The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain

Handa, Norihiko; Yamamoto, Hiroshi; Tani, Tohru; Kawakami, Toru; Takemasa, Ryuichi

doi:10.1007/s007760050153

Cited by 64 publications

(47 citation statements)

References 19 publications

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“…This agrees with the study of Kankaanpaa et al who illustrated that the effect of exercise seems sufficiently large and durable to be a clinically important at 12-month follow-up as the subjects who undertook the exercise program had an improvement in their pain and disability [22]. Reduction in pain supported by previous studies [23][24] that investigate the effect of trunk exercises on pain reduction in patients with CLBPD.…”

Section: Discussionsupporting

confidence: 90%

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

Ibraheem¹

2017

IJPR

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Background: Chronic low back dysfunction (CLBD) is the most common problem of the working-age population in modern industrial society. It is not a life-threatening illness but it has a long-term impact on medical care expenditures for injured workers.Purpose: To compare the effect of conventional therapy and positional release technique on pain, lumbar range of motion and functional disability in patients with chronic low back dysfunction. Materials and Methods:Sixty patients from both sexes were diagnosed with CLBP, aged 30 to 60 years and were divided randomly into two equal groups with thirty patients in each group; group A received conventional therapy that include (infrared, ultrasound, stretch and strength exercises for back and abdominal muscles) and group B received positional release technique. The treatment sessions were applied 3 days per week for 6 weeks. The pain was measured by Visual Analogue Scale, the lumbar range of motion was measured by Inclinometer and Functional disability was measured by Oswestry disability scale. Measurements were taken at two intervals pretreatment and post treatment. Results:The result of the current study revealed that there was a statistically significant reduction (p <0.05) in pain level and functional disability and significant increase (p <0.05) in lumbar flexion in favor to group A than group B.Conclusion: Positional release technique and conventional therapy may be an effective treatment for individuals with chronic low back dysfunction although the result of this study revealed that conventional therapy has a significant improvement in pain severity, functional disability and lumbar flexion range of motion than positional release technique.

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Section: Discussionsupporting

confidence: 90%

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

Ibraheem¹

2017

IJPR

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“…Nine studies performed regression analyses to determine the relationship between changes in pain and changes in extension strength, of which four gave the actual correlation coefficient data [16,18,51,59] and five did not [52-54, 56, 60]. Seven studies reported that there was no correlation between these attributes but five of these had provided no actual correlation coefficients.…”

Section: Correlation Between Changes In Pain and Changes In Extensionmentioning

confidence: 99%

“…Seven studies reported that there was no correlation between these attributes but five of these had provided no actual correlation coefficients. Among the four studies that reported the actual coefficients, two found no significant correlation [16,51] (r = -0.4 and r = 0.2) and two [18,59] reported a significant correlation (r = 0.56 and r = 0.55). The meta-analysis resulted in a total correlation of 0.262.…”

Section: Correlation Between Changes In Pain and Changes In Extensionmentioning

confidence: 99%

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Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

et al. 2011

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Introduction The effect size for exercise therapy in the treatment of chronic non-specific low back pain (cLBP) is only modest. This review aims to analyse the specificity of the effect by examining the relationship between the changes in clinical outcome (pain, disability) and the changes in the targeted aspects of physical function (muscle strength, mobility, muscular endurance) after exercise therapy. Methods We searched for exercise therapy trials for cLBP published up to 15 April 2010 in Medline, Embase, Cochrane Library, Cinahl, and PEDro. Two independent reviewers selected studies according to the inclusion criteria. Data extraction: one author extracted the data of the articles. Results Data synthesis: 16 studies with a total of 1,476 participants met the inclusion criteria. There was little evidence supporting a relationship between the changes in pain or physical function and the changes in performance for the following measures: mobility (no correlation in 9 studies, weak correlation in 1 study), trunk extension strength (7 and 2, respectively), trunk flexion strength (4 and 1, respectively) and back muscle endurance (7 and 0, respectively). Changes in disability showed no correlation with changes in mobility in three studies and a weak correlation in two; for strength, the numbers were four (no correlation) and two (weak correlation), respectively. ConclusionsThe findings do not support the notion that the treatment effects of exercise therapy in cLBP are directly attributable to changes in the musculoskeletal system. Future research aimed at increasing the effectiveness of exercise therapy in cLBP should explore the coincidental factors influencing symptom improvement.

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“…In order to allow stroke patients to maintain adequate mobility according to changing environments appropriate muscle power and endurance of the spinal muscles is very important 12) . This is because the abdominal muscles and the spinal muscles are closely related to spinal stability and their function is essential in spinal movements and posture control 13) .…”

Section: Introductionmentioning

confidence: 99%

Post-Stroke Rehabilitation Intervention: Effect of Spinal Stabilization with Visual Feedback on the Mobility of Stroke Survivors

Chae

Lee

2011

J Phys Ther Sci

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Abstract. [Purpose] This study aimed to find the effect of spinal stabilization with visual feedback on the mobility of stroke survivors. [Subjects and Methods] Twenty-one chronic stroke patients over 6 months since the onset of stroke were the subjects of this study. The experimental group performed a spinal stabilization exercise program for 30 minutes per day, 5 times per week, for a total of 8 weeks. The control group received conventional physiotherapy. The temporal and spatial gait parameters were measured using GAIT Rite (CIR System Inc, USA) instruments. [Results] There were significant differences between before and after the intervention in all spatiotemporal gait parameters of the experimental group, except the step length asymmetry ratio and the single support time asymmetry ratio. However, no statistically significant differences were found between the two groups when the pre-and post-intervention differences of the experimental group and the control group were compared. [Conclusion] This results of this study show that spinal stabilization with visual feedback is an effective intervention method for improving the mobility of chronic stroke patients.

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The effect of trunk muscle exercises in patients over 40 years of age with chronic low back pain

Cited by 64 publications

References 19 publications

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

Conventional Therapy Versus Positional Release Technique in the Treatment of Chronic Low Back Dysfunction

Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

Post-Stroke Rehabilitation Intervention: Effect of Spinal Stabilization with Visual Feedback on the Mobility of Stroke Survivors

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