Volume 7 -
MEJDS (2017) 7: 81 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Moghadasi A, Abbasi Dareh Bidi M. The Effect of Core Stability Training on Pain, Disability and Endurance of Trunk Muscles in Females Suffering from Chronic Low Back Pain in Postpartum Period. MEJDS 2017; 7 :81-81
URL: http://jdisabilstud.org/article-1-365-en.html
URL: http://jdisabilstud.org/article-1-365-en.html
1- Payame Noor University
2- Islamic Azad University of Ilam
2- Islamic Azad University of Ilam
Abstract: (5047 Views)
Abstract
Background: Decreasing the endurance of trunk muscles and chronic low back pain are common during pregnancy and postpartum period. Stabilizing exercises activating deep local muscles in coordination with global muscles are recommended for the treatment of pregnancy and postpartum related lumbopelvic pain. The purpose of this study is to investigate the effect of core stability training program on pain, disability and endurance of extensor and flexor trunk muscles in females suffering from chronic low back pain in postpartum.
Methods: 24 non-athlete females after 4-weeks of normal delivery participated in this study were divided equally and randomly in control (12 people) and experimental (12 person) group. Experimental group performed regular home exercise therapy for four consecutive weeks (6 sessions per week, each lasting 30 minute a day) in their houses, while patients in the control group did not participate in any specific program. For data collection the Oswestry Questionnaire (OSWQ), VAS scale, McGill and Biering-Sorensen tests were used. For analyzing the data, also, T-test was used.
Results: The results of this study showed that in experimental group there is a significant reduction in the pain (p=0.001), disability (p=0.004) and also there is a significant increase in the endurance of flexsor muscles (p=0.031), lateral flexsor (p=0.017) and extensor trunk muscles (p=0.042) than control group in posttest.
Conclusions: According to results we can suggest that performing 4-week exercise core stability training can lead to decrease in pain, developing ability and increasing endurance of trunk muscles in females suffering from chronic low back pain during postpartum period.
Background: Decreasing the endurance of trunk muscles and chronic low back pain are common during pregnancy and postpartum period. Stabilizing exercises activating deep local muscles in coordination with global muscles are recommended for the treatment of pregnancy and postpartum related lumbopelvic pain. The purpose of this study is to investigate the effect of core stability training program on pain, disability and endurance of extensor and flexor trunk muscles in females suffering from chronic low back pain in postpartum.
Methods: 24 non-athlete females after 4-weeks of normal delivery participated in this study were divided equally and randomly in control (12 people) and experimental (12 person) group. Experimental group performed regular home exercise therapy for four consecutive weeks (6 sessions per week, each lasting 30 minute a day) in their houses, while patients in the control group did not participate in any specific program. For data collection the Oswestry Questionnaire (OSWQ), VAS scale, McGill and Biering-Sorensen tests were used. For analyzing the data, also, T-test was used.
Results: The results of this study showed that in experimental group there is a significant reduction in the pain (p=0.001), disability (p=0.004) and also there is a significant increase in the endurance of flexsor muscles (p=0.031), lateral flexsor (p=0.017) and extensor trunk muscles (p=0.042) than control group in posttest.
Conclusions: According to results we can suggest that performing 4-week exercise core stability training can lead to decrease in pain, developing ability and increasing endurance of trunk muscles in females suffering from chronic low back pain during postpartum period.
