Lumbar Flexion Range Of Motion Research Articles

Effects of Clinic-based and Telerehabilitation-based Motor Control Exercises in Individuals with Chronic Low-back Pain: A Randomized Controlled Trial With 3-Month Follow-up.

To evaluate the effectiveness of clinic-based and telerehabilitation-based motor control exercises in individuals with chronic low-back pain 3 months posttreatment. Forty-two participants were randomized to either clinic-based or telerehabilitation-based groups, performing exercises 3 times weekly for 8 weeks. Assessments were conducted pre-intervention, postintervention and 1 and 3 month follow-ups. The primary outcome was pain intensity (Visual Analog Scale) for low-back pain. Both exercise approaches were found to be similarly effective in improving pain disability, quality of life (except for emotional response, energy level, sleep, and social isolation), and pain catastrophizing at both follow-up time points. The Visual Analog Scale showed statistically significant reductions in pain from baseline at all time points in both groups ( P <0.001), with effect sizes ranging from moderate to strong. Nottingham Health Profile showed significant improvements in physical activity, pain, and total score, with effect sizes ranging from moderate to strong. No statistically significant changes in spatiotemporal gait parameters were observed in either group. According to the postintervention intention-to-treat analysis, lumbar flexion range of motion showed statistically significant improvements in both groups with small effect sizes ( P <0.05). Telerehabilitation-based motor control exercises proved as effective as clinic-based methods in treating chronic low-back pain, offering a viable alternative tailored to individual needs and circumstances.

The effects of spinal flexion exposure on lumbar muscle shear modulus and posture.

Spinal flexion exposure (SFE) leads to alterations in neuromuscular and mechanical properties of the trunk. While several studies reported changes in intrinsic trunk stiffness following SFE, there is a lack of studies evaluating the effects on lumbar muscle shear modulus (SM). Therefore, the aim of our study was to investigate the effects of SFE on lumbar muscle SM and posture. Sixteen young volunteers were included in this clinical study. Passive lumbar muscle SM, lumbar lordosis, lumbar flexion range of motion and sitting height were measured prior to and following a 60-min SFE protocol. For SM, our results did not show a significant muscle × time interaction effect (p = 0.40). However, we found increased SM (from 6.75 to 15.43%-all p < 0.02) and maximal lumbar flexion (15.91 ± 10.88%; p < 0.01), whereas lumbar lordosis ( - 7.67 ± 13.97%; p = 0.03) and sitting height ( - 0.57 ± 0.32%; p < 0.01) decreased following SFE. Our results showed no significant correlations between the changes in the included outcome measures (p = 0.10-0.83). We hypothesized that increased lumbar muscle SM following SFE might be a compensation for decreased passive stability due to viscoelastic deformations of connective tissues, which are indicated by increased maximal lumbar flexion and decreased sitting height. However, there were no significant correlations between the changes of the included outcome measures, which implies that increased muscle SM and reduced lumbar lordosis are more likely an independent consequence of SFE.

The effects of Core Stability Exercises and Mulligan's mobilization with movement techniques on sacroiliac joint dysfunction.

Sacroiliac joint dysfunction (SIJD), while being the primary contributor to low back pain, is still disregarded and treated as low back pain. Mulligan's Mobilization with Movement (MWM) Techniques and Core Stability Exercises (CSE) are often used to treat low back pain. There is not much evidence that it is effective in SIJD. To evaluate the effectiveness of CSE coupled with MWM (CSE + MWM) in the treatment of SIJD. 39 patients with SIJD were recruited and randomly divided into distinct groups as follows: control group (n = 13), CSE group (n = 13) and CSE + MWM group (n = 13). The Numerical Pain Rating Scale (NPRS), the Roland Morris Disability Questionnaire (RMDQ), the Range of Motion (ROM), the Pressure Pain Threshold (PPT) and the pelvic tilt angle asymmetry ratio in the sagittal plane (PTAR) were used to gauge the intervention's success both before (M0) and after (M1) it. All experimental data were statistically analyzed. The SIJ-related pain metric significantly decreased in both the CSE + MWM group and the CSE group between M0 and M1, as determined by the NPRS and RMDQ. Between M0 and M1, The CSE group's left axial rotation ROM and lumbar flexion ROM were significantly decreased. The CSE + MWM group's extension ROM and left lateral flexion ROM both significantly increased between M0 and M1. In the difference variable (M1-M0), the CSE + MWM group substantially outperformed control group in the left lateral flexion ROM and outperformed the CSE group in the left axial rotation ROM. In individuals with SIJD, CSE + MWM is beneficial in lowering pain, disability, and function. Treatment with CSE and MWM approaches for SIJ appears to boost this efficacy.

