International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

Effect of Trunk Muscles Stabilization Exercises and General Exercises on Pain in Recurrent Non Specific Low Back Ache

    , ,

Author Affiliations

  • 1Singhania University, Pacheri Bari, Rajasthan, INDIA
  • 2 Kapoor Medical Center, Narayana, New Delhi-110028, INDIA
  • 3 PDM Group of Institutions, Bahadurgarh, Haryana, INDIA

Int. Res. J. Medical Sci., Volume 1, Issue (6), Pages 23-26, July,28 (2013)

Abstract

To study the effect of trunk muscles stabilization exercises and general exercises on pain on recurrent non specific low back ache. A total number of 80 patients with recurrent non specific low back pain are allocated randomly into 1 of 2 groups; control group received general exercise only (n=40) and experimental group received specific stabilization (n=40). Both groups received 6 weeks exercise intervention with 30-40 min per session, thrice per week and written advice. A VAS scale was used to measure pain. Outcomes were measured before and after intervention. Outcome measures for both groups showed significance in reducing disability The calculated t-values for the VAS showed a significant variation at p=0.00. It showed that there is fulfilled improvement in post test VAS values when compared to pre-test VAS values in both the groups. The mean improvement in the group II that received core strengthening is higher when compared to the group I that received conventional exercise program. The calculated p value showed a significance of difference in improvement at p=0.015, which indicates that experimental group has higher gains in improvement in VAS than the Control group. This shows that mean improvement in the group II that received core strengthening is higher when compared to the group I that received conventional exercise program. This study concludes that specific stabilization exercise is beneficial in reducing pain and improved function in chronic non specific low back pain.

References

  1. Mannion A.F. et al, A randomized clinical trial of three active therapies for chronic low back pains, Spine, 24(23), 2435-48 (1999)
  2. Luciana G. Macedo, Christopher G. Maher, Jane Latimer and James H. McAuley, Motor Control Exercise for Persistent, Nonspecific Low Back pain: A Systematic Review, Physical Therapy, 89, 9-25 (2009)
  3. Franca F.R., Burke T.N., Hanada E.S. and Marques AP: Segmental Stabilization and muscular Strengthening in chronic low back pain – a comparative study, Clinics, 65(10), 1013-1017 (2010)
  4. Stuart M. McGill, Low Back Exercises, Evidence for Improving Exercise Regimens, Physical Therapy, 78, 754-764 (1998)
  5. Hansen F.R. and Bendix T., et al: Intensive, dynamic backmuscle exercises, conventional physiotherapy, or placebocontrol treatment of low-back pain, A randomized, observer-blind trial, Spine, 18, 98-108 (1993)
  6. Rich S.V. and Norvell N.K., et al: Lumbar strengthening in chronic low back pain patients, Physiologic and psychological benefits, Spine, 18(2), 232-8 (1993)
  7. O’Sullivan P.B., Phyty G.D., Twomey L.T. and Allison G.T., Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis, Spine 22(24), 2959-67 (1997)
  8. Hides J.A., Richardson C.A. and Jull G.A., Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain, Spine, 21(23), 2763-9 (1996)
  9. Danneels L.A., Cambier D.C., Vanderstraeten G.C., Witvrouw E.E. and Bourgois J., Effect of three different training modalities on the cross-sectional area of the lumbar multifidus muscle in patients with chronic low back pain, Br J Sport, 35, 186-191 (2001)
  10. George A. Kounmanatakis, Paul J. Watson., Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain, Apta Physical Therapy, 85, 209-225 (2005)
  11. O’Sullivan P.B., Lumbar segmental instability, clinical presentation and specific stabilizing exercise management manual therapy, 5(2),112 (2000)
  12. Segmental stabilization and muscular strengthening in chronic low back pain a comparative study 65(10), 1013– 1017 (2010)
  13. Lindstrom I., Ohlud C. et al, Mobility, strength and fitness after a graded activity program for patients with subacute low back pain, A randomized prospective clinical study with a behavioural therapy approach, spine , 17(6), 641-52 (1976)
  14. Rodacki CLN et al; Spinal unloading after abdominal exercise, Cli Biomech, 23, 8-14 (2008)
  15. Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and , 319(7205), 279– 283 (1999)
  16. Moffett J.K. and Togerson et al, Randomised controlled trial of exercise for low back pain, clinical outcomes, costs, and preferences, BMJ, 7205, 279-83 (1999)
  17. Panjabi M.M., The stabilizing system of the spine.Part l.Function, Dysfunction, adaptation, and enhancement, J Spinal Disord, 5(4), 385-9 (1992)