Subject:
Rehabilitation
References
1. Bayramoglu M, Akman MN, Klnç S, Çetin N, Yavuz N, Özker R. Isokinetic measurement of trunk muscle strength in women with chronic low-back pain. American journal of physical medicine & rehabilitation. 2001;80(9):650-655. [DOI:10.1097/00002060-200109000-00004]
2. Emam Hadi MR. Survey of Different Kinds of Backache During Pregnancy. Journal of Guilan University of Medical Sciences. 2003;11(44):60-5. [Persian]
3. Gutke A, Östgaard HC, Öberg B. Association between muscle function and low back pain in relation to pregnancy. Journal of rehabilitation medicine. 2008;40(4):304-311. [DOI:10.2340/16501977-0170]
4. Gausel AM, Kjaermann I, Malmqvist S, Dalen I, Larsen JP, Okland I. Pelvic girdle pain 3-6 months after delivery in an unselected cohort of Norwegian women. European Spine Journal. 2016;25(6):1953-1959. [DOI:10.1007/s00586-015-3959-1]
5. Zand S, Zamani A. The effect of some simple exercises and correct daily activity in prevention of backache in pregnancy period. Arak Medical University Journal. 2008;11(3):49-54. [Persian]
6. Sedaghati P, Agha Ah, Ardjmand A. Effect of regular physical activity on the decrement of back pain and weight change of the pregnancy period.Olympic. 2006;13(4(32)):51-60. [Persian]
7. Bandy WD, Sanders B. Therapeutic exercise: techniques for intervention. Lippincott Williams & Wilkins; 2001.
8. George SZ, Childs JD, Teyhen DS, Wu SS, Wright AC, Dugan JL, et al. Rationale, design, and protocol for the prevention of low back pain in the military (POLM) trial (NCT00373009). BMC musculoskeletal disorders. 2007;8(1):92. [DOI:10.1186/1471-2474-8-92]
9. Muscolino JE, Cipriani S. Pilates and the "powerhouse"-I. Journal of bodywork and movement therapies. 2004;8(1):15-24. [DOI:10.1016/S1360-8592(03)00057-3]
10. Shankar G, Chauarsia V. Comparative Study of Core Stability Exercises with Swiss Ball in Improving Trunk Endurance. International Journal of Health Sciences & Research. 2012;2(5):56-63.
11. Fredericson M, Moore T. Muscular balance, core stability, and injury prevention for middle-and long-distance runners. Physical medicine and rehabilitation clinics of North America. 2005;16(3):669-689. [DOI:10.1016/j.pmr.2005.03.001]
12. Riazi H, Bashirian S, Ghelichkhani S. Role of pregnancy and childbirth on the appearance of urinary incontinence in women visited at Hamadan health care centers. 2006;8(5(33)):40-45. [Persian]
13. Garshasbi A, Faghih Zadeh S. The effect of exercise on the intensity of low back pain in pregnant women. International Journal of Gynecology & Obstetrics. 2005;88(3):271-275. [DOI:10.1016/j.ijgo.2004.12.001]
14. You YL, Su TK, Liaw LJ, Wu WL, Chu IH, Guo LY. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain. Journal of physical therapy science. 2015;27(8):2591-2596. [DOI:10.1589/jpts.27.2591]
15. Muthukrishnan R, Shenoy SD, Jaspal SS, Nellikunja S, Fernandes S. The differential effects of core stabilization exercise regime and conventional physiotherapy regime on postural control parameters during perturbation in patients with movement and control impairment chronic low back pain. BMC Sports Science, Medicine and Rehabilitation. 2010;2(1):13-25. [DOI:10.1186/1758-2555-2-13]
16. Page SJ, Shawaryn MA, Cernich AN, Linacre JM. Scaling of the revised Oswestry low back pain questionnaire. Archives of physical medicine and rehabilitation. 2002;83(11):1579-1584. [DOI:10.1053/apmr.2002.34604]
17. Davidson M, Keating JL. A comparison of five low back disability questionnaires: reliability and responsiveness. Physical therapy. 2002;82(1):8-24. [DOI:10.1093/ptj/82.1.8]
18. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in nursing & health. 1990;13(4):227-236. [DOI:10.1002/nur.4770130405]
19. Rezaei S, Afsharnejad T, Moosavi SV, Yousefzadeh S, Soltani R. Validation of the Persian version of pain self efficacy scale: A Psychometric chronic low back pain patients. The Quarterly J Fundamentals of Mental Health. 2012;13(4):328-45.[Persian]
20. Demoulin C, Vanderthommen M, Duysens C, Crielaard JM. Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine. 2006;73(1):43-50. [DOI:10.1016/j.jbspin.2004.08.002]
21. Latimer J, Maher CG, Refshauge K, Colaco I. The reliability and validity of the Biering-Sorensen test in asymptomatic subjects and subjects reporting current or previous nonspecific low back pain. Spine. 1999;24(20):2085-90. [DOI:10.1097/00007632-199910150-00004]
22. Mousavi ME, Arab AM, Salavati M. Specificity and discriminant validity of the clinical trunk muscle endurance tests in subjects with and without low back pain. Journal of Rehabilitation. 2004;5$(19)):28-34. [Persian]
23. Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. Journal of the American Academy of Orthopaedic Surgeons. 2005;13(5):316-325. [DOI:10.5435/00124635-200509000-00005]
24. Aluko A, DeSouza L, Peacock J. 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. 2013;36(8):497-504. [DOI:10.1016/j.jmpt.2012.12.012]
