The effect of the muscle endurance training on the chronic low back pain

Author(s):  
Sevtap Günay ◽  
Yücel Yildirim ◽  
Didem Karadibak
2006 ◽  
Vol 86 (7) ◽  
pp. 1001-1012 ◽  
Author(s):  
Nick Kofotolis ◽  
Eleftherios Kellis

Abstract Background and Purpose. Improving functional performance in patients with chronic low back pain is of primary importance. The purpose of this study was to examine the effects of 2 proprioceptive neuromuscular facilitation (PNF) programs on trunk muscle endurance, flexibility, and functional performance in subjects with chronic low back pain (CLBP). Subjects. Eighty-six women (40.2±11.9 [X̅±SD] years of age) who had complaints of CLBP were randomly assigned to 3 groups: rhythmic stabilization training, combination of isotonic exercises, and control. Methods. Subjects trained with each program for 4 weeks with the aim of improving trunk stability and strength. Static and dynamic trunk muscle endurance and lumbar mobility were measured before, at the end of, and 4 and 8 weeks after training. Disability and back pain intensity also were measured with the Oswestry Index. Results. Multivariate analysis of variance indicated that both training groups demonstrated significant improvements in lumbar mobility (8.6%–24.1%), static and dynamic muscle endurance (23.6%–81%), and Oswestry Index (29.3%–31.8%) measurements. Discussion and Conclusion. Static and dynamic PNF programs may be appropriate for improving short-term trunk muscle endurance and trunk mobility in people with CLBP. [Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Phys Ther. 2006;86:1001–1012.]


2016 ◽  
Vol 29 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Cíntia Pereira de Souza ◽  
Renato Sobral Monteiro-Junior ◽  
Elirez Bezerra da Silva

Abstract Introduction: The low resistance of the erector spinae has been seen as a risk factor for developing chronic low back pain. The test of the erector spinae muscle endurance advocated by Biering-Sorensen has been used to assess the strength of the erector spinae muscle. Modifications of the measuring instrument require reliability studies. Objective: To evaluate the measurement of the erector spinae muscle endurance and the standard error of measurement (SEM) of the modified Biering-Sorensen test of erector spinae in women with chronic low back pain. Methods: Forty-eight sedentary women, aged 52 ±7, suffering from chronic low back pain, were tested. The position adopted was the prone position without the trunk on the examining table. Fixations were performed with straps at the ankles, knees and pelvis. The patient was instructed to maintain the shoulder blades in contact with the stadiometer as long as possible. The measurement was repeated, with measures 15 minutes apart. Results: Considering the confidence limits of Bland & Altman, - 40 and 68 seconds, the SEM was13 seconds and SEM% was 22. The ICC = 0.87 with p = 0.001. The first test was equal to 54 ± 36 seconds, and the retest = 67 ± 40 seconds. Conclusion: The endurance test of the erector spinae showed moderate reliability. Therefore, we suggest that, despite its applicability in clinical practice, the results should be interpreted carefully because the differences in mean erector spinae endurance of up to 13 seconds may be related to measurement error.


2020 ◽  
Vol 10 (4) ◽  
pp. 221-230
Author(s):  
Seyyed Mojtaba Soltandoost Nari ◽  
◽  
Alireza Shamsoddini ◽  

Purpose: Functional disability, impaired balance, and trunk muscle endurance are among the major changes in patients with Non-specific Chronic Low Back Pain (NCLBP). Investigating the relationship between these factors and Functional Movement Screen (FMS) can facilitate effective pain management and functional problems in these patients. This study aimed to assess the relationships between FMS and pain, dynamic balance, and trunk muscle endurance in military personnel with NCLBP. Methods: The present study was of a correlational research design. The study subjects were 50 male military personnel with NCLBP (Mean±SD age=33.30±3.94 y, height= 175.32±5.50 cm, & weight=74.05±3.64 kg). FMS was evaluated by FMS tests and pain severity was assessed through Quebec Back Pain Disability Scale; the dynamic balance was evaluated by Y-Balance Test (YBT), and the trunk muscle endurance was measured by the ITO test. Statistical analysis was performed by SPSS. Pearson correlation coefficient at a significance level of P<0.05 was used to examine the association between the research variables. Results: Pain (P=0.04, r=-0.285) was negatively correlated with the FMS. The FMS was positively associated with the dynamic balance (P=0.014, r=0.346) and trunk muscle endurance (P=0.02, r=0.381). Conclusion: The FMS can be recommended as a functional assessment tools to identify functional deficits in military personnel with NCLBP. The data suggested that the researchers could employ the FMS as a useful tool in designing more effective treatment plans and improving the functional capacity of individuals with CLBP.