Comparison of an immediate effect of active myokinetic chain release and cryostretching on flexibility and lumbar flexion range in football player with hamstring tightness

Background: Muscles that have been in a shortened state for an extended duration tend to become tight. Muscle soreness, a myogenic condition, arises from profound releases. The hamstrings are dual-joint muscles that function in conjunction with the hip and knee joints. Maintaining the proper flexibility of hamstring muscles is crucial for facilitating smooth movements at the hip and knee joints. Tight hamstrings can contribute to various issues such as knee pain syndrome, abnormal pelvic tilting when sitting, disc protrusion or bulge, sciatic pain, and Spondylolisthesis. This study is design to find out the comparison of an immediate effect of active myokinetic chain release and Cryostretching on flexibility and lumbar flexion range in football player with hamstring tightness. Method: 20 individual having muscle imbalance have been tested by finger to floor distance test. Between the age of 18 – 30 years both male and female are included in the study. lumbar flexion range can be measure using Modified Schober test. The leg that showed more tightness considered as treatment leg in both groups were randomly divided into two group. Group A receive active myokinetic chain release and Group B receive Cryostretching. Outcome measure are Lumbar flexion range of motion and finger to floor distance. Result: A statistically significant (p&lt;0.05) effect was indicated by a within-group examination of all the outcome measures following the intervention. A statistically significant (p&lt;0.05) effect was indicated by a between-group examination of all the outcome measures following the intervention. Conclusion: The Study Show that Both groups are effective in improving Hamstring flexibility. While Comparing Both Group Active myokinetic chain release technique is showed greater Improving in flexibility of hamstring muscle in football Players.

Effects of 6 weeks of ankle stability exercises on pain, functional abilities, and flexibility in patients with chronic non-specific low back pain: a randomized controlled trial

BackgroundDue to delayed activation of the deep trunk muscles, patients with chronic non-specific low back pain use different adjustment strategies to maintain postural control. Patients with chronic non-specific low back pain maintain a quite standing posture during pain episode and challenging activities by using signals from other joints, mainly the ankle joint. Since proprioceptive signals from the ankle joint reduce postural control variability in patients with chronic non-specific low back pain, this study explored whether ankle stability exercises added to traditional physical therapy exercises would improve the intensity of pain, functional disabilities and lumbar flexion range of motion in patients with chronic non-specific low back pain.MethodsSixty patients with chronic non-specific low back pain participated in the current study. Patients were randomly assigned into two groups: group A and group B. Patients in group A received traditional physical therapy exercises for low back pain. Patients in group B received the same traditional physical therapy exercises as patients in group A, plus ankle stability exercises. The intensity of pain, functional disability, and lumbar flexion range of motion were assessed twice before and after a 6-week period during which each group received their interventions.ResultsMixed design MANOVA revealed a significant decrease in visual analog scale and Oswestry Disability Index in group B compared to group A post treatment (p < 0.05). Moreover, there was a significant increase in the lumbar flexion range of motion in group B compared with group A post treatment (p < 0.05).ConclusionThe findings of this study revealed that adding ankle stability exercises to the traditional physical therapy exercises significantly improved pain, Oswestry Disability Index, and lumbar flexion range of motion in patients with chronic non-specific low back pain. Thus, ankle strengthening and proprioceptive exercises may be beneficial in the management of chronic non-specific low back pain.