25. Spine Conditioning Program. Spine Conditioning Program. Orthoinfo.2012:1-6.
26. Breen TW, Ransil BJ, Groves PA, Oriol NE. Factors associated with back pain after childbirth. Anesthesiology. 1994;81(1):29-34. [DOI:10.1097/00000542-199407000-00006]
27. Carvalho MECC, Lima LC, Terceiro CA de L, Pinto DRL, Silva MN, Cozer GA, et al. Low back pain during pregnancy. Brazilian Journal of Anesthesiology (English Edition). 2016;731:1-5.
28. Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ. Understanding peripartum pelvic pain: implications of a patient survey. Spine. 1996; 21(11): 1363-1369. [DOI:10.1097/00007632-199606010-00017]
29. Norén L, Östgaard S, Johansson G, Östgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. European spine journal. 2002;11(3):267-271. [DOI:10.1007/s00586-001-0357-7]
30. Gameiro MO, Sousa VO, Gameiro LF, Muchailh RC, Padovani CR, Amaro JL. Comparison of pelvic floor muscle strength evaluations in nulliparous and primiparous women: a prospective study. Clinics. 2011;66(8):1389-1394. [DOI:10.1590/S1807-59322011000800014]
31. van Wingerden JP, Vleeming A, Buyruk HM, Raissadat K. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. European Spine Journal. 2004;13(3):199-205. [DOI:10.1007/s00586-003-0575-2]
32. Park J, Lee S, Hwangbo G. The effects of a bridge exercise with vibration training and an unstable base of support on lumbar stabilization. Journal of physical therapy science. 2015;27(1):63-65. [DOI:10.1589/jpts.27.63]
33. Unsgaard Tøndel M, Vasseljen O, Woodhouse A, Mørkved S. Exercises for Women with Persistent Pelvic and Low Back Pain after Pregnancy. Global journal of health science. 2016;8(9):107-120. [DOI:10.5539/gjhs.v8n9p107]
34. wk Lee S, Kim SY. Effects of hip exercises for chronic low-back pain patients with lumbar instability. Journal of physical therapy science. 2015;27(2):345-348. [DOI:10.1589/jpts.27.345]
35. Stuge B, Veierod MB, Laerum E, Vollestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two-year follow-up of a randomized clinical trial. Spine. 2004;29(10):197-203. [DOI:10.1097/00007632-200405150-00021]
36. Elden H, Ladfors L, Olsen MF, Ostgaard HC, Hagberg H. Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial. Bmj. 2005; 330 (7494): 761-766. [DOI:10.1136/bmj.38397.507014.E0]
37. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. The Spine Journal. 2004;4(1): 106-115. [DOI:10.1016/S1529-9430(03)00174-8]
38. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. The Spine Journal. 2004;4(1):106-115. [DOI:10.1016/S1529-9430(03)00174-8]
39. Sahebozamani M, Siamaki Gsr, Naeim Am. Abdominal muscles activity in health and hyperlordose groups during prone bridging stabilization exercise.Olympic. 2011;18(4-52):99-110. [Persian]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
