Comparison Between Transcutaneous Electrical Nerve Stimulation and Stabilization Exercises in Fatigue and Transversus Abdominis Activation in Patients With Lumbar Disk Herniation: A Randomized Study

Ramos, Luiz Armando Vidal; Callegari, Bianca; França, Fábio Jorge Renovato; Magalhães, Mauro Taveira; Burke, Thomaz Nogueira; Silva, Ana Paula de Moura Campos Carvalho e; Almeida, Gabriel Peixoto Leão; Comachio, Josielli; Marques, Amélia Pasqual

doi:10.1016/j.jmpt.2017.10.010

Cited by 24 publications

(34 citation statements)

References 36 publications

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“…Findings showed a significant increase in MVIC of all muscles in both exercise groups; but there was no significant difference in the control group. Similar to our findings, some studies observed improvement of muscle activation level after suspension [ 22 , 24 ] and core stability exercises [ 34 ]. Also, Aguilera-Castells et al (2020) in a systematic review study of 18 studies, reported a very different core muscle activation ranging from moderate to high range [ 35 ].…”

Section: Discussionsupporting

confidence: 92%

Is the novel suspension exercises superior to core stability exercises on some EMG coordinates, pain and range of motion of patients with disk herniation?

2021

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Information about comparing the effectiveness of exercise methods on management of disk herniation is limited. The aim of this study was to compare the effect of two programs of suspension and core stability exercises on some electromyography (EMG) coordinates, pain and range of motion of patients with disk herniation. Thirty-two men with disk herniation participated in this clinical trial study which was randomly divided into three groups of suspension exercises ( n : 12, age: 34.25 ± 8.81, BMI: 24.01 ± 2.7), core stability exercises ( n : 10, age: 35 ± 10.3, BMI: 25 ± 2.27) and control ( n : 10, age: 34.4 ± 6.67, BMI: 23.76 ± 1.45). Electrical activity of rectus abdominis, internal and external oblique and erector spinae muscles was masured by superficial EMG, back pain by McGill Pain Questionnaire and range of motion by Modified Schober test, one day before and immediately after of intervention period. The experimental groups performed an 8-week training period while the control group was only followed up. Data were analyzed using paired sample t test and analysis of covariance test and statistical significance was set at 0.05. Suspension group showed significant improvement in EMG of rectus abdominis, internal and external oblique muscles (respectively, p = 0.030, p = 0.017, p = 0.022) and pain ( p = 0.001) compared to core stability group; but there was no significant difference between two groups in EMG of erector spinae muscle and range of motion. Changes in both training groups were significant in all variables compared to control groups ( p ˂ 0.05). Our findings showed that although both exercises were effective in patients with lumbar disk herniation, but the effectiveness of suspension exercises in increasing muscle activation and reducing pain was more pronounced than core stability exercises. Iranian Registry of Clinical Trials (IRCT): IRCT20191016045136N1.

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Section: Discussionsupporting

confidence: 92%

Is the novel suspension exercises superior to core stability exercises on some EMG coordinates, pain and range of motion of patients with disk herniation?

2021

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“…A study demonstrated that atrophy of paraspinal muscle was associated with muscle strength [17]. Ramos et al found that stabilization exercises could improve lumbar multifidus fatigue in patients [18]. So exercises may be helpful for patients to improve their functional status.…”

Section: Discussionmentioning

confidence: 99%

The effect of paraspinal muscle on functional status and recovery in patients with lumbar spinal stenosis

Wang¹,

Sun²,

Li³

et al. 2020

J Orthop Surg Res

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Purpose: To investigate the association of paraspinal muscle quantity and quality with functional status in patients with lumbar spinal stenosis (LSS) and explore whether degeneration of paraspinal muscle could predict patients' functional recovery. Methods: The data of 69 patients (26 males, 43 females; mean age 60.6 ± 9.4 years) with LSS was reviewed. The total cross-sectional area (tCSA), functional cross-sectional area (fCSA), and fatty infiltration (FI) of paraspinal muscle were measured. The Oswestry Disability Index (ODI) scores were used to reflect patients' functional status. Correlations between measurements of paraspinal muscle and ODI scores were investigated by the Pearson correlation analysis. The multiple linear regression analysis was used to explore the correlation between change of ODI and other potential influence factors. Receiver operating characteristic curve was used to find out the most optimum cutoff value for predicting functional recovery. Results: The pre-operation ODI was significantly associated with multifidus muscle (MF) fCSA (r = − 0.304, p = 0.012), while the post-operation ODI was significantly correlated to MF FI (r = 0.407, p < 0.01). Preoperative MF FI was an independent influence factor for change of ODI. The best cutoff value of preoperative MF FI to predict improvement of functional status (change of ODI > 50%) was 33%. Conclusion: The preoperative degeneration of MF was significantly associated with patients' functional status. Preoperative MF FI was a good predictor for assessing improvement of patients' functional status. Evaluation of paraspinal muscle before operation could be helpful for surgeons to predict patients' functional status and recovery.

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“…49 Although promising, it may be most appropriate as an adjunct, as its use appears to be less effective than stabilizing exercises focusing on individual muscle groups. 50 Lower body negative pressure devices apply ambient pressure lower than atmospheric pressure to the lower body to induce footward fluid shifts. Combined with treadmill running, lower body negative pressure can generate a force similar to body weight as measured on earth.…”

Section: Additional Prevention Strategiesmentioning

confidence: 99%

Back Pain in Outer Space

et al. 2021

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Space travel has grown during the past 2 decades, and is expected to surge in the future with the establishment of an American Space Force, businesses specializing in commercial space travel, and National Aeronautics and Space Administration’s planned sustained presence on the moon. Accompanying this rise, treating physicians are bracing for a concomitant increase in space-related medical problems, including back pain. Back pain is highly prevalent in astronauts and space travelers, with most cases being transient and self-limiting (space adaptation back pain). Pathophysiologic changes that affect the spine occur during space travel and may be attributed to microgravity, rapid acceleration and deceleration, and increased radiation. These include a loss of spinal curvature, spinal muscle atrophy, a higher rate of disc herniation, decreased proteoglycan and collagen content in intervertebral discs, and a reduction in bone density that may predispose people to vertebral endplate fractures. In this article, the authors discuss epidemiology, pathophysiology, prevention, treatment, and future research.

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Comparison Between Transcutaneous Electrical Nerve Stimulation and Stabilization Exercises in Fatigue and Transversus Abdominis Activation in Patients With Lumbar Disk Herniation: A Randomized Study

Cited by 24 publications

References 36 publications

Is the novel suspension exercises superior to core stability exercises on some EMG coordinates, pain and range of motion of patients with disk herniation?

Is the novel suspension exercises superior to core stability exercises on some EMG coordinates, pain and range of motion of patients with disk herniation?

The effect of paraspinal muscle on functional status and recovery in patients with lumbar spinal stenosis

Back Pain in Outer Space

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