Immediate effect of sciatic nerve sliders on hamstring length and lumbar flexion range of motion in sedentary desk job workers: An interventional study

BACKGROUND: In sedentary desk job workers, who assume the sitting position for a long time, there is a chance of the neural tissue tightness which could lead to reduced range of motion at the various joints of the body, to develop over a period of time. AIMS AND OBJECTIVE: The study aimed to compare the change in hamstring muscle length and lumbar flexion range, after the sciatic nerve slider intervention. METHODS: It is an interventional study including 156 participants who were working as sedentary desk job workers in the age group of 20 to 50 years with mild to moderate hamstring tightness. After taking the written informed consent of the participants, their demographics were noted, following which the hamstring muscle length was assessed by popliteal angle method using a goniometer and the lumbar flexion range was assessed by modified Schobers. RESULTS: There was a statistically significant difference in hamstring length (P = 0.000) and lumbar flexion range (P = 0.000) post the sciatic nerve slider intervention among the participants. CONCLUSION: The two ended proximal and distal sciatic nerve sliders had a significant impact on increasing the hamstring length and lumbar flexion range on sedentary desk job worker.

EFFECTIVENESS OF SLIDER AND TENSIONER NEURODYNAMIC MOBILIZATION TECHNIQUES COMPARED TO STRETCHING EXERCISES ON PAIN, FUNCTION, AND RANGE OF MOTION IN PATIENT WITH CHRONIC DISCOGENIC SCIATICA

Objective: To compare the effectiveness of the slider, tensioner neurodynamic mobilization techniques and stretching exercises on pain, range of motion (ROM), and functional disability in patients with chronic discogenic sciatica. Design: A pre-test post-test multi arm parallel RCT. Setting: Outpatient clinics, faculty of physical therapy, Kafrelsheikh University. Participants: Thirty-six patients with unilateral chronic discogenic sciatica were randomly allocated into three equal groups: Group (A) slider neurodynamic mobilization, Group (B) tensioner neurodynamic mobilization, and Group (C) stretching exercises of back extensors, hamstrings, and gastrocnemius muscles. Treatment was given three sessions per week for two weeks. Outcome measures: All patients were examined by visual analogue scale (VAS) for pain intensity, Modified-Modified Schober test (MMST) for lumbar flexion ROM, goniometer for hip flexion and knee extension ROM, and Oswestry Disability Index (ODI) for functional assessment. Results: There were no statistically significant differences between groups at baseline ([Formula: see text] 0.05). There were statistically significant differences in the slider and tensioner groups compared to the stretching group for all variables. Furthermore, statistically significant differences were found in the slider technique as compared to the tensioner technique regarding ROM of lumbar flexion ([Formula: see text] = 0.03), hip flexion ([Formula: see text] = 0.004), and knee extension ([Formula: see text] = 0.005). Conclusion: Slider and tensioner neurodynamic mobilization techniques are more effective than stretching exercises in terms of reducing pain, increasing ROM, and improving function. Slider technique is more effective in ROM improvement.

The effectiveness of Kinesio taping and conventional physical therapy in the management of chronic low back pain: a randomized clinical trial.

The objective of the study was to find out the effectiveness of Kinesio taping (KT) and conventional physical therapy (CPT) such as transcutaneous electrical nerve stimulation and supervised exercise therapy and CPT alone in chronic low back pain (CLBP) patients. This randomized clinical trial conducted between June 2019 and December 2020, who were randomly assigned to two groups: the experimental group (KT with CPT) and the control group (CPT only). The following outcomes were measured at baseline and at the second and sixth weeks: pain using the Numerical Pain Rating Scale, lumbar flexion range of motion (ROM) by the modified Schober's method, and functional disability using the Oswestry Disability Index. Treatment effects were investigated using separate 2 × 3 mixed-model analyses of variance (ANOVAs). A total of 60 male adults with CLBP were included in this study. The experimental group showed a greater decrease in pain than the control group after 2week of intervention (mean between-group difference 1.97 (95%CI 1.64-2.29). This was maintained during a 6-week follow-up of 2.71 (95%CI 2.54-2.87). At 2weeks, the experimental group had a significantly greater improvement in disability, by 13.45 (95%CI 11.98-14.91). This effect was significant at the 6-week follow-up of 14.10 (95%CI 13.11-15.08). Similarly, lumbar flexion ROM was significantly better at the 2-week - 2.7 (95%CI -3.15- - 2.42) and 6-week follow-ups -3.9 (95%CI - 4.42- - 3.49). The study concluded that Kinesio taping with conventional physical therapy reduces pain and disability and improves lumbar flexion range of motion after 2 and 6weeks of application. ClinicalTrials.gov Identifier: NCT05173948. Key Points • This is the first clinical study found the short-term clinical effectiveness of Kinesio taping and conventional physical therapy in the management of chronic low back pain. • This study found a new clinical evidence that Kinesio taping and conventional physical therapy provides better short-term outcomes in chronic low back pain. • These reports helpful for the clinicians and physical therapists to prevent and treat the symptoms and consequences of chronic low back pain in an effective manner.

