scholarly journals Effectiveness of Body Mechanics Training (BMT) on the Management of Low Back Pain, Functional Disability and Physical Fatigue among Women Working in Health Profession: A Study Protocol

2021 ◽  
pp. 58-64
Author(s):  
Nutan Prakash Makasare ◽  
Seema Singh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Health Profession ◽  
Nursing Personnel ◽  
Secondary Outcome ◽  
Low Back ◽  
Physical Fatigue ◽  
Experimental Group

Background: The most prevalent musculoskeletal problem among healthcare workers is low back pain (LBP). It's a type of pain between the costal margins and the inferior gluteal folds, and a painful restriction of movement frequently accompanies it. In high-risk health care professionals such as nurses, the prevalence of LBP is higher (64.07%). Clients with chronic LBP had a high level of functional impairment and weariness. Objectives: 1.To evaluate the effectiveness of Body Mechanics Training (BMT) on managing low back pain, functional disability, and physical fatigue among women working in the health profession on the 7th day and at the first, third, and sixth-month interval. 2.To identify the inter-relationship between LBP, functional disability, and physical fatigue. Study Design: It is a two-arm trial, interventional hospital-based Study. Place and Duration of The Study: This Study will be conducted in selected hospitals of Wardha district, Maharashtra, India. The duration of the Study will be six months. Methodology: The participants will be 330 women in the nursing profession with nonspecific chronic LBP aged 21 to 50. With purposive sampling technique, participants will be allocated to 1 of 2 treatment groups: 1) Experimental Group will receive BMT including McKenzie and Yoga exercises, through a licensed physiotherapist and certified yoga trainer. 2) Control Group will receive written instructions regarding body mechanics in a booklet form and follow exercises at home. The experimental group will receive 24 sessions of 60 minutes (6 sessions per week over the first four weeks or a month) and then a supervised session once a week for the next five months. The outcome will be obtained during intervention on the 7th day and after completion at 1, 3, and 6 months. After therapy, the primary outcome will be pain intensity as determined by the Numeric Pain Rating Scale (NPRS). The secondary outcome, i.e. pain intensity, functional disability (measured with Modified Oswestry LBP Disability Questionnaire), and physical fatigue (measured with Chalder Fatigue Scale), will be measured after treatment. Expected Results: LBP, functional disability, and physical fatigue will be reduced. Limitations: Only Nursing personnel will be included in this Study. Conclusion: This Study's results will contribute to developing BM Training Program for Nursing personnel to manage work-related nonspecific LBP.

Core Stabilization Exercise on the Lumbar Lordosis and Pelvic Inclination Among Chronic Nonspecific Low Back Pain Patients

2021 ◽  
pp. 18
Author(s):  
Leo R Athinaraj Antony Soundararajan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Inclination Angle ◽  
Functional Disability ◽  
Low Back ◽  
Stabilization Exercise ◽  
Core Stabilization ◽  
Pelvic Inclination ◽  
Core Stabilization Exercise

Introduction: Chronic low back pain (CLBP) is one of the most common musculoskeletal disorders and it is documented that >90% of the cases have no defined cause for pain, called nonspecific low back pain (NSLBP). Alteration in the joint position, abnormal posture, and impaired muscle recruitment may result in recurrent CLBP. Lumbar lordosis (LL) provides strength against the compressive forces of gravity and it also protects the posterior spinal ligament and acts as a shock absorber for vertical forces. Increased LL is considered as a reason for radiculopathy, facet pain, and postural pain. Spinal posture and pelvic position were analyzed and documented as altered in CLBP patients. Anatomically, the anterior and posterior tilt of the back and pelvis by the force of different muscles can alter the spinal curvature. Posterior pelvic tilt in a standing position can decrease the LL. The pelvic inclination is related to the lumbar curve, and both are related to the performance and length of the back and abdominal muscles. Therefore, in this study, we aimed to evaluate the effect of core stabilization exercise on pain intensity, functional disability, LL, and pelvic inclination in NSLBP. Methodology: A total of 63 patients aged between 20 and 60 years who met the selection criteria were included. All participants gave their written consent to participate in this study. Demographic data such as age, weight, height, and duration of the back pain were documented. Patients were asked to report their pain using the Visual Analogue Scale (VAS) and Disability in Roland Morris Disability Questionnaire (RMDQ). Exclusion criteria were participants with musculoskeletal disorders (osteoarthritis and rheumatoid arthritis) and a history of previous fractures and systemic diseases. DIERS Formetric 4D spine and posture analyzer were used to assess spinal alignment using the light-optical scanning method on the back of patient in standing position. Angle of LL: the angle formed by the apex of LL and the T12 and L5 spinous processes. Pelvic tilt is the orientation of the pelvis in respect to the thighbones and the rest of the body. Core stabilization exercises were given for 30 min, five days a week, for 12 sessions. Pre- and posttest values were documented and analyzed. Result: In this experimental study, we used Pearson’s correlation coefficient to find the correlation between LL and pelvic inclination angle and found a strong positive correlation (r = 0.76; P = 0.001). The study showed that core stabilization exercise for 12 weeks’ duration had statistically significant reduction in the pain intensity (p < 0.01), functional disability (p < 0.002), LL (p < 0.05), and pelvic inclination angle (p < 0.05) among patients with chronic NSLBP. Conclusion: From this research, we conclude that core stabilization exercises decrease the pain intensity, functional disability, LL, and pelvic inclination angle in patients with chronic NSLBP. Thus, evaluation of the lumbar curvature and pelvic inclination, and designing the appropriate exercise is recommended in the management of NSLBP.

