Varela-Esquivias A, Díaz-Martínez L, Avendaño-Badillo D

Language: Spanish
References: 16
Page: 10-15
PDF size: 290.83 Kb.

ABSTRACT

Introduction: Low back pain is one of the main causes of work disability in Mexico, conservative treatment includes performing exercises. Objective: To assess the effects of lower back pain with a controlled exercise program to improve flexibility and strength in the core or center of the body. Material and methods: We included 18 people, 12 women and six men between 24 and 70 years of age, with low back pain, with a score of 2 to 10 using the visual analogue scale (VAS), with or without referred pain in the lower limb. Participants were advised to refrain from taking medications, alcohol and intense physical activities during the treatment period. The participants carried out 12 sessions of 10 exercises in 3 sets of 10 repetitions, 3 times per week, evaluating: weight, distance toes, anterior rectum strength, abdominal diameter, initial and final Oswestry index. Results: The results were analyzed with the Wilcoxon test, showing a decrease not only in pain (p ‹ 0.01), but an improvement in weight, flexibility and perception of disability due to the Oswestry scale (p ‹ 0.01) showing that the series of exercises proposed is an alternative to the management of low back pain. Discussion: It is recommended the presence of a therapist who accompanies and corrects the postures so that the exercises are performed well, as well as giving value to the degree of disability caused by pain in the daily performance of the people who present it.

REFERENCES

1. Soto-Padilla M, Espinosa-Mendoza RL, Sandoval-García JP, Gómez-García F. Frecuencia de lumbalgia y su tratamiento en un hospital privado de la Ciudad de México. Acta Ortop Mex. 2015; 29(1): 40-5.

2. Paungmali A, Joseph LH, Sitilertpisan P, Pirunsan U, Uthaikhup S. Lumbopelvic core stabilization exercise and pain modulation among individuals with chronic nonspecific low back pain. Pain Pract. 2017; 17(8): 1008-14.

3. Coulombe BJ, Games KE, Neil ER, Eberman LE. Core stability exercise versus general exercise for chronic low back pain. J Athl Train. 2017; 52(1): 71-2.

4. Gomes-Neto M, Lopes JM, Conceição CS, Brasileiro A, Sousa C, Oliveira C, et al. Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Phys Ther Sport. 2017; 23: 136-42.

5. Paulsen RT, Rasmussen J, Carreon LY, Andersen MØ. Return to work after surgery for lumbar disc herniation, secondary analyses from a randomized controlled trial comparing supervised rehabilitation versus home exercises. Spine J. 2020; 20(1): 41-7.

6. Miura T, Sakuraba K. Properties of force output and spectral EMG in young patients with nonspecific low back pain during isometric trunk extension. J Phys Ther Sci. 2014; 26(3): 323-9.

7. Karayannis NV, Jull GA, Hodges PW. Movement-based subgrouping in low back pain: synergy and divergence in approaches. Physiotherapy. 2016; 102(2): 159-69.

8. Sousa Filho LF, Barbosa Santos MM, de Farias Neto JP, da Silva Junior WM. The addition of neurodynamic exercises to extension-oriented exercises among patients with chronic back-related leg pain: a study protocol. J Bodyw Mov Ther. 2019; 23(3): 473-8.

9. Calatayud J, Escriche-Escuder A, Cruz-Montecinos C, Andersen LL, Pérez-Alenda S, Aiguadé R, et al. Tolerability and muscle activity of core muscle exercises in chronic low-back pain. Int J Environ Res Public Health. 2019; 16(19): 3509.

10. Stuge B. Evidence of stabilizing exercises for low back- and pelvic girdle pain- a critical review. Braz J Phys Ther. 2019; 23(2): 181-6.

11. Shahvarpour A, Gagnon D, Preuss R, Henry SM, Larivière C. Trunk postural balance and low back pain: Reliability and relationship with clinical changes following a lumbar stabilization exercise program. Gait Posture. 2018; 61: 375‐81.

12. Almousa S, Lamprianidou E, Kitsoulis G. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother Res Int. 2018; 23(1): 10.1002/pri.1699.

13. Standaert CJ, Weinstein SM, Rumpeltes J. Evidence informed management of chronic low back pain with lumbar stabilization exercises. Spine J. 2008; 8: 114-20.

14. Brumitt J, Matheson JW, Meira EP. Core stabilization exercise prescription, part I: current concepts in assessment and intervention. Sports Health. 2013; 5(6): 504-9.

15. Alcántara-Bumbiedro S, Flórez-García MT, Echávarri-Pérez C, García-Pérez F. Escala de incapacidad por dolor lumbar de Oswestry. Rehabilitación (Madr). 2006; 40(3): 150-8.

16. Cortell-Tormo JM, Sánchez PT, Chulvi-Medrano I, et al. Effects of functional resistance training on fitness and quality of life in females with chronic nonspecific low-back pain. J Back Musculoskelet Rehabil. 2018; 31(1): 95-105.