Comparison of two stretching protocols on lumbar spine extension

Bybee, Ronald F.; Mamantov, Jasyn; Meekins, Will; Witt, Jason; Byars, Allyn; Greenwood, Mike

doi:10.3233/bmr-2008-21302

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…The 10-week strength training programme in this study resulted in significant increases in back muscle strength and extension ROM of the lumbar spine values when compared to the control group which performed no training. Several studies have examined the importance of stretching exercise, static exercise or isometric exercise for improving the spinal ROM [ 4 , 6 , 30 , 33 ]. The back extensor muscles, especially the erector spinae group, provide posterior stability for the vertebral column [ 2 ] and according to several studies there was a significant relationship between decreasing strength and endurance of these muscles and back pain.…”

Section: Discussionmentioning

confidence: 99%

“…Because the neck, trunk, and pelvis structures form the supportive base from which movement of the limbs occurs, the ability to move the neck and trunk also should contribute to the ability to move the extremities [ 31 ]. Therefore, decreased spinal ROM may be a possible source of decline in physical capabilities [ 25 ] and it is commonly associated with low back complications [ 4 , 19 ]. Spinal extensions have the greatest decrease in females because of the weak back muscles.…”

Section: Introductionmentioning

confidence: 99%

“…A decrease of the lower back muscles’ strength may decrease spine ROM through its effect on back pain or inactivity. Previous studies [ 4 , 22 , 30 ] have examined the effects of strength training in patients with low back pain. However, the effect of dynamic back muscle strength training which aims to avoid reduction of spine ROM in healthy individuals has not been studied.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Back Extension Training on Back Muscle Strength and Spinal Range of Motion in Young Females

Yaprak

2013

Biol Sport

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The objective of this study was to determine the effects of a 10-week dynamic back extension training programme and its effects on back muscle strength, back muscle endurance and spinal range of motion (ROM) for healthy young females. Seventy-three young females (age: 19.32±1.80 years, height: 158.89±4.71 cm, body weight: 55.67±6.30 kg) volunteered for the study. Prior to the training period, all participants completed anthropometric measurements, back muscle strength and endurance test, lateral bending and spinal ROM measurements. After measurements, the participants were divided into two groups. The exercise group (N:35) performed the dynamic back extension exercise 3 days per week for 10 weeks. The control group (N:38) did not participate in any type of exercise. The mixed design ANOVA (group x time) was used to determine the difference in pre- and post-training values. The present findings show that there were significant differences between pre-training and post-training values for back muscle strength and spinal ROM in the exercise group. Following the dynamic strength training programme, back muscle strength and spine ROM values except flexion of the lumbar 5-sacrum 1 (L5-S1) segment of the exercise group showed a significant increase when compared with the pre test values. The control group did not show any significant changes when compared with the pre-training values. The results demonstrate that the 10-week dynamic strength training programme was effective for spinal extension ROM and back muscle strength, but there was no change in back muscle endurance. In this context, this programme could potentially be used to prevent the decrease of spinal ROM as well as provide an increase in the fitness parameters of healthy individuals.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effects of Back Extension Training on Back Muscle Strength and Spinal Range of Motion in Young Females

Yaprak

2013

Biol Sport

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“…Porovnanie v rámci skupín počas extenzie: U oboch sledovaných skupín nedošlo u pacientov k signifikantnému poklesu EMG aktivity m. erector spinae počas vykonávania extenzie. Študovaním aplikácie a efektívnosti jednotlivých liečebných princípov v liečbe derangementu v lumbálnej oblasti prostredníctvom MDT sa zaoberali autori Bybee et al [19]. Clare et al [7] v svojej štúdii hodnotila rozsahy pohybu driekovej chrbtice u pacientov s chronickou bolesťou lumbálnej chrbtice liečených McKenzie metódou, klasifikovaných ako derangement, inclinometrom a zhodnocovala aj rozsahy pohyby do extenzie.…”

Section: Medziskupinovom Porovnaní Počas Extenzieunclassified

Clinical picture dynamics in lumboischiadic syndrome, with and without radicular irritation, using McKenzie concept principles