scholarly journals A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium-Frequency Electrotherapy for Discogenic Sciatica

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Xue Zhang ◽  
Yang Wang ◽  
Zhao Wang ◽  
Chao Wang ◽  
Wentao Ding ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Rating Scale ◽  
Leg Pain ◽  
Secondary Outcome ◽  
Low Back ◽  
Medium Frequency

Objective. To investigate the short- and long-term effects of electroacupuncture (EA) compared with medium-frequency electrotherapy (MFE) on chronic discogenic sciatica.Methods. One hundred participants were randomized into two groups to receive EA (n=50) or MFE (n=50) for 4 weeks. A 28-week follow-up of the two groups was performed. The primary outcome measure was the average leg pain intensity. The secondary outcome measures were the low back pain intensity, Oswestry Disability Index (ODI), patient global impression (PGI), drug use frequency, and EA acceptance.Results. The mean changes in the average leg pain numerical rating scale (NRS) scores were 2.30 (1.86–2.57) and 1.06 (0.62–1.51) in the EA and MFE groups at week 4, respectively. The difference was significant (P<0.001). The long-term follow-up resulted in significant differences. The average leg pain NRS scores decreased by 2.12 (1.70–2.53) and 0.36 (−0.05–0.78) from baseline in the EA and MFE groups, respectively, at week 28. However, low back pain intensity and PGI did not differ significantly at week 4. No serious adverse events occurred.Conclusions. EA showed greater short-term and long-term benefits for chronic discogenic sciatica than MFE, and the effect of EA was superior to that of MFE. The study findings warrant verification. This trial was registered under identifierChiCTR-IPR-15006370.

scholarly journals Evaluation of functional disability and pain in patients with chronic low back pain submitted to physiotherapy

2020 ◽  
pp. 1-6
Author(s):  
Andrei Luiz Sales Teixeira ◽  
Noberto Fernandes da Silva ◽  
Edson Meneses da Silva Filho
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Therapy Group ◽  
Public Health Problem ◽  
Control Group ◽  
Low Back ◽  
Mobility Limitations

Introduction: Chronic low back pain (CLBP) is one of the causes that usually result in mobility limitations in the economically active population due to musculo-skeletal disorders. It has, as main symptoms, pain and disability and should be seen as a public health problem. Objective: This study aimed to evaluate the Functional Disability (FD) and pain intensity in patients with CLBP, underwent to manipulative therapy and conventional physiotherapy at Getulio Vargas Hospital. Method: This was a randomized trial study with a control group, with a sample, participants with CLBP, who were divided into two groups: those who underwent manipulative physiotherapy (group 1) and those who underwent conventional therapy (group 2), and the both groups were subjected to two treatments at different times. The program lasted five weeks, and 2 weeks for each intervention, performing two weekly sessions, which average duration was 30 minutes and one week interval between treatments. There were collected sociodemographic data, data related to FD using the Disability questionnaire Roland-Morris (RMDQ) and data related to pain intensity using the Visual Analogue Scale (VAS). Results: The study included 14 patients with mean age of 51 + 9 years. They showed significant improvement in RMDQ (p <0.001) and VAS (p <0.001), after being subjected to manipulative group, also showing a significant treatment effect over conventional treatment in both RMDQ (p = 0.004) and EVA (p = 0.006). Conclusion: Through this study, it can be shown that patients with CLBP showed significant improvements in functional capacity, by reducing the FD and reduction of painful symptoms, after being subjected to a five-week-program of manipulative physiotherapy.

scholarly journals EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN

2021 ◽  
Vol 5 (1) ◽  
pp. 208-212
Author(s):  
Abdul haseeb Bhutta ◽  
◽  
Danish Rauf ◽  
Nimra Ilyas Bhutta ◽  
Wahaj Ali ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Latissimus Dorsi ◽  
Functional Disability ◽  
Control Group ◽  
Low Back ◽  
Large Effect Size ◽  
And Control ◽  
Experimental Group

