year 9, Issue 2 (Summer 2021)                   Ann Appl Sport Sci 2021, 9(2): 0-0 | Back to browse issues page


XML Print


1- Education Office of Guilan, Lahijan, Iran
2- Department of Sport Injuries and Corrective Exercise, University of Guilan, Rasht, Iran , sedaghati@guilan.ac.ir
3- Department of Physical Education, Farhangian University, Tehran, Iran
Abstract:   (3788 Views)
Background. Low back pain is a significant issue in the field of health. Therefore, addressing new therapeutic approaches seems necessary.
Objectives. The present study examined the effect of combining core stability with stretching exercises on pain intensity and motor function in people with chronic nonspecific low back pain with and without hyperlordosis.
Methods. The research method was quasi-experimental, and its statistical population included adolescent girls with chronic low back pain with and without lumbar hyperlordosis in Lahijan schools (2018). Sixty qualified girls aged 12 to 15 years were purposefully selected based on inclusion and exclusion criteria and were randomly divided into four groups. Experimental groups with and without lordosis performed stretching-core stability exercises for eight weeks in three 45-minute sessions. At the beginning and end of the exercise period, the dependent variables were evaluated.
Results. Students with and without lumbar arch enlargement who underwent therapeutic exercise experienced significant pain relief and lumbar arch reduction. Lumbar muscle strength was also increased compared to the control group (p = 0.001). However, there was a significant difference in static and dynamic balance variables between experimental and control groups without lordosis. Results also showed the effect of exercises in all variables between pre-test and post-test of the two experimental groups (p = 0.001).
Conclusion. Combining core stability with stretching exercises can, in addition to improving chronic low back pain, reduce the severity of lumbar lordosis and the trunk muscle endurance and its balance.
Full-Text [PDF 600 kb]   (1324 Downloads)    
 
 
APPLICABLE REMARKS
  • In people with low back pain, the motor pattern and deep trunk muscles, which are responsible for maintaining the stability of the lumbar spine, change. Thus, more attention should be paid to exercise programs aimed at improving the lumbar spine stability and use them more widely in the treatment of these patients. For this purpose, it is necessary to perform stabilization exercises for training and retraining trunk muscles and control of extra trunk movements, and reduction of pain and disability in patients with low back pain, consequently.

Type of Study: Original Article | Subject: Kinesiology and Sport Injuries
Received: 2020/07/21 | Accepted: 2020/09/30