Efficacy of a multidimensional versus usual care physiotherapy on pain and electroencephalography (EEG) spectrum in chronic nonspecific low back pain: study protocol for a randomized controlled trial

BackgroundNon-specific chronic low back pain (NSCLBP) is a major public health and global socioeconomic burden associated with a complex interplay of biopsychosocial factors. Despite scientific signs of progress, treatment of NSCLBP often tends to stick to a biomechanical model, without targeting psychological and social factors. To enhance the clinical efficacy of usual physiotherapy for NSCLBP, the development of clinical strategies is to be pursued. This study aims to assess the effectiveness of multidimensional physiotherapy based on a biopsychosocial approach compared to usual care physiotherapy, on clinical findings and electroencephalography spectrum in non-specific chronic low back pain.MethodsThis study is a triple-blind, two-arm (1:1) randomized controlled trial with a 4 months follow-up. Seventy NSCLBP patients will be randomly allocated to either the experimental (multidimensional physiotherapy) or the active control group (usual physiotherapy); each group will receive 6 weeks of physiotherapy. The main outcome is pain and secondary outcomes are brain function, quality of life, disability, lumbar flexion range of motion, and psychosocial correlates. Assessment will be performed at baseline, post-treatment, and at 1 and 4 months follow-up.DiscussionFindings may provide evidence on the effectiveness of multidimensional physiotherapy on clinical findings and brain characteristics and might provide evidence towards showing the role of brain and biopsychosocial factors on chronic pain.Trial registrationClinicalTrials.gov NCT04270422, Registered on 17 February 2020, IRCT Identifier: IRCT20140810018754N11

1365Does pain self-efficacy influence initial bending following exercise in adults with chronic low back pain?

Abstract Background Differences in pain self-efficacy between individuals with chronic low back pain (CLBP) may partly explain why response to exercise varies. The aim of this study was to determine if pain self-efficacy influences initial forward bending following an exercise intervention in adults with CLBP. Methods A total of 69 adults (18-65 years old) with moderate-severe CLBP-related disability who presented to a primary care physiotherapy clinic in Melbourne, Australia underwent baseline assessment of pain self-efficacy, pain intensity and kinesiophobia, prior to participation in one of two 12-week exercise interventions. Two outcome measures (lumbar and hip flexion range of motion (ROM) over the first quarter of forward bending from stance), were assessed at baseline, 6 and 12-weeks. Multiple linear mixed-effects modelling was performed for each outcome measure. Results For every 10-point increase in baseline pain self-efficacy, lumbar flexion ROM during initial bending decreased by an estimated mean 0.51 (95% CI: -1.41, 0.39) and 0.94 (95% CI: -1.75, -0.13) degrees at 6 and 12-weeks, respectively. Similarly, hip flexion ROM during initial bending decreased by an estimated mean 1.64 (95% CI: -3.70, 0.41) and 1.43 (95% CI: -3.34, 0.48) degrees at 6 and 12-weeks, respectively, per 10-point increase in baseline pain self-efficacy. Conclusions Pain self-efficacy did not influence initial forward bending following a 12-week exercise intervention. As the exercises were not targeted to improve bending, further research is required to verify these findings. Key message Pain self-efficacy may not explain variations in initial forward bending following an exercise intervention in adults with CLBP.