Objective: To determine effects of latissimus dorsi stretching on functional disability related to chronic low back pain. Methodology: A single group pretest-posttest design trial was conducted in NOSIS clinics Mansehra Pakistan. Patients with the age between 20-60 years had chronic mechanical low back pain lasting for 7-12 weeks were included in the study. A total of n=64 randomly divided into experimental and control group, those received stabilization exercises (SE) plus latissimus dorsi stretching (LDS) and stabilization exercises alone respectively. Oswestry Disability Index (ODI) was used to determine functional disability. The level of significance was set at 95% CI (p≤0.05). Results: A total of n=61 participants participated in the study. The mean age of the study participants was 39.60 ± 10.02 and sitting time was 6.54± 1.23. It was observed that both the experimental group {p<0.001, ɳp2=0.934} and control group {p<0.001, ɳp2=0.875} significantly improved the ODI score with large effect size after 4 weeks of intervention. However, between the comparison showed significant improvement with large effect size in experimental group as compared to control group, after first week (p<0.001), and 2nd week (p<0.001) of intervention. Conclusion: the combination of spinal stabilization exercises and stretching of latissimus dorsi effective in improving functional disability related to chronic low back pain.

A Comparison of 6 Weeks of Aquatic Exercise and Kinesio Taping in Patients With Chronic Nonspecific Low Back Pain

2021 ◽  
Vol 30 (1) ◽  
pp. 37-42
Author(s):  
Yaser Alikhajeh ◽  
Elyas Barabadi ◽  
Gholam Rasul Mohammad Rahimi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Controlled Trial ◽  
Aquatic Exercise ◽  
Control Group ◽  
Low Back ◽  
Kinesio Taping ◽  
The Impact

Context: In many societies, although chronic low back pain (LBP) is a significant problem, there is no consensus on the optimal therapeutic intervention. Objective: To compare the impact of aquatic exercise (AE) and kinesio taping (KT) on the pain intensity and functional incapacity in women with chronic nonspecific LBP. Design: Randomized controlled trial. Setting: Outpatient clinic. Participants: Thirty-six women with chronic nonspecific LBP (mean [SD]: age = 50.69 [4.187] y) participated. Interventions: Participants randomly assigned to AE (n = 12), KT (n = 12), and nontreatment control (n = 12) groups for 6 weeks. Main Outcome Measures: Pain intensity and functional disability were evaluated at baseline and the end of the intervention. Results: Pain intensity decreased more in the AE group than in the KT group (5.9–0.5 cm [91.6% decrease] vs 5.7–2.4 cm [58.1% decrease], respectively; P < .001 for both after Bonferroni post hoc test); the values decreased more in the 2 treatment groups than in the control group (P < .001 for between-group comparisons). Disability decreased more in the AE group (43.2%–18.8% [55.6% decrease]) than the KT group (37.8%–19.3% [48.3% decrease]) (P < .001 for both comparisons), but increased in the control group (38.7%–41.2% [6.5% increase]; P = .045). Conclusion: These results suggest AE and KT treatment methods provide pain intensity and disability improvements in women with chronic nonspecific LBP. Nevertheless, AE was more effective than KT.

scholarly journals Effectiveness of workplace active rest programme on low back pain in office workers: a stepped-wedge cluster randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e040101
Author(s):  
Yamato Tsuboi ◽  
Tomohiro Oka ◽  
Kiyomasa Nakatsuka ◽  
Tsunenori Isa ◽  
Rei Ono
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Office Workers ◽  
Secondary Outcome ◽  
Low Back ◽  
Stepped Wedge ◽  
Cluster Randomised ◽  
Secondary Outcomes

ObjectiveThis study aimed to investigate the effectiveness of workplace active rest programme (WARP) on chronic low back pain (LBP) among office workers.DesignA closed cohort, stepped-wedge cluster randomised trial was conducted. The total duration of the study was 16 weeks (4 weeks for each step). Sequence allocation was randomised, but no one was blinded.SettingThis study was conducted in three offices in a Japanese electronics company. One office was for the administrative department, the others are for the engineering department.ParticipantsWe recruited 29 office workers with LBP greater than 3 months. LBP due to specific injury or disease was excluded. The median age was 38 years, and 26 (90%) were male. All participants completed the study.InterventionsIn the intervention phase, participants performed WARP comprising frequent stand-up and individualised brief exercise/physical activity during work. Physical therapists held an LBP workshop and developed tailor-made programmes before introducing WARP. We instructed participants to perform WARP at five timings during work. Control phase was set before the intervention and participants stayed as usual.Primary and secondary outcome measuresThe primary outcome was pain intensity of LBP assessed using the Brief Pain Inventory. The secondary outcomes were work productivity loss measured using the Work Limitations Questionnaire, LBP disability assessed using the Roland-Morris Disability Questionnaire, psychosocial subscale assessed using the STarT Back Screening Tool and physical activity measured using triaxial accelerometers. These outcomes were collected at baseline and at 4-month follow-up evaluation.ResultsIn the intention-to-treat analysis, WARP did not show any significant effects on pain intensity (β, 0.01; 95% CI −0.50 to 0.52) and on the secondary outcomes. The median adherence to WARP was 28.6% (IQR, 16.8–41.1), which was equal to 1.43 times per day. No adverse effect was observed.ConclusionsThe present study was unable to confirm the effectiveness of active rest in improving LBP. Hence, further study needs to investigate its effectiveness.Trial registration numberUMIN000033210.