Hagovská

Takáč

Petrovicová

2015

Kontakt

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Comparison of intensity, sensitive and affective components, disability, motion range of the m. erector spinae muscle activity during both dynamic and static activities at the sagittal level regarding the most frequent diagnoses, within the framework of classification by the McKenzie method. Patient sample: The research sample consisted of 31 patients by the MRI-diagnosed discopathy, who were divided into two groups. Both of these groups were treated using the McKenzie method. Group 1 involved the central symmetrical posterior derangement (n = 15). Group 2 involved the unilateral asymmetrical derangement, with emanation of pain into the lower limb (n = 16). Methods: For the measurement of the intensity and character of pain, the McGill Pain Questionnaire-its short form (SF MPQ) was used. The pain intensity was evaluated by the visual analogue scale (VAS). The disability was evaluated by the Roland Morris Questionnaire (RMQ). The m. erector spinae muscle activation measurement from L4 area paravertebrally was conducted by the surface EMG in µV. The range of motion was measured by a goniometry. Results: Group 1: activation of the m. erector spinae: no significant lateral differences were found and activation of the m. erector spinae was declining symmetrically. Group 2: in this group, there was the occurrence of lateral differences recorded on the right side versus the left side. On the painful side, the activation changes manifested themselves most markedly with their increase during the flexion in the upright posture and with their decline occurring during extension while standing, which presented the therapeutic principle. In the assessment of intensity and perception of pain, disability and motion ranges, no significant differences were found. One month and three months after the treatment there was a significant decrease in pain in both of the groups (p < 0.05). Conclusion: During the treatment, we have managed to record changes in intensity, pain localisation and motion ranges in the monitored groups, which was in compliance with the clinical picture syndromes according to McKenzie.

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“…One author found static prone postures to increase ROM more effectively with 30–60 second sustained postures as compared to 15-second postures, but no difference between the effectiveness of 30-second and 60-second postures [ 28 , 29 ]. Additionally, patients with LBP chose to perform their extension posture for home exercise in standing 80.8% of the time and only 19.2% of the time in the prone position, resulting in similar clinical outcomes where both groups showed equal improvements in lumbar extension ROM [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Sustained versus repetitive standing trunk extension results in greater spinal growth and pain improvement in back pain:A randomized clinical trial

Harrison,

Brismée,

Sizer Jr

et al. 2024

BMR

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BACKGROUND: McKenzie standing trunk extension exercises have been used for the management of low back pain (LBP). However, no study to date has investigated the effect of standing trunk extension postures on spinal height and clinical outcomes. OBJECTIVE: To evaluate in subjects with LBP following a period of trunk loading how spinal height, pain, symptoms’ centralization and function outcome measures respond to two standing postures interventions: (1) repetitive trunk extension (RTE) and (2) sustained trunk extension (STE). METHODS: A consecutive sample of convenience of people with LBP were recruited to participate in 2-session physical therapy using either RTE or STE in standing. RESULTS: Thirty participants (18 women) with a mean age of 53 ± 17.5 years completed the study. The first session resulted in spinal height increase (spinal growth) of 2.07 ± 1.32 mm for the RTE intervention and 4.54 ± 1.61 mm for the STE group (p< 0.001; ES = 1.67), while the second session (2-week following the first session) resulted in spinal growth of 2.39 ± 1.46 mm for the RTE group and 3.91 ± 2.06 mm for the STE group (p= 0.027; ES = 0.85). The STE group presented with the larger reduction in most pain from 6 to 2 as compared to the RTE group from 6 to 4 between Session 1 and Session 2 (p< 0.001). There was no difference between the groups in Modified Oswestry score and symptoms centralization (p= 0.88 and p= 0.77, respectively). CONCLUSION: People with LBP experienced greater spine growth and improvements of pain during standing STE as compared to RTE. People with LBP could use such postures and movements to alleviate their LBP and improve spine height while in a weight bearing position.

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Comparison of two stretching protocols on lumbar spine extension

Cited by 4 publications

References 12 publications

The Effects of Back Extension Training on Back Muscle Strength and Spinal Range of Motion in Young Females

The Effects of Back Extension Training on Back Muscle Strength and Spinal Range of Motion in Young Females

Clinical picture dynamics in lumboischiadic syndrome, with and without radicular irritation, using McKenzie concept principles

Sustained versus repetitive standing trunk extension results in greater spinal growth and pain improvement in back pain:A randomized clinical trial

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