Abstract
The purpose of this study was to evaluate the long-term and repeated bout effects of static stretching program in older active adults, and to clarify the effects of flexibility on muscle strength of knee and trunk.
Highlights
Low back pain (LBP) is one of the leading causes of incapacity [1,2,3] and the high cost of treatment renders preventative strategies paramount [4] .Chronic LBP is known to occur in the setting of reduced vertebral column stability, due to a loss of mechanisms of passive control, active control and of motor control [5,6]
The system of local stabilization involves deep intrinsic muscles which are directly attached to the lumbar vertebrae, and the global system comprises the great superficial muscles originating in the pelvis which insert in the thoracic cavity[4,5,6], with both systems necessary for stability and control of movements[7]
On Friedmans test, in which the details of the first evaluation were analyzed in relation to the third evaluation across the three groups, a significant improvement was found on the Visual Analog Scale (VAS) scale for the stabilization programs (ST) group (p=0.006) (Graph 1)
Summary
Low back pain (LBP) is one of the leading causes of incapacity [1,2,3] and the high cost of treatment renders preventative strategies paramount [4] .Chronic LBP is known to occur in the setting of reduced vertebral column stability, due to a loss of mechanisms of passive control (vertebras, discs and ligaments), active control (muscles and tendons) and of motor control [5,6]. Evidence suggests that the structure and function of the truncal deep muscles are altered in individuals with LBP[1,812,35]. This has led to increased focus on exercises which aim to maintain this stability, improving neuromuscular control and attenuating recurrent LBP[4,7,13,14,15,16]. Exercise stabilization programs (ST) aim to improve strength, resistance, and motor control of the abdominal and lumbar muscles, with emphasis on the transverse abdominis (TA) and multifidus (MT) (deep trunk muscles) [6,18]. Paravertebral and abdominal muscles such as the pelvic musculature and the diaphragm are important targets for exercise [6]
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