A Prospective Comparative Study of Pulsed High-Intensity Laser Therapy and Pulsed Electromagnetic Field on Chronic Nonspecific Low Back Pain.

Objective: This study explored the different effects of pulsed high-intensity laser therapy (HILT) versus pulsed electromagnetic field (EMF) in the treatment of chronic nonspecific low back pain (ChNsLBP). Methods: Between August and December 2019, 51 ChNsLBP participants with a mean age of 35.2 ± 8.6 years were enrolled in this prospective comparative study. At random, they were divided into three groups, 17 in each; HILT, EMF, and controls. HILT group was recruited for Nd:YAG laser using the following parameters: a wavelength of 1064 nm, fluency of 610-810 mJ, frequency of 10-40 Hz, average power of 10.5 W, and 120 μs short pulse duration in scanning mode. All groups received the treatment twice a week for 8 consecutive weeks. They were assessed for the modified Oswestry disability index (MODI), pain disability index (PDI), visual analog scale (VAS), and lumbar flexion range of motion (flex ROM) before and after 8 weeks of study program. Results: The results showed greater improvement in the HILT group (VAS, PDI, MODI, and lumbar flex ROM, p = 0.001) than the EMF group (VAS, p = 0.002, PDI, p = 0.045, MODI, p = 0.002, and lumbar flex ROM, p = 0.042), with significant difference between the two groups in favor of the HILT group (p ˂ 0.05). Conclusions: Depending on the results of the study, both HILT and EMF are useful physiotherapy modalities in the treatment of ChNsLBP with HILT exhibiting better outcomes than EMF. Clinical recommendations should be highlighted to instigate the use of HILT in the management of musculoskeletal disorders, distinctively ChNsLBP.

Impact of strain-counterstrain on treatment of acute nonspecific low back pain: a single-blind randomized controlled trial

PurposeThe study was to assess the effectiveness of strain-counterstrain (SCS) techniques, after treatment and after a 6-week follow-up, on pain, range of motion (ROM), and disability in patients with acute nonspecific low back pain with mobility deficits.MethodsSCS techniques (group A) and 42 (group B, control group) were advised to be active. The pressure pain threshold (PPT), lumbar flexion ROM, and Oswestry Disability Index (ODI) were used for assessment. All patients were assessed before treatment, after treatment, and after a 6-week follow-up. The treatment program was applied for 2 weeks, 2 sessions per week.ResultsStatistical analysis revealed that there were significant increases in PPT on both sides of L5 and lumbar flexion ROM. In addition, a significant reduction in ODI scores was observed (&lt;i&gt;p&lt;/i&gt; &lt; 0.05) in the pre- vs. post-treatment evaluation, in the pre-treatment vs. post-6-week evaluation, and in the post-treatment vs. post-6-week evaluation with regard to both groups. As for between-group effects, multiple pairwise comparisons revealed significant increases in PPT on both sides of L5 and lumbar flexion ROM, in addition to a significant reduction in ODI scores (&lt;i&gt;p&lt;/i&gt; &lt; 0.05) in favour of group A as compared with group B after treatment and after the 6-week follow-up.ConclusionsSCS is preferable to be advised in the treatment of acute nonspecific low back pain with mobility deficits.

Comparing the analgesic efficacy between 100 Hz and 2 Hz electroacupuncture on patients with lumbar osteoarthritis

Chronic low back pain (CLBP) represents one of the major causes of increasing disability worldwide. Electroacupuncture with different frequencies at the Hua Tuo Jia Ji acupoints has been used to treat CLBP in patients with lumbar osteoarthritis. Basic studies demonstrate that 100 Hz or 2 Hz electroacupuncture has pain-relief effects on CLBP; however, clinical evidence for choosing which frequency is still limited. Thus, our study aims to compare the effects of 100 Hz to 2 Hz electroacupuncture for CLBP on patients with lumbar osteoarthritis. A randomized controlled trial of 124 patients with lumbar osteoarthritis at the Traditional Medicine Hospital at Ho Chi Minh City from September 2018 to July 2019. Patients were randomly allocated to either intervention group (n = 62) with a 100 Hz electroacupuncture or control group (n = 62) with 2 Hz electroacupuncture at the L2-S1 Hua Tuo Jia Ji acupoints for 14 days. Du Huo Ji Sheng Tang’s decoction was also administered in both groups. Primary trial outcomes were evaluated by the QDSA score and the proportion of patients who achieved pain relief thresholds. After 14 days of treatment, the QDSA score in the intervention group decreased significantly compared to the control group. Eighty-seven percent of patients in the intervention group had pain relief of ≥70%, and only 45% of patients in the control group had such a result. The lumbar flexion range of motion in the 100 Hz group tended to be better than in the 2 Hz group. 100 Hz electroacupuncture had superior analgesic effects on lumbar osteoarthritis to 2 Hz electroacupuncture.

