An 8-week core stabilization program performed in water or on land decrease pain level and improve functional status in LDH patients. Both programs seem beneficial to increase health-related quality of life and static endurance of trunk muscles. Core stability exercises could be performed in water as well, no differences were found between methods due to environment.
Bu çalışmada deneysel bir iskemi-reperfüzyon yaralanması modelinde alfa-lipoik asit ile önkoşullamanın nöronal hasar üzerinde koruyucu etkisi olup olmadığı araştırıldı. Ça lış ma pla nı: On sekiz erişkin erkek Yeni Zelanda tavşanı (2.4-3.5 kg) eşit olarak sham, kontrol ve tedavi gruplarına ayrıldı. Kontrol ve tedavi gruplarında abdominal aort renal artere proksimal olarak 1 cm aşağıdan ve bifürkasyona distal olarak 1 cm yukarıdan anevrizma klipsleri kullanılarak 30 dakika tıkandı. Tedavi grubuna aortik kros-klemplemeden 20 dakika önce intraperitoneal 100 mg/kg lipoik asit uygulandı. Hayvanlar ameliyattan 48 saat sonra sakrifiye edildi ve L2 ve L5 arasındaki spinal kord segmentleri biyokimyasal ve histopatolojik analiz için çıkartıldı. Spinal kordda glutatyon, malondialdehit, total nitrat/nitrit, ileri oksidasyon protein ürünleri, katalaz, süperoksit dismutaz ve glutatyon peroksidaz seviyeleri incelendi. Bul gu lar: Alfa-lipoik asit ile önkoşullama oksidatif stresin ölçülen tüm parametrelerinde anlamlı olarak olumlu etkiler gösterdi. Dokuların histopatolojik değerlendirmesinde kontrol grubuna kıyasla tedavi grubunda anlamlı olarak azalmış nöronal dejenerasyon, aksonal hasar, mikroglial ve astrositik infiltrasyon görüldü. So nuç: Bu çalışmanın sonuçları aortik kros-klemplemeden önce alfalipoik asit uygulamasının tavşanlarda spinal kord yaralanmasında anlamlı nöro-koruyucu etkisi olduğuna işaret etmektedir.
Background
Core stabilization exercises have a theoretical basis and are used in the treatment of low back pain. But the effects of core stability exercises performed in water are unknown.
Objectives
To determine and compare the effects of Core stability exercise programs performed in different environments in low back pain (LBP) patients.
Methods
Twenty-three patients (47.78±13.20 years) and fifteen age-sex matched healthy controls (46.67±13.69) were included to the study. Patients were randomly divided into 2 groups as Core Stabilization (CS) or Water Specific Therapy (WST). Both groups underwent 8-weeks (3 times a week) core stabilization exercises in different environments. The assessments for pain, static endurance of trunk muscles, functional status and quality of life were performed before and after the treatment.
Results
Level of static endurance of trunk muscles was found lower in the patients compared to the controls at baseline (p<0.05). Both groups showed significant improvements in all outcomes (p<0.05) after 8-weeks intervention. When two groups were compared, no differences were found in the amount of change after the intervention (p>0.05). After the treatment static endurance of trunk muscles of LBP patients became similar to controls (p>0.05).
Conclusions
According to these results, core stabilization exercisetrainings performed on land or in water both could be beneficial in LBP patients and there is no difference between environments.
References
Hayden JA, van Tulder MW, MalmivaaraA et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev 2005 Jul 20;(3):CD000335.
Waller B, Lambeck J, Daly D. Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. ClinRehabil 2009 Jan;23(1): 3-14.
Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. Am J Phys Med Rehabil 2005 Jun;84(6):473-80.
Disclosure of Interest
None Declared
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