https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.191

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 4 (August 2017)

Page No.: 2282-2288

DOI: https://dx.doi.org/10.16965/ijpr.2017.191

A COMPARATIVE STUDY TO FIND THE EFFECT OF STABILIZATION AND EXTENSION EXERCISES ON PATIENTS WITH SUB ACUTE NON-SPECIFIC LOW BACK PAIN

Hannah Rajsekhar *1, P Suma Latha 2, P. D. Bharani Kumar 3.

*1 Principal, Apollo College of Physiotherapy, AHERF, Hyderabad, Telangana, India.

2 Vice-Principal, Apollo college of physiotherapy, AHERF , Hyderabad, Telangana, India.

3 Assistant Professor, Kugler memorial physiotherapy degree college, Guntur, Andhara Pradesh, India.

Address for Correspondence: Dr. Hannah Rajsekhar,  Principal, Apollo College of Physiotherapy, AHERF, Hyderabad, Telangana, India. E-Mail: editor_physiotherapy@hotmail.com

ABSTRACT

Aim: The purpose of the study is to find out the effectiveness of lumbar stabilization exercises and extension exercises in patients with sub acute non-specific low back pain.

Materials and Methods: 30 patients with non specific sub acute low back pain and no clinical signs suggesting spinal instability were recruited (Stabilization training: n=15;    Mc Kenzies back extension: n=15). Both groups received 6 weeks of exercises intervention. Outcome measure were pain (Visual analog scale), range of motion (inch tape), disability (Modified Oswestry disability questionnaire) which were measured before and after intervention.

Results: Both groups showed improvement post intervention.  Statistically significant difference was observed between the 2 groups for relief of pain (mean difference=0.64, p=0.003), increase in range of motion (mean difference= 0.32,p=0.005) and reduction in disability scores (mean difference=3.40, p=0.003) favoring the trunk stabilization exercises.

Conclusion: The lumbar stabilization exercises programme has shown a significant improvement in outcome measures and reduced the disability to a greater extent with that of back extension exercise approach among subjects with  sub acute non specific low back pain.

Key words: Lumbar Stabilization, Mckenzie , Oswestry Disability Questionnaire, Non Specific Low Back Pain, Sub Acute.

REFERENCES

  1. BW koes, MV van Tulder, S Thomas. Diagnosis and treatment of low back pain. BMJ 2006;332: 1430-1434 (17th June).
  2. Brennan, Julie et al. Identify subgroup of patients with acute /sub acute “Non-specific” low back pain. Results of a randomized clinical Trial. Spine: 2006;31(6):623-631.
  3. Eli M H, Bergen. Light mobilization treatment of subacute non specific lowback pain.2006.
  4. Christopher J. Standaest MD. et al. Core Stabilization training for low back pain: Does it work? Evidence – Informed management of chronic low back pain with stabilization exercises. The Spine Journal. Feb 2008;8(1):114- 120.
  5. Lumbar stabilization: An evidence based approach for the athlete with low back pain. National Strength and Conditioning Association. 29(2):26 -37.
  6. Marshall Hagins, Keri Adler, Micheal Cash. Effects of practice on the ability to perform lumbar stabilization exercises: journal of Orthopedic and Sports Physical Therapy 1999;29(9): 546-549.
  7. Carolyn Richardson, Gwendolen Jull, Toppenberg. Techniques for active lumbar stabilization for spinal protection: a pilot study. Australian Physiotherapy Journal 1992;38(2).
  8. M Shaughnessy and B. Caulfield. A pilot study to investigate the effect of lumbar stabilization exercise training on functional ability and quality of life in patients with chronic low back pain: 2004 Lippincott Williams and Wilkins.
  9. Hodges, P.W., and C.A. Richardson. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. Spinal. Disord. 1998;11:46–56.
  10. Luciano A.C.M, Chris G.M, etal. Mckenze method for the management of acute non specific low back pain BMC musculo skeletal disorder 2005;6.
  11. Carpenter, David M et al. Low back strengthening for prevention and treatment of lowback pain. Medicine and science in sports and exercise 1999;31(1):18-24.
  12. Danneels, L.A., G.G. Vanderstraeten,D.C. Cambier, E.E Witvouw, J. Borgois, W. Dankaerts, and H.J. DeCuyper. Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br. J. Sports Med. 2001;35:186-191.
  13. Dandson M, Keating JL. A comparison of 5 low back disability Questionnaires: reliability and responsiveness. Physical therapy, 2002;82(5): 512-5.
  14. Mattewo, Rerfus A, et al. Reliability of rating low back pain with a Visual Analogue Scale and a Semantic Differential Scale. Physiotherapy and Practice. 2004;20(2):135-142.
  15. Williams, J Binkley. Reliability of the modified – modified Schober and double in clinometer methods for measuring lumbar flexion and extension. Physical therapy 1993;73(1):33-44.
  16. Mellin G. Accuracy of measuring Flexion of the spine with a tape. Clinic Biomech 1986;1:85-89.
  17. Joint structure and function: Cynthia Norkins 5th edition
  18. Hides, J.A., C.A. Richardson, and G.A. Jull. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21:2763–2769.
  19. Advanced Fitness Assessment and Exercise Prescription; 4th Edition: Vivian H. Heyward, PhD; University of New Mexico.
  20. Grieves Modern Manual Therapy; 2nd Edition; The Vertebral Column: Jeffrey D. Boyling, Nigel Palastango.
  21. James A, Carl Desora. Mechanical Low Back Pain: Perspectives in Functional Anatomy: 2nd
  22. Katch and Katch. Exercise Physiology Energy, Nutrition and Human Performance: 4th
  23. Mechanical Low Back Pain: Macnab’s 4th
  24. Treat your own back: Mc Kinezie 4th edition 1988 pg no:40-41
  25. Cholewicki, Jacek PHD, Panjabi, and Manohar et al. Stabilizing function of trunk, flexor: extensor muscles around the neutral spine posture. Spine 1997;22(19): 2207-2212.
  26. Rachelle Buchbinder, Jan Howing. Specific spinal exercises, substantially reduces the risk of low back pain recurrences. Australian Journal of Physiotherapy 2002;48.
  27. Werners, Roland et al. Randomized Trial company IFT with motorized Lumbar trunk and massage in management of low back pain in primary care setting. Spine 1999;24(15): 1579.

Cite this article: Hannah Rajsekhar, P Suma Latha, P. D. Bharani Kumar. A COMPARATIVE STUDY TO FIND THE EFFECT OF STABILIZATION AND EXTENSION EXERCISES ON PATIENTS WITH SUB ACUTE NON-SPECIFIC LOW BACK PAIN. Int J Physiother Res 2017;5(4):2282-2288. DOI: 10.16965/ijpr.2017.191
Post Views: 0