Short-term clinical efficacy of the pulsed Nd: YAG laser therapy on chronic nonspecific low back pain: A randomized controlled study.

Background:Chronic non-specific low back pain (LBP) is gradually increasing among populations worldwide and affects their activities. Recently, the Nd:YAG laser has been presented in the rehabilitation field.Objectives:This study aims to explore the short-term effects of the Nd:YAG laser on chronic non-specific LBP individuals.Methods:Thirty-five individuals with chronic nonspecific LBP were included in the study from December 2019 to March 2020. Randomly, they were categorized to Nd:YAG group (n = 18) and sham laser as a control (n = 17) thrice weekly for a 6-week intervention. Modified Oswestry disability index (MODI), pain disability index (PDI), visual analogue scale (VAS), and lumbar flexion range of motion (ROM) have been assessed pre and post-6 weeks of the intervention.Results:Significant improvements were observed in the Nd:YAG group (MODI, P < .001; PDI, P = .007; VAS, P < .001; lumbar ROM, P = .002), whereas the sham group showed no significant changes (MODI, P = .451; PDI, P = .339; VAS, P = .107; lumbar ROM, P = .296) after 6-week intervention. Between-group comparisons showed significant differences in tending toward the Nd:YAG group (MODI, P < .001; PDI, P = .046; VAS, P < .001; lumbar ROM, P = .003).Conclusions:Regarding the present study outcomes, short-term pulsed Nd:YAG laser (6 weeks) may reduce functional disabilities and pain intensity, and improve the lumbar flexion ROM in patients with chronic nonspecific LBP. Further well-designed randomized controlled studies with large sample sizes should be conducted regarding laser treatment.

A Comparative Study Effectiveness of Conventional Physiotherapy versus Yoga Therapy on Pain, Core Muscle Endurance, Lumbar Flexion Range of Motion and Functional Disability in Patients with Chronic Mechanical Low Back Pain

Introduction: Low back pain (LBP) is one of the most common and significant clinical, social, economic,and public health problem affecting people all over the world. Physical therapists deal with considerablenumber of patients with LBP on a daily basis. Yoga has also been a promising treatment option over yearsfor LBP patients. Thus, this study will help to compare the effectiveness of conventional physiotherapytreatment versus yoga therapy with respect to pain, lumbar range of flexion, endurance of Transversusabdominis (TA) and functional disability in patients with chronic mechanical LBP.Methodology: Fifty four participants were included in an experimental study after screening for inclusionand exclusion criteria. Pretreatment measures for pain by numerical pain rating scale, lumbar range of flexionby Modified Schober’s test, Transversus Abdominis endurance by prone test with pressure biofeedback anddisability level by Modified Oswestry Disability Index (MODI) were taken.Conclusion: The findings of this study suggest that yoga therapy is more effective in reducing pain, disabilityand improving lumbar flexion range whereas physiotherapy is more effective in increasing core muscleendurance in patients with chronic mechanical LBP.

