Training In Low Back Pain Research Articles

Pedalo 전정감각통합훈련이 중년 여성 요통환자의 요추부 근육에 미치는 영향

Pedalo 전정감각통합훈련이 중년 여성 요통환자의 요추부 근육에 미치는 영향

Implementation of ergonomic programs to reduce sick leave due to low back pain among nickel mining operators

Whole body vibration (WBV) has been recognized as a main risk factor for low back pain (LBP) in coal mining activities. Heavy equipment operators in nickel mining may be exposed to a higher LBP risk due to the land condition of the overburden overlying nickel deposits, which is less stable than that of coal deposits. This report summarizes the efforts of a nickel company in managing LBP complaints among mining operators. The programs included risk assessment and mitigation, musculoskeletal complaint management, LBP training, and macroergonomic intervention. These programs were integrated into the occupational health management system of the company. Within a 3-year period, a decrease in LBP-related sick leave was reported. The present report shows how ergonomic programs may help to manage LBP and could be extended to other musculoskeletal cases.

Efeito agudo de exercícios do método Pilates na ativação dos músculos do tronco de pessoas com e sem dor lombar

Introdução: O método Pilates é indicado para reabilitação de pacientes com dor lombar inespecífica (DLI). Contudo, o efeito deste treinamento no padrão de recrutamento muscular é desconhecido. Objetivo: Analisar o efeito agudo do método Pilates na ativação dos músculos do tronco em indivíduos com e sem DLI. Métodos: Participaram do estudo 18 sujeitos, separados em dois grupos: grupo com DLI e sem DLI. No primeiro dia de coleta, foram obtidos: dados pessoais, medidas antropométricas e familiarização com os exercícios. No segundo dia, foram realizados: teste de elevação do braço, teste de Biering-Sorensen, os exercícios e reavaliação. Foram coletados os sinais eletromiográficos dos músculos: oblíquo interno, multífido lombar, iliocostal lombar e reto abdominal. Resultados: Após o treinamento, o grupo com DLI apresentou, no teste de Biering-Sorensen, maior ativação do iliocostal lombar (p=0,016) e menor ativação do oblíquo interno (p=0,031). Conclusão: Uma sessão do método Pilates foi capaz de alterar o padrão de recrutamento dos músculos do tronco em indivíduos com DLI.

Rationale and design of a multicenter randomized controlled trial on a 'minimal intervention' in Dutch army personnel with nonspecific low back pain [ISRCTN19334317

BackgroundResearchers from the Royal Netherlands Army are studying the potential of isolated lumbar extensor training in low back pain in their working population. Currently, a randomized controlled trial is carried out in five military health centers in The Netherlands and Germany, in which a 10-week program of not more than 2 training sessions (10–15 minutes) per week is studied in soldiers with nonspecific low back pain for more than 4 weeks. The purpose of the study is to investigate the efficacy of this 'minimal intervention program', compared to usual care. Moreover, attempts are made to identify subgroups of different responders to the intervention.MethodsBesides a baseline measurement, follow-up data are gathered at two short-term intervals (5 and 10 weeks after randomization) and two long-term intervals (6 months and one year after the end of the intervention), respectively. At every test moment, participants fill out a compound questionnaire on a stand-alone PC, and they undergo an isometric back strength measurement on a lower back machine.Primary outcome measures in this study are: self-assessed degree of complaints and degree of handicap in daily activities due to back pain. In addition, our secondary measurements focus on: fear of movement/(re-) injury, mental and social health perception, individual back extension strength, and satisfaction of the patient with the treatment perceived. Finally, we assess a number of potential prognostic factors: demographic and job characteristics, overall health, the degree of physical activity, and the attitudes and beliefs of the physiotherapist towards chronic low back pain.DiscussionAlthough a substantial number of trials have been conducted that included lumbar extension training in low back pain patients, hardly any study has emphasized a minimal intervention approach comparable to ours. For reasons of time efficiency and patient preferences, this minimal sports medicine approach of low back pain management is interesting for the population under study, and possibly for comparable working populations with physical demanding job activities.

The effectiveness of EMG biofeedback training in low back pain

Eighteen patients with chronic low back pain (lbp) of muscle tension origin were given an EMG biofeedback training. Compared to seven controls they showed a significant decrease during training in muscle tension and subsequently in pain. However, at follow-up EMG levels dropped to the initial (high) level. Pain scores of patients with high pain decrements during training showed further improvement during follow-up, which was not the case with patients showing less substantial improvement. The importance of cognitions was discussed.