Spine ◽  
2010 ◽  
Vol 35 (22) ◽  
pp. E1178-E1186 ◽  
Author(s):  
Christian Larivière ◽  
Martin Bilodeau ◽  
Robert Forget ◽  
Roger Vadeboncoeur ◽  
Hakim Mecheri

2020 ◽  
Vol 19 (3) ◽  
pp. 467-474
Author(s):  
Ademola O Abass ◽  
Abiola R Alli ◽  
Oladapo M Olagbegi ◽  
Candice J Christie ◽  
Samuel O Bolarinde

Background: Lumbar stabilisation exercise has been shown to reduce pain and disability in patients with low back pain but information on its potential benefits in term of back muscle endurance is scarce. Objective: This study was aimed at investigating the effects of augmenting conventional physiotherapy with lumbar stabilization exercises on selected variables of patients with non-specific chronic low back pain (NSCLBP). Methods: Forty individuals with NSCLBP aged 20-60 years were assigned to one of experimental or control groups (20 in each). The experimental group had lumbar stabilisation exercises in addition to conventional therapy (transcutaneous electrical nerve stimulator and infrared) which was the only treatment for the control group. Both groups were treated thrice weekly. Participants’ pain intensity, disability index, kinesiophobia level and back muscle endurance were evaluated at baseline and after 8 weeks. Results: There was significant reduction in pain intensity (experimental: 6.74±1.37; 3.48±1.09; control: 6.57±1.40; 2.96±1.13) and disability index (experimental: 46.60±16.67; 26.55±14.78; control: 32.10±16.16; 24.60±15.27) and increase in back muscle endurance (experimental: 11.05±8.39; 14.30±19.24s; control: 10.85±9.79; 13.90±11.63s) for both groups. Experimental group had significantly greater reduction (p < 0.05) in disability index than the controls (p = 0.048). Conclusion: Augmenting conventional physiotherapy with lumbar stabilisation exercises achieved better reduction in disability than conventional therapy alone in patients with NSCLBP. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.467-474


2020 ◽  
Vol 36 (2) ◽  
pp. 76-84
Author(s):  
Rasool Bagheri ◽  
Ismail Ebrahimi Takamjani ◽  
Mohammad R. Pourahmadi ◽  
Elham Jannati ◽  
Sayyed H. Fazeli ◽  
...  

The first purpose was to investigate the trunk muscle endurance, the second aim was to evaluate the trunk–pelvis kinematics during gait, and the third was to evaluate the relationship between trunk–pelvis kinematics and the trunk muscle endurance. Thirty participants (15 nonspecific chronic low back pain [NCLBP] and 15 healthy) were included. The authors first assessed trunk muscle endurance on endurance testing protocols. The authors next measured the trunk–pelvis kinematics during gait using a 3-dimensional motion capture system. Angular displacement, waveform pattern (CVp), and offset variability (CVo) were also examined. Statistical analysis revealed a significant difference in (1) the trunk muscle endurance and (2) sagittal, frontal, and transverse planes CVp between groups (P < .05). A significant moderate correlation was found between supine double straight-leg raise and frontal CVp (r = .521, P = .03) and transverse planes CVp (r = .442, P = .05). However, a significant moderate correlation was observed between prone double straight-leg raise and sagittal plane CVp (r = .528, P = .03) and transverse plane CVp (r = .678, P = .001). The relationship between (1) lower trunk extensor endurance with transverse and sagittal planes CVp and (2) lower abdominal muscle endurance with transverse and frontal planes CVp suggests that gait variability in these planes may result because of trunk muscle deconditioning accompanying NCLBP.


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