Effectiveness of Dry Needling and Low-Level Laser Therapy in Nonspecific Low Back Pain

Introduction: Musculoskeletal spinal disorders are an immense problem in industrialised societies resulting in tremendous personal and economic costs. Younger adults (30 to 60-year-old) are more likely to experience Low Back Pain (LBP) from the disc space or from back muscle strain or other soft tissue strain. Experiencing it earlier in life may lead to recurrent and chronic LBP in adulthood. Dry Needling (DN) which are utilised to treat low back torment in current patterns. Low Level Laser Treatment (LLLT) is utilised to treat LBP by concentrating on the trigger focuses. Aim: To identify the effectiveness of DN and LLLT in the management of selected outcome variables among patients with nonspecific LBP. Materials and Methods: The Quasi experimental study was conducted among a total of 30 subjects who met the inclusion criteria. The subjects were divided into 15 each as group A (DN) and group B (LLLT). The Numerical Pain Distress Scale (NPDS), Quebec Back Pain Disability Scale (QBPDS) and lumbar flexion range of motion were assessed, before and after two weeks of intervention program to identify the effectiveness. Data analysis was done through SPSS and graph pad, using paired t-test and independent t-test. Results: Both groups have shown improvement after two weeks of intervention treatment program. Both groups showed significant difference in relieving pain, reducing disability and improving lumbar range of motion on nonspecific LBP individually. However, there was no significant difference found between the groups, thus null hypothesis was accepted and rejecting the alternate hypothesis. Conclusion: Both the techniques are equally effective in reducing the pain, disability level and improving range of motion individually after two weeks of intervention.

Comparing the Immediate Effectiveness of Lumbar Flexion and Extension Exercise With Regards to Pain, Range of Motion, Pelvic Tilt, and Functional Gait Ability in Patients With Lumbar Spinal Stenosis

Background: In patients with lumbar spinal stenosis (LSS), lumbar flexion exercise (LFE) is considered a standard therapeutic exercise that widens the space between the spinal canal and intervertebral foramen. However, some researchers have reported that lumbar extension exercise (LEE) may improve lumbar pain and functional ability in patients with LSS. Although exercise intervention methods for patients with LSS have been widely applied in clinical settings, few studies have conducted comparative analysis of these exercise methods.Objects: This study aimed to compare the effects of LFE, LEE, and lumbar flexion combined with lumbar flexion-extension exercise (LFEE) on pain, range of motion (ROM), pelvic tilt angle, and functional gait ability in patients with LSS.Methods: A total of 30 patients with LSS, LFE (n1=10), LEE (n2=10), and LFEE (n3=10) were assigned to each of the three exercise groups. The numerical pain rating scale (NPRS), modified-modified schober test (MMST)-flexion, MMST-extension, pelvic tilt inclinometer, and 6-minute walking test (6MWT) were measured.Results: After the intervention, statistically significant differences were observed in the NPRS (p=.043), MMST-flexion (p<.001), MMST-extension (p<.001), and 6MWT (p=.005) between groups. According to the post hoc test, the NPRS was statistically significant difference between the LFEE and LEE groups (p=.034). The MMST-flexion was statistically significantly different between the LFE and LEE (p=.000), LFE and LFEE (p=.001), and LEE and LFEE (p=.001) groups. The MMST-extension was statistically significantly different between the LFE and LEE (p<.001), LFE and LFEE (p=.002), and LEE and LFEE (p=.008) groups. The 6MWT was statistically significantly different between the LFE and LFEE (p=.042) and the LEE and LFEE (p=.004) groups.Conclusion: This study suggested that LFEE was the most effective exercise for pain and functional gait ability in patients with LSS, LFE was the most effective exercise for lumbar flexion ROM, and LEE was the most effective exercise for lumbar extension ROM.

EFFECTIVENESS OF NEURAL MOBILIZATION IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN WITH RADICULOPATHY: A RANDOMIZED CONTROLLED TRIAL