scholarly journals Vitamin D Supplementation in Patients with Chronic Low Back Pain: An Open Label, Single Arm Clinical Trial

2017 ◽  
Vol 1 (21;1) ◽  
pp. E99-E105 ◽  
Author(s):  
Babita Ghai
Keyword(s):  
Vitamin D ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Vitamin D Supplementation ◽  
Low Back ◽  
Open Label ◽  
Time Intervals ◽  
Vitamin D Levels

Background: Vitamin-D deficiency may possibly be related to chronic low back pain (CLBP). Objective: The study is aimed to assess the impact of vitamin-D supplementation on pain intensity, functional disability, and vitamin-D levels in patients with CLBP. Study Design: Single arm open-label study. Setting: Outpatient pain clinic of a tertiary care hospital. Methods: Sixty-eight eligible patients (CLBP for ≥ 3 months, pain score ≥ 50 on visual analogue scale (VAS) and plasma 25-Hydroxyvitamin D3 levels < 30 ng/mL) were enrolled. Patients were supplemented with 60,000 IU of oral vitamin-D3 given every week for 8 weeks. Efficacy parameters included pain intensity and functional disability measured by VAS and modified Oswestry disability questionnaire (MODQ) scores at baseline, 2, 3, and 6 months post-supplementation. Plasma 25(OH) D3 levels were measured at baseline and 8 weeks. Results: Baseline mean (SD) vitamin-D levels were 12.8 (5.73) ng/mL and increased to 36.07 (12.51) post supplementation (P < 0.01). Forty-five (66%) patients attained normal levels (> 29 ng/mL) post supplementation. Significant reduction in VAS was observed at 2, 3, and 6 months [61 (19), 45 (19), 36 (18)] as compared to 81 (19) at baseline (P ≤ 0.001 at all-time intervals). A significant improvement in the functional ability was also observed at 2, 3, and 6 months [36 (12), 31 (13), and 26 (10)] as compared to baseline 45 (16) (P ≤ 0.001 at all-time intervals). Conclusion: Vitamin-D supplementation in deficient CLBP patients may lead to improvement in pain intensity and functional ability apart from normalization of the levels. Future controlled clinical trials are required to confirm the hypothesis. Key words: Vitamin D, deficiency, screening, low back pain, chronic, supplementation

scholarly journals Chinese Massage Combined with Herbal Ointment for Athletes with Nonspecific Low Back Pain: A Randomized Controlled Trial

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Ling Jun Kong ◽  
Min Fang ◽  
Hong Sheng Zhan ◽  
Wei An Yuan ◽  
Ji Ming Tao ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Controlled Trial ◽  
Muscle Stiffness ◽  
Secondary Outcome ◽  
Control Group ◽  
Low Back ◽  
Randomized Controlled ◽  
Experimental Group

Non-specific low back pain (NLBP) is an increasing health problem for athletes. This randomized controlled trial was designed to investigate the effects of Chinese massage combined with herbal ointment for NLBP. 110 athletes with NLBP were randomly assigned to experimental group with Chinese massage combined with herbal ointment or control group with simple massage therapy. The primary outcome was pain by Chinese Short Form McGill Pain Questionnaire (C-SFMPQ). The secondary outcome was local muscle stiffness by Myotonometer. After 4 weeks, the experimental group experienced significant improvements in C-SFMPQ and in local muscle stiffness compared with control group (between-group difference in mean change from baseline, −1.24 points,P=0.005in sensory scores; −3.14 points,P<0.001in affective scores; −4.39 points,P<0.001in total scores; −0.64 points,P=0.002in VAS; −1.04 points,P=0.005in local muscle stiffness during relaxation state). The difference remained at one month followup, but it was only significant in affective scores (−2.83 points,P<0.001) at three months followup. No adverse events were observed. These findings suggest that Chinese massage combined with herbal ointment may be a beneficial complementary and alternative therapy for athletes with NLBP.

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