The effects of clinical pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study

BACKGROUND: Although the Pilates method has been reported to be effective in women with low back pain (LBP), the efficacy of Pilates exercises in pregnant women with LBP has not been evaluated widely. OBJECTIVE: The purpose of this study was to determine the effects of clinical Pilates exercises on lumbopelvic stabilization, pain, disability and quality of life in pregnant women with LBP. METHODS: Fourty pregnant women were randomized into either a Pilates exercise group (n= 20) or control group (n= 20). Subjects in the Pilates exercise group performed the exercises two times a week for eight weeks. Subjects in the control group followed regular prenatal care. Lumbopelvic stabilization was assessed with a pressure biofeedback unit, pain with the Visual Analog Scale, disability with the Oswestry Low Back Pain Questionnaire and quality of life with the Nottingham Health Profile (NHP). RESULTS: Pain and disability were significantly improved in the Pilates exercise group after intervention (p= 0.03, p< 0.001, respectively). There were also significant improvements in sleep, physical mobility sub-parameters of NHP and lumbopelvic stabilization after Pilates exercises (p= 0.048, p= 0.007, respectively). However, there were no statistically significant changes in all outcome measures in the control group (p> 0.05). CONCLUSIONS: Pilates exercises can be recommended as an effective and safe method for increasing lumbopelvic stabilization, reducing pain and disability, improving physical mobility and sleep problems in pregnant women with LBP.

Proposal of a rehabilitation protocol for a Type II Mason radius head fracture following surgical intervention OSTEOSYNTHESIS with cannulated screws in an elite triathlete. Case study

A 33-year-old man suffers a radius head fracture after a bicycle fall. Surgically operation with OSTEOSYNTHESIS with two cannulated screws was performed. These fractures, can be a complication in this sport for the technical gesture necessary for the practice of swimming, which needs the recovery of the strength and the complete articular range. Objectives: The objective of the present work is make a proposal of a rehabilitation program focused on the recovery of joint range, strength and adaptation work to swimming. Methods: A systematic review of the scientific literature of the databases of Medline, PubMed, Scopus, PEDRO and SPORTDiscus was carried out. Results: It was designed a rehabilitation protocol specialized in elbow joint mobilization in flexo-extension and prono-supination, joint and soft-tissue manual therapy, electrotherapy and analgesic measures, muscular strengthening work (isometric, concentric and eccentric) and proprioceptive work In different joint ranges. Spine and shoulders: Manual joint and soft tissue therapy in cervical-dorsal spine, scapular and glenohumeral articulations, strengthening of the external rotator shoulder and scapular stabilizers muscles and flexibilization of the dorsal spine. Integration in technical movements: in water (Swimming technique and swimming simulation), functional work (with elastic bands), integration of the elbow movements in the lumbopelvic stabilization work and functional movements (ball launches and receptions). The program was evaluated by goniometric measurement, recordings of the technical gesture and comparative evaluation of the strength. Conclusion: The triathlete recovered the ROM and strength necessary to make the gesture of swimming correctly as well as the return to the competition of high level, reason why the protocol proposed can be useful.Limitation of the work: lack of research on this topic (which limits its justification).

Comparing lumbopelvic stabilization exercises and yoga on functional stability and low back pain in young, non-elite, female gymnasts

Background: It is beneficial for gymnasts to train key lumbopelvic musculature to decrease or prevent low back injury. This study compares lumbopelvic exercises and yoga on lumbar muscle endurance, lumbopelvic stabilization, abdominal strength and balance in adolescent female gymnasts and the effect on low back pain. Material/Methods: 13 participants were randomly allocated to a lumbo-pelvic or yoga group intervention and performed specific exercises for 6 weeks. Biering-Sorensen Test, Lumbopelvic Control Test, Side Bridge Test, and Star Excursion Balance Test were conducted on the participants before and after the 6-week intervention and low back pain logbooks were completed. Results: The Biering-Sorensen Test was significantly greater results for the lumbopelvic group compared to the yoga group. Both groups had significant changes over time with the Lumbopelvic Control Test but no group difference. Both groups had significant improvement with the Side Bridge with the yoga group benefitting more on the left. Out of the six fully completed logbooks, the yoga group showed less occurrence of low back pain compared to the lumbopelvic group. Conclusions: Yoga and lumbopelvic stabilization exercises are equally effective in developing lumbar muscle endurance, lateral stability and front-on stability for young non-elite gymnasts. This is important as they are under-represented in research but overrepresented in participation. This study sets the basis for further research on the incidence of low back pain in young gymnasts and the effects of age-appropriate exercises as a preventative matter.

LUMBOPELVIC STABILIZATION EXERCISE LEBIH MENURUNKAN DISABILITAS DIBANDINGKAN DENGAN WILLIAM’S FLEXION EXERCISE PADA PASIEN NYERI PUNGGUNG BAWAH MIOGENIK

Pendahuluan: Nyeri punggung bawah (NPB) miogenik adalah perasaan tidak nyaman di daerah punggung bawah yang disebabkan oleh faktor otot itu sendiri atau faktor patologis lainnya yang menyebabkan terjadinya disabilitas. Tujuan Penelitian ini adalah untuk mengetahui lumbopelvic stabilization exercise lebih menurunkan disabilitas dibandingkan dengan William’s flexion exercise pada pasien NPB miogenik. Metode: Penelitian ini bersifat eksperimental dengan rancangan pre dan post test group design. Subyek dalam penelitian ini adalah pasien yang mengeluh NPB miogenik sebanyak 28 orang yang berumur 30-55 tahun. Subjek terbagi menjadi 2 kelompok, dimana Kelompok 1 (n = 14) diberikan intervensi lumbopelvic stabilization exercise sedangkan Kelompok 2 (n = 14) diberikan intervensi William’s flexion exercise. Diberikan perlakuan 3 kali seminggu selama 4 minggu. Teknik pengambilan sampel dengan consecutive sampling. Level disabilitas diukur dengan modified oswestry disability index. Hasil: Uji Paired Sample T-test data disabilitas pada Kelompok 1 dan Kelompok 2 didapatkan hasil 17,00+7,20 dan 24,29+9,58 dengan nilai p=0,000 yang menunjukkan pada kedua kelompok terdapat perbedaan yang bermakna. Uji Independent Samples Test Kelompok 1 dan Kelompok 2 menunjukkan hasil p=0,031 yang berarti bahwa ada perbedaan bermakna pada penurunan disabilitas. Simpulan: lumbopelvic stabilization exercise lebih menurunkan disabilitas dibandingkan dengan William’s flexion exercise pada pasien NPB miogenik.Kata Kunci: Nyeri punggung bawah miogenik, Lumbopelvic stabilization exercise, William’s flexion exercise