References
1. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques: Fa Davis. 2017.
2. Mashhadi M, Ghasemi G, Zolaktaf MJ. The Effect of selected exercise training on thoracic kyphosis and lumbar lordosis of adolescents with mental retardation. 2012;8(1):192-201.
3. Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3 Suppl 1):S86-92. [DOI:10.1053/j.apmr.2003.12.005] [PMID]
4. Widhe T. Spine: posture, mobility and pain. A longitudinal study from childhood to adolescence. Eur Spine J. 2001;10(2):118-123. [DOI:10.1007/s005860000230] [PMID] [PMCID]
5. Moldovan MJTPE, Journal R. Therapeutic Considerations and Recovery in Low Back Pain. Williams vs McKenzie. 2012;5(9):58. [DOI:10.2478/v10325-012-0009-5]
6. Ariyoshi M, Mutoh YJ. Aquatic exercises for lumbago. 1991;10:494-503.
7. Van Tubergen A, Landewé R, Van Der Heijde D, Hidding A, Wolter N, Asscher M. Combined spa-exercise therapy is effective in patients with ankylosing spondylitis. Random Control Trial. 2001;45(5):430-438. https://doi.org/10.1002/1529-0131(200110)45:5<430::AID-ART362>3.0.CO;2-F [DOI:10.1002/1529-0131(200110)45:53.0.CO;2-F]
8. Yaghoubi Z, Kahrizy S, Pour M, Faghizhzade SJK. Short effects of two common stabilization exercise on back and abdominal muscle recruitment and lumbar curvature in non-specific chronic low back pain patients. Crossover Clinic Trial Stud. 2014;15(4).
9. Nazarian AB, Daneshjoo A, Ghorbani L, Ghaedi H. The prevalence of lordotic and kyphotic deformities among different age groups. JJoRiRS. 2010;5(1).
10. Pengel HM, Maher CG, Refshauge KM. Systematic review of conservative interventions for subacute low back pain. Clin Rehabil. 2002;16(8):811-820. [DOI:10.1191/0269215502cr562oa] [PMID]
11. Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy pool. JAopm Rehabilit. 2003;84(9):1319-1323. [DOI:10.1016/S0003-9993(03)00266-1]
12. Norris C. Functional load abdominal training: part 1. JPTiS. 2001;2(1):29-39. https://doi.org/10.1054/ptsp.2001.0033 [DOI:10.1054/ptsp.2000.0032]
13. Clare HA, Adams R, Maher CG. A systematic review of efficacy of McKenzie therapy for spinal pain. JAJP. 2004;50(4):209-216. [DOI:10.1016/S0004-9514(14)60110-0]
14. Hwangbo G, Lee CW, Kim SG, Kim HS. The effects of trunk stability exercise and a combined exercise program on pain, flexibility, and static balance in chronic low back pain patients. J Phys Ther Sci. 2015;27(4):1153-1155. [DOI:10.1589/jpts.27.1153] [PMID] [PMCID]
15. Yalfani A, Ahmadnezhad L, Gholami Borujeni B, Khoshnamvand Z. The Effect of six weeks core stability exercise training on balance, pain and function in women with chronic low back pain. JJoH Care. 2017;18(4):336-346.
16. Levine D, Walker JR, Tillman L. The effect of abdominal muscle strengthening on pelvic tilt and lumbar lordosis. JJPt Pract. 1997;13(3):217-226. [DOI:10.3109/09593989709036465]
17. Sedaghati P, Arjmand A, Sedaghati N. Comparison of the effects of different training approaches on dynamic balance and pain intensity in the patients with chronic back pain. JSJoKUoMS. 2017;22(4):45-56.
18. Sedaghati P, Ziaee V, Ardjmand A. The effect of an ergometric training program on pregnants weight gain and low back pain. JGMIAplSM. 2007;166(6):209.
19. Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani WA. Muscles, testing and function: with posture and pain: Williams & Wilkins Baltimore, MD; 1993.
20. Moon HJ, Choi KH, Kim DH, Kim HJ, Cho YK, Lee KH, et al. Effect of lumbar stabilization and dynamic lumbar strengthening exercises in patients with chronic low back pain. Ann Rehabil Med. 2013;37(1):110-117. [DOI:10.5535/arm.2013.37.1.110] [PMID] [PMCID]
21. Rhee HS, Kim YH, Sung PS. A randomized controlled trial to determine the effect of spinal stabilization exercise intervention based on pain level and standing balance differences in patients with low back pain. Med Sci Monit. 2012;18(3):CR174-181. [DOI:10.12659/MSM.882522] [PMID] [PMCID]
22. Youdas JW, Garrett TR, Egan KS, Therneau TM. Lumbar lordosis and pelvic inclination in adults with chronic low back pain. Phys Ther. 2000;80(3):261-275. [DOI:10.1093/ptj/80.3.261] [PMID]
23. Nesser TW, Lee WL. The Relationship Between Core Strength And Performance In Division I Female Soccer Players. JJoepo. 2009;12(2).
24. McGill SM. Low back exercises: evidence for improving exercise regimens. Phys Ther. 1998;78(7):754-765. [DOI:10.1093/ptj/78.7.754] [PMID]
25. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine (Phila Pa 1976). 1995;20(3):341-352. [DOI:10.1097/00007632-199502000-00016] [PMID]
26. McCurdy K, Langford G. The relationship between maximum unilateral squat strength and balance in young adult men and women. JJoss Med. 2006;5(2):282.
27. Kinzey SJ, Armstrong CW. The reliability of the star-excursion test in assessing dynamic balance. J Orthop Sports Phys Ther. 1998;27(5):356-360. [DOI:10.2519/jospt.1998.27.5.356] [PMID]
28. Ganesh GS, Chhabra D, Mrityunjay K. Efficacy of the star excursion balance test in detecting reach deficits in subjects with chronic low back pain. Physiother Res Int. 2015;20(1):9-15. [DOI:10.1002/pri.1589] [PMID]
29. Park SD, Yu SH. The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain. J Exerc Rehabil. 2013;9(2):286-291. [DOI:10.12965/jer.130012] [PMID] [PMCID]
30. Bot SD, Caspers M, Van Royen BJ, Toussaint HM, Kingma I. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis: a pilot study. Rheumatology (Oxford). 1999;38(5):441-443. [DOI:10.1093/rheumatology/38.5.441] [PMID]
31. Granata K, Wilson S. Trunk posture and spinal stability. JCb. 2001;16(8):650-659. [DOI:10.1016/S0268-0033(01)00064-X]
32. Taghipour DM, Eerahimi TE, Salavati M, Mobini B, Zekavat H, Sanjary A. Center of rotation profiles of lumbar spine of healthy men in sagittal plane: A preliminary study. 2011.
33. Carpino G, Tran S, Currie S, Enebo B, Davidson BS, Howarth SJ. Does manual therapy affect functional and biomechanical outcomes of a sit-to-stand task in a population with low back pain? A preliminary analysis. Chiropr Man Therap. 2020;28(1):5. [DOI:10.1186/s12998-019-0290-7] [PMID] [PMCID]
34. Tuff T, Beach TAC, Howarth SJ. Biomechanical Matching of Low Back External Demands during the Open- and Closed-Chain Side Bridge. Int J Sports Phys Ther. 2020;15(1):53-63. [DOI:10.26603/ijspt20200053] [PMID] [PMCID]
35. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P, McIntyre-Rodgers M, Romani W. Muscles testing and function with posture and pain. JULW. 2005:49-118.
36. Sedaghati P, Sedaghati N, Ardjmand A. The impact of hydrotherapy, extension/flexion exercises on truncal muscle strength and pain intensity in nonspecific chronic low back pain. Complement Med J. 2017;6(4):1690-1702.
37. Ehsani F, Arab AM, Salavati M, Hedayati R, Talimkhani IJK. Effect of exercise therapy in an unstable surface on muscle activity pattern in patients with low back pain. Sys Rev. 2015;16(4).

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.