Effect of trunk muscles training using a star excursion balance test grid on strength, endurance and disability in persons with chronic low back pain

Ganesh, G. Shankar; Chhabra, Deepak; Pattnaik, Monalisa; Mohanty, PP; Patel, Risheekumar; Mrityunjay, K.

doi:10.3233/bmr-140551

Cited by 25 publications

(14 citation statements)

References 37 publications

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“…The back extensor muscles play an essential role in motor control dysfunctions, such as limited balance in LBP (92). Star excursion balance exercises are suggested as a part of treatment plan in people with CLBP (93). Similarly, the present results showed significantly lower levels of balance capabilities in the LBP group when measured by a self-report scale.…”

Section: Discussionsupporting

confidence: 61%

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Esfahani

Dommerholt

Rezaeian

2021

Muscle Ligaments and Tendons J

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Background. Musculoskeletal dysfunction is one of the most important occupational health issues. Prolonged sitting may be a risk factor for low back pain (LBP) associated with reduced muscle endurance, although many people with a sedentary lifestyle and sitting-type job report no pain and discomfort in the lumbar region. In the present study, endurance of the core muscles in individuals with sedentary jobs with nonspecific chronic LBP were compared with those without LBP. Objective. The present study compared core muscle endurance in individuals with sedentary jobs with and without nonspecific chronic low back pain. Methods. A total of 50 sedentary staffs were selected and divided into LBP and control group. Trunk muscle endurance was measured in seconds using the McGill's trunk flexor endurance test, the Sorenson's trunk extensor endurance test, and the right and left trunk flexor endurance test (Side-bridge test). Differences between the two groups were analyzed using multivariate general linear models in 2 ways ANOVA. Results. There were no significant between-group differences in the raw endurance of the extensor, flexor, right/ left flexor muscles (P ≥ 0.05). However, there were significant betweengroup differences in some self-reported physical fitness subscales (P < 0.05), duration of sitting at home (P = 0.035), frequency of assuming a slump sitting position (P = 0.049), and sitting with leaning back to the backrest (P = 0.02) at work. We developed uni-and multivariate general linear models, which showed adjustments to these parameters and unmasked fundamental between-group differences in extensor muscle endurance. Conclusions. Our finding does not support the popular opinion that daily sitting-while-at-work for long durations is necessarily associated with LBP. Instead, sitting posture, lower physical fitness levels, and shorter duration of sitting activities at home may be associated with reduced extensor muscle endurance in nonspecific chronic low back pain.

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Section: Discussionsupporting

confidence: 61%

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Esfahani

Dommerholt

Rezaeian

2021

Muscle Ligaments and Tendons J

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“…The results of the review might have been influenced by the fact that they had included studies that satisfied non‐specific inclusion criteria for traction. Further, we had used supine or prone traction position as per requirements (Ganesh et al, ). The framework to classify traction subgroup is rather simple, and the first‐contact health providers might have classified those patients without clear mechanical symptoms to receive physician care leading to clear management strategies.…”

Section: Discussionmentioning

confidence: 99%

A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification

Ganesh¹,

Sahu

Das³

et al. 2018

Physiotherapy Res Intl

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“…Resistance will be provided by using body weight or resistance bands to modify the difficulty of an exercise. The exercise dose used in this study is based on both the American College of Sports Medicine's minimum recommendations for maintaining health [40] and previous studies using a similar intensity and frequency in non-specific chronic LBP and knee OA populations [17,37,39,41,42]. Modified exercises and dose will be provided for participants that have difficulties reaching this dosage initially or if, for example, muscular endurance is more appropriate.…”

Section: The Home Exercise Programmentioning

confidence: 99%

EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol

Castrillon

Simić

Ferreira

et al. 2021

BMC Musculoskelet Disord

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Background Low back pain (LBP) and knee osteoarthritis (OA) are major contributors to disability worldwide. These conditions result in a significant burden at both individual and societal levels. Engagement in regular physical activity and exercise programs are known to improve physical function in both chronic LBP and knee OA populations. For people residing in rural areas, musculoskeletal conditions are often more frequent and disabling compared to urban populations, which could be the result of reduced access to appropriate health services and resources in rural settings. EHealth is an innovative solution to help provide equitable access to treatment for people with musculoskeletal pain living in rural settings. Methods/design We will conduct a randomised clinical trial investigating the effects of an eHealth intervention compared to usual care, for people with chronic non-specific LBP or knee OA in rural Australia. We will recruit 156 participants with non-specific chronic LBP or knee OA. Following the completion of baseline questionnaires, participants will be randomly allocated to either the eHealth intervention group, involving a tailored physical activity and progressive resistance exercise program remotely delivered by a physiotherapist (n = 78), or usual care (n = 78) involving referral to a range of care practices in the community. Outcomes will be measured at baseline, 3 and 6 months post-randomisation. The primary outcome will be physical function assessed by the Patient-Specific Functional Scale (PSFS). Secondary outcomes include pain intensity, physical activity levels, activity limitations, quality of life, pain coping. We will also collect process evaluation data such as recruitment rate, attendance and adherence, follow-up rate, participants’ opinions and any barriers encountered throughout the trial. Discussion The findings from this trial will establish the effectiveness of eHealth-delivered interventions that are known to be beneficial for people with LBP and knee OA when delivered in person. As a result, this trial will help to inform health care policy and clinical practice in Australia and beyond for those living in non-urban areas. Trial registration This study was prospectively registered on the Australian New Zealand Clinical Trials Registry (ACTRN12618001494224) registered 09.05.2018.

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Effect of trunk muscles training using a star excursion balance test grid on strength, endurance and disability in persons with chronic low back pain

Cited by 25 publications

References 37 publications

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

A subgroup analysis to compare patients with acute low back pain classified as per treatment‐based classification

EHealth to empower patients with musculoskeletal pain in rural Australia (EMPoweR) a randomised clinical trial: study protocol

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