CHRONIC BACK PAIN - EFFECTS OF THE STABILIZATION EXERCISES ON PAIN, RANGE OF MOTION AND FUNCTIONAL DISABILITY, THE MANAGEMENT OF THE PATIENTS

Authors

  • Surven Metolli Sports University of Tirana, Albania
  • Aisel Oseku Sports University of Tirana, Albania

DOI:

https://doi.org/10.46827/ejpe.v7i4.4041

Keywords:

chronic back pain, stabilization exercise, range of motion, functional disability, patients’ management

Abstract

Background: The worldwide prevalence of chronic spinal pain is 19.6% in them aged 19-23 years and more prevalent in females. Routine physiotherapy seems to be effective in reducing pain and improving functional outcome in patients with chronic back pain. Back stabilization exercises are in trend in the management of chronic pain, it is not known whether the addition of these exercises produces better results even though the patient has pain during execution. Objective: The aim of this study was to determine the effect of back stabilization exercises on pain, ROM and functional inability to manage chronic back pain. A random trial in: Period: February 2021 to July 2021. Methods: 42 patients with back pain (3 patients dropped out of the study). Participants were recruited through intentional sampling technique. The tools used for data collection were NPRS, Modified ODI, Goniometry (Lumbar Bending, stretching and lateral bends) and MMT (Trunk Flexors and Clamps). The data were analyzed at the beginning and later after 2 weeks of intervention (8 sessions). Results: 20 males and 19 females participated in the study. After 2 weeks of intervention this treatment showed improvement in reducing pain and improving functional status. SE had shown significant gains in NPRS p = 0.001, modified ODI p = 0.001, ROM Extension p = 0.027, ROM Curvature on the right side p = 0.024 and MMT Flexion p = 0.031. Conclusion: Stabilization exercises have been found to be effective in managing chronic back pain in terms of pain reduction and functional inability.

 

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Author Biographies

  • Surven Metolli, Sports University of Tirana, Albania
    Surven Metolli is a Lecturer / Head of Health and Movement Department, Faculty of Physical Activity and Recreation, Sports University of Tirana. Received a Science Degree in General Medicine from the Faculty of Medicine, University of Tirana. Current research interest the physical rehabilitation after mechanical traumas.
  • Aisel Oseku, Sports University of Tirana, Albania
    Aisel Oseku is a Lecturer/ Assistant Professor, Department of Biomedical and Humanities Disciplines, Faculty of Sciences and Rehabilitation, Sports University of Tirana. Bachelor Degree in Physiotherapy Science from the (University Our Lady of Good Counsel) Tirana, Albania. Current research interest the physical capabilities, body type, and activity level in order to prescribe exercise and other physical means to help improve function.

References

Andersson GB. Epidemiological features of chronic back pain. The Lancet. 1999;354(9178):581-5.

Charles G. (Chad) Helmick M. The Burden of Musculoskeletal Diseases in the United States (BMUS). United States of America 2014 [cited 2016 24 July]; 4th:[Available from: http://www.boneandjointburden.org.

Cairns MC, Foster NE, Wright C. Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain. Spine. 2006;31(19):E670-E81.

França FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-7.

Gunnar Andersson M, PhD. United States Bone and Joint Initiative: The Burden of Musculoskeletal Diseases in the United States (BMUS). 2014 [cited 2016 5 August]; Third Edition:[Available from: http://www.boneandjointburden.org/2014-report/iid0/burden-back-pain.

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism. 2012;64(6):2028-37.

Richardson C, Jull G, Hodges P, Hides J. Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain: Scientific Basis and Clinical Approach. 1999.

Standaert CJ, Weinstein SM, Rumpeltes J. Evidence informed management of chronic low back pain with lumbar stabilization exercises. The spine journal. 2008;8(1):114-20.

Stankovic A, Lazovic M, Kocic M, Dimitrijevic L, Stankovic I, Zlatanovic D, et al. Lumbar stabilization exercises in addition to strengthening and stretching exercises reduce pain and increase function in patients with chronic low back pain: randomized clinical open label study. life. 2012;2:3.

Shaughnessy M, Caulfield B. A pilot study to investigate the effect of lumbar stabilisation exercise training on functional ability and quality of life in patients with chronic low back pain. International journal of rehabilitation research. 2004;27(4):297-301.

Tandaert CJ, Weinstein SM, Rumpeltes J. Evidence informed management of chronic low back pain with lumbar stabilization exercises. The spine journal. 2008;8(1):114-20.

Wang X-Q, Zheng J-J, Yu Z-W, Bi X, Lou S-J, Liu J, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PloS one. 2012;7(12):e52082.

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Published

2021-11-26

Issue

Vol. 7 No. 4 (2021)

Section

Articles

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