Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 6

Muscle Contraction Exercise for Non-specific Low Back Pain

Azzam Alarab1*, Ratib Abu Shameh1, Haneen Suorie1, Deema Qaraqe1, Selnur Narin2, Hamzah Shaheen1, Saeed Hroub1, Sami Smerat1 and Akram Amro3

1Department of Physiotherapy, Faculty of Allied Medical Sciences, Palestine Ahliya University, Dheisha, Bethlehem, Palestine
2School of Physical Therapy, Dokuz Eylul University, Izmir, Turkey
3Physiotherapy Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine

*Corresponding Author: Azzam Alarab, Department of Physiotherapy, Faculty of Allied Medical Sciences, Palestine Ahliya University, Dheisha, Bethlehem, Palestine.

Received: March 11, 20; Published: May 08, 2020

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Abstract

Objective: The purpose of this study was to evaluate the effect of exercises combined with infra-red and TENS on core muscles in patients with non-specific low back pain.

Methods: Thirty participants, 16 males and 14 female aged between 22 and 50 years suffering from nonspecific low back pain. Sample was divided into two groups, group A isometric exercises and group B isotonic exercises, both group received conservative therapy of TENS and infra-red therapy. Outcomes measure; visual analog scale, modified oswestry disability index and endurance test were used pre-treatment and at the end of 4 weeks of treatment.

Results: Both groups were comparable in term of demographic data, there were no significant differences regarding the demographic data between the groups except issue in which weight; there were significant differences between the groups. Intergroup analysis of VAS score was done using Mann-Whitney test. Pre analysis showed no significant differences between group A and group B (P = 0.285) and post- analysis showed no significant difference between group A and group B (P = 0.838). Pre analysis of MODI score was done using Mann- Whitney test, there was no significant difference between group A and group. In their post analysis of MODI scores, there was no significant difference between group and group. Comparing between groups, pre and post abdominal endurance scores were done using the Mann-Whitney Test. On the pre- treatment scores revealed P value of 0.345 and the post treatment scores revealed P value of 0.305. So, there is no statistically significant difference between group A and group B in endurance scores.

Conclusion: There was no difference between the use isotonic and isometric exercises on non-specific low back pain patients.

Keywords: Isometric Exercises; Isotonic Exercises; Core Muscle; Nonspecific Low Back Pain

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References

  1. M C Battie., et al. “Managing low back pain: Attitudes and treatment preferences of physical therapists”. Physical Therapy 3 (1994): 219-226.
  2. Waddell “Low back pain: A twentieth century health care enigma”. Spine 21.24 (1996): 2820-2825.
  3. SM Chen., et al. “Sedentary lifestyle as a risk factor for low back pain: a systematic review”. International Archives of Occupational and Environmental Health 7 (2009) 797-806.
  4. A Aluko., et al. “The effect of core stability exercises on variations in acceleration of trunk movement, pain, and disability during an episode of acute nonspecific low back pain: A pilot clinical trial”. Journal of Manipulative and Physiological Therapeutics 8 (2013): 497-504.e3.
  5. CT Tsai., et al. “Lumbar facet injection for the treatment of chronic piriformis myofascial pain syndrome: 52 and nbsp; case studies, Patient Prefer”. Adherence (2014): 1105.
  6. TA Sgroi and M Cilenti. “Rotator cuff repair: post-operative rehabilitation concepts”. Current Reviews in Musculoskeletal Medicine 1 (2018): 86-91.
  7. JA Eickhoff., et al. “Influence of isotonic, isometric and isokinetic muscle strength on bone mineral density of the spine and femur in young women”. Bone Minerals3 (1993): 201-209.
  8. F Iellamo., et al. “Effects of isokinetic, isotonic and isometric submaximal exercise on heart rate and blood pressure”. European Journal of Applied Physiology and Occupational Physiology 2 (1997): 89-96.
  9. JJ Knapik., et al. “Isometric, isotonic, and isokinetic torque variations in four muscle groups through a range of joint motion”. Physical Therapy 6 (1983): 938-947.
  10. F Steiger., et al. “Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review”. European Spine Journal 4 (2012): 575-598.
  11. G Stranjalis., et al. “Neck pain in a sample of Greek urban population (Fifteen to Sixty-Five Years): Analysis according to personal and socioeconomic characteristics”. Spine16 (2011): 1355-1361.
  12. J Gwyer., et al. “History of clinical education in physical therapy in the United States”. Journal of Physical Therapy Education 3 (2003): 34-44.
  13. R Melzack and PD Wall. “Pain mechanisms: A new theory”. Pain Forum 1 (1965): 971-979.
  14. Gemigniani G. “Transcutaneous Electrical Nerve Stimulation in Ankylosing Spondylitis: a Double-Blind Study”. Arthritis and Rheumatology 6 (1991): 788-789.
  15. Lundeberg T. “A comparative study of the pain alleviating effect of vibratory stimulation, transcutaneous electrical nerve stimulation, electroacupuncture and placebo”. American Journal of Chinese Medicine 12 (1984): 72-7
  16. J Glaser., et al. “Electrical muscle stimulation as an adjunct to exercise therapy in the treatment of nonacute low back pain: a randomized trial”. The Journal of Pain 5 (2001): 295-300.
  17. L Punnett., et al. “Estimating the global burden of low back pain attributable to combined occupation exposure”. American Journal of Industrial Medicine (2005): 4459-4469.
  18. H Luomajoki. “Movement Control Impairment as a sub-group of NSLBP”. Dissertation Health Science (2010).
  19. Hayden JA., et al. “Exercise therapy for treatment of non-specific low back pain”. Cochrane Database of Systematic Reviews 3 (2005): CD000335.
  20. F Turner. “Multiple Muscle Systems: Biomechanics and movement organization”. Physiotherapy 11 (1992): 877.
  21. Macdonald. “Therapeutic Exercise: Foundations and Techniques. 2nd Edition”. British Journal of Sports Medicine 26.1 (1992): 69.
  22. HJ Moon., et al. “Effect of lumbar stabilization and dynamic lumbar strengthening exercises in patients with chronic low back pain”. Annals of Rehabilitation Medicine 1 (2013): 110-117.
  23. PG Herbert. “Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity”. American Journal of Industrial Medicine 1 (2000): 75-93.
  24. L Steefel and YT Jadotte. “Exercise therapy for the treatment of non-specific low back pain”. International Journal of Evidence-Based Healthcare 2 (2012): 164-165.
  25. J Park and J Chul Lee. “Effects of complex rehabilitation training on low back strength in chronic low back pain”. The Journal of Physical Therapy Science 11 (2016): 3099-3104.
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Citation

Citation: Azzam Alarab., et al. “Muscle Contraction Exercise for Non-specific Low Back Pain". Acta Scientific Orthopaedics 3.6 (2020): 03-08.




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