de Macedo ◽  
Mateus Dias Antunes ◽  
Ingred Merllin Batista de Souza ◽  
Francisco Dimitre Rodrigo Pereira Santos ◽  
...  

Abstract Background Low back pain (LBP) is the most frequent complaint in clinical practice. Electroacupuncture treatment may be effective; however, the supporting evidence is still limited, especially in older adults. Objective The current study is a randomized controlled trial that aims to evaluate the clinical efficacy of electroacupuncture in older adults with LBP. Methods A five-arm randomized controlled trial with patients and evaluators blinded to the group allocation. A total of 125 participants with non-specific LBP will be randomly assigned into one of five groups: three electroacupuncture groups (low, high, and alternating frequency); one control group; and one placebo group. The electroacupuncture will be applied twice a week (30 min per session) for five weeks. The primary clinical outcome measure will be pain intensity. The secondary outcomes include: quality of pain; physical functioning; perceived overall effect; emotional functionality; patient satisfaction; and psychosocial factors. Patients will be evaluated before the first session, immediately after the last, and followed up after six and 12 months to check the medium- and long-term effects. Discussion Although electroacupuncture is increasingly used to treat LBP, there is no guidance regarding the parameters used, which leads to inconsistent results. Thus, the effect of electroacupuncture (EA) on LBP remains controversial and requires more studies, especially in the older adult population. Conclusion This is the first randomized controlled trial to evaluate the efficacy of different frequencies of electroacupuncture for treating chronic LBP in older adults. This study will provide evidence on the effectiveness of electroacupuncture as an alternative treatment method for LBP and will entail wider debate about an appropriate acupuncture intervention in this population. Trial registration Clinicaltrials.gov, NCT03802045. Registered on 14 January 2019.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Jingyi Yang ◽  
Quan Wei ◽  
Yanlei Ge ◽  
Lijiao Meng ◽  
Meidan Zhao

Objective. To assess the additional effect of self-management on physiotherapy via the use of APPS on management of chronic low back pain. Method. A single-blinded randomized control trial was conducted. 8 participants (male: 4; female: 4) were recruited from the Rehabilitation Clinic of The Hong Kong Polytechnic University. Participants in the treatment group received self-management plus physiotherapy and the control group received physiotherapy only. Assessment was carried out pretreatment, midterm (week 2), and posttreatment (week 4), including Visual Analog Scale (VAS), Pain Self-Efficacy Questionnaire (PSEQ), Roland Morris Disability Questionnaire (RMDQ), and SF36. Results. Compared with the physiotherapy group, the self-management plus physiotherapy group had significance in PSEQ (p=0.035), RMDQ (p=0.035), SF36-Bodily Pain (p=0.008), and SF36-Mental Health (p=0.013). VAS showed a positive trend although there was no significant difference. Conclusion. This pilot study indicated that smartphone APPS-based self-management program appears to bring additional benefits to physiotherapy for patients with CLBP. Self-management is a potential approach for people with CLBP.


2021 ◽  
Vol 9 (2) ◽  
pp. 82-92
Author(s):  
Muhammad Tufail ◽  
Haebin Lee ◽  
Yang Gyu Moon ◽  
Hwang Kim ◽  
KwanMyung Kim

This study investigates changes in lumbar erector spinae (LES) muscle endurance, perceived low-back pain (LBP), and perceived exercise fatigue in older adults, and analyzes the trends of these changes during a 5-week lumbar exercise. Sixteen older adults with LBP were equally and randomly divided into two groups: the experimental group with incline-standing and the control group with the level-standing positions. They were separately treated with lumbar exercise tasks and 10 seconds of muscle endurance tests using surface electromyography (sEMG). There was a trend of changes in both groups. The exercise tasks led to increase LES muscle endurance in the experimental group (53.7%) and the control group (45.4%) and decrease perceived LBP score significantly with the incline-standing position. There was no significant difference between the two groups in perceived exercise fatigue (p>0.05). Trunk flexion and extension with an incline-standing position can be an effective method to increase LES muscle endurance and reduce LBP in older adults.


2020 ◽  
Author(s):  
Xuesong Hu ◽  
Shaoxing Dong ◽  
Bing Zhang ◽  
Xuan Wang ◽  
Yanwei Yin ◽  
...  

Abstract Background: Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.Methods: In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low frequency measurement (InLF) and the natural logarithms of high frequency measurement (InHF) of heart rate variability (HRV) were recorded.Results: In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).Conclusions: SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registration: This work has registered in the Chinese Clinical Trial Registry (No. ChiCTR-OOC-17013237; Date: 2017.11.09).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiali Xue ◽  
Yan Chen ◽  
Xiaorong Mao ◽  
Huan Tu ◽  
Xinwei Yang ◽  
...  

Abstract Background Low back pain during pregnancy affects the normal daily activities of pregnant women to a certain extent. Current studies have shown that Kinesio Taping (KT) may be a treatment for low back pain during pregnancy, but there is still a lack of key evidence. The purpose of this study is to evaluate the efficacy and safety of KT in the treatment of low back pain during pregnancy. Methods PubMed, Web of Science, The Cochrane Library, Scopus, Embase, Wanfang Data, CNKI, and VIP databases were searched to collect randomized controlled trials (RCTs) of the efficacy of KT intervention on low back pain in women during pregnancy. The retrieval time limit is from the establishment of the database to April 2021. Two researchers independently screened the literature, extracted the data, and evaluated the risk of bias in the included studies. Meta-analysis was performed using RevMan5.3 software. Results A total of 7 RCTs were included, including 444 patients. Meta-analysis results showed that: Compared with the control group, KT intervention could significantly improve low back pain and dysfunction, VAS score (− 1.62, 95%CI − 2.08 to − 1.16, P < 0.00001, I2 = 77%), RMDQ score (− 1.00, 95%CI − 1.54 to − 0.46, P = 0.0003, I2 = 80%); The results of the meta-analysis of the subgroup showed that compared with the control group, the KT intervention was less than or equal to 1 week, and the waist pain and dysfunction were improved, with statistically significant differences. The difference in the improvement of low back pain was statistically significant after KT intervention for more than 1 week, but there was no statistically significant difference in RMDQ score (− 1.25, 95%CI − 2.66 to 0.15, P = 0.08, I2 =77%). Compared with the control group, KT intervention improved low back pain in the second and third trimesters, and the difference was statistically significant. Conclusion KT has a positive effect on the improvement of low back pain during pregnancy, KT intervention can significantly improve pregnant women’s low back pain and dysfunction problems, improve the quality of life. It is suggested that future research should focus on the prevention and treatment of low back pain during pregnancy to provide more research data for improving women’s health.


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