Background: Neural mobilization (NM) constitutes the most effective, common method for assessing and treating several neuromuscular disorders. The study at hand aims to determine the effectiveness of the NM technique compared to lumbar stabilization exercise (LSE) and Radial Extracorporeal Shock Wave Therapy (rESWT) in the physical therapy management of chronic low back pain (CLBP) with radiculopathy.Methods: Two groups comprising 30 participants and randomly chosen formed the basis of this investigation: Group A (NM, LSE, and rESWT) and Group B (LSE and rESWT). The period of three to six weeks constituted the time it took to measure the results herein reached baseline. The results of the observations focused on pain assessed by numerical pain rating scale (NPRS), Lumbar flexion range of motion (Lumbar FROM) by Schober’s method, and disability level as measured by the Modified Oswestry Disability Questionnaire (MODQ).Results: In the control group, the mean scores of pain, lumbar FROM, and MODQ at baselines showed a high level of similarity (6.47, 2.87, and 43.71 respectively in the intervention group, and 6.20, 2.93 and 44.66. Both groups showed improvement in their pain scores at three weeks (P<0.05). However, only lumbar FROM and MODQ showed statistically significant improvement in favor of the intervention group at three weeks (P<0.05). By week 6, both groups achieved a statistically significant difference in the values of all variables.Conclusion: NM with LSE and rESWT is more effective than LSE and rESWT in the third week, and was similarly effective in the sixth week of the treatment. NM with LSE and rESWT may be an alternative treatment option in the treatment of CLBP.

The effect of one-time task fascial therapy on range of motion during spinal flexion

The latest findings of scientists and literature, pay attention to the important role of fascia in the human body. The fascia is supplied with blood, innervated a n d b e c a u s e o f c h a r a c t e r i s t i c s construction, also very plastic. During d i a g n o s i s o f d y s f u n c t i o n o f m u s c u l o s k e l e t a l s y s t e m , it is important to look at the patient in a holistic way. In practice the fascial dysfunction is far away from the place of issue and is crucial to the impaired function. This thesis is a response for patients and therapists, who have problem with the scope of the traffic and local acting method of relaxing tight muscles does not bring the desired effects. The aim of this work is to evaluate the efficacy of a single therapy fascial method (TASK) to increase the range of motion of flexion during forward bend. The aim of researchers was to carry out the theraphy of the part of superficial back line - sacrolumbar fascia of erector spinae. Before and after therapy has been measured to lumbar flexion range of motion, bend the total spine and Thomayers test. A group of test subjects were 30 students of physiotherapy (18 women and 12 men) from the Academy of Physical Education and Sport in Gdansk. Improving the range of motion was reported in the whole group of patients.The latest findings of scientists and literature, pay attention to the important role of fascia in the human body. The fascia is supplied with blood, innervated a n d b e c a u s e o f c h a r a c t e r i s t i c s construction, also very plastic. During d i a g n o s i s o f d y s f u n c t i o n o f m u s c u l o s k e l e t a l s y s t e m , it is important to look at the patient in a holistic way. In practice the fascial dysfunction is far away from the place of issue and is crucial to the impaired function. This thesis is a response for patients and therapists, who have problem with the scope of the traffic and local acting method of relaxing tight muscles does not bring the desired effects. The aim of this work is to evaluate the efficacy of a single therapy fascial method (TASK) to increase the range of motion of flexion during forward bend. The aim of researchers was to carry out the theraphy of the part of superficial back line - sacrolumbar fascia of erector spinae. Before and after therapy has been measured to lumbar flexion range of motion, bend the total spine and Thomayers test. A group of test subjects were 30 students of physiotherapy (18 women and 12 men) from the Academy of Physical Education and Sport in Gdansk. Improving the range of motion was reported in the whole group of patients.

Acute effect of full time office work in real environment on postural actions and lumbar range of motion

IntroductionProlonged sitting is often proposed as a risk factor for low back pain development. The purpose of this study was to evaluate the acute effect of full time office work on sensorimotor trunk functions. MethodsSeventeen healthy office workers participated in the study. Maximal lumbar flexion range of motion, anticipatory postural adjustments and postural reflex reactions were tested before and after full time office work in a real life environment. ResultsThere were longer onset latencies of postural reflexive reactions and decreased response amplitudes of anticipatory postural adjustments after full time office work, but these were significant only for the obliquus externus abdominis muscle. No changes in lumbar range of motion was found. ConclusionTo our knowledge this is the first study that evaluates the effect of full time office work on postural actions and lumbar RoM. We found an absence of normal human circadian flexibility in the lumbar spine and some changes in postural actions. We propose that active trunk stiffness increase to compensate for decreased passive stiffness after prolonged seated work. Further studies are needed to confirm this assumption.