Background There are a great number of interventions in physiotherapy, but with little evidence of their effectiveness in chronic low back pain. Therefore, this study assesses effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics and the combination of both to decrease pain and lumbar disability while increasing joint mobility and quality of life in patients with chronic nonspecific low back pain. Methods A randomized, single-blinded, controlled, clinical trial with sample (n = 27) was comprised of patients between 20 and 65 years, diagnosed with pain of mechanical origin characterized by having a duration of at least 12 weeks and no serious complications. Each group received 8 interventions of 30 minutes. Results Friedman ANOVA test obtained statistically significant differences of Oswestry, NRS, and Schober variables (p < 0.05) in the three measurements (pretest, posttest 1, and posttest 2), in each individual group. ANOVA Kruskal-Wallis test was used for comparison between groups, and Oswestry Disability values were significantly higher (p = 0.024) in the group receiving both treatments. Conclusion Both individual groups reduce pain levels, improve disability, and increase the flexibility of the lumbar spine. The combination therapy provides greater benefits in terms of lumbar disability. This study is registered on March 8, 2016, with NCT02721914.
Estudio de la respuesta a ejercicios de resistencia de tipo aeróbico en función de la tipología del pie en la población infantil Study of the response to aerobic resistance exercises based on the type of foot in the child population
Background: Sports have a strong influence on current society. Foot posture has been postulated as a risk factor for overuse injuries; however, the link between foot posture and injuries is unclear. This study aimed at checking whether children with pronated feet become more fatigued after participating in sports tests than those with normal feet.Methods: One-hundred five children between 10 and 12 years old (10.46 {plus minus} 0.78) participated in the sports tests. These tests were aerobic-type resistance exercises with six stations at which each child remained for 30 sec. The posture of the foot was evaluated via the foot posture index (FPI) and the plantar footprint via the arch index and Clarke's angle before and after aerobic-type resistance exercises. The perceived tiredness was evaluated with the Pictorial Children´s Effort Rating Table (PCERT) questionnaire and whether or not there was pain during or after physical activity.Results: The variables used to measure the foot posture and the plantar arch changed more in the group of children with pronated feet, suggesting that the feet undergo pronation more after physical exercise. The neutral feet group obtained an average score of 5.46 {plus minus} 1.89 on the PCERT, while the pronated feet group obtained a score of 7.60 {plus minus} 1.92. Conclusions: The children with pronated feet showed more fatigue and foot pain during and/or after physical exercise than those with neutral feet. The type of foot could be responsible for the lack of enthusiasm of children toward undertaking healthy activities, and this problem might be solved via appropriate orthopedic treatment.
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