scholarly journals Physical Therapy and Maternity Support Garment: Influence on Core Stability and Low Back Pain during Pregnancy and after Delivery

2018 ◽  
Vol 3 (86) ◽  
Author(s):  
Pavelas Zachovajevas ◽  
Brigita Zachovajevienė ◽  
Jūratė Banionytė ◽  
Arvydas Siaurodinas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Muscle Activation ◽  
Core Stability ◽  
Transversus Abdominis ◽  
Spinal Stability ◽  
Low Back ◽  
Diastasis Recti ◽  
Transversus Abdominis Muscle

Research background and hypothesis. Transversus abdominis muscle experiences extraordinary overstretching during gestation period and thus the ability of this muscle to stabilize spine decreases. These changes can cause chronic low back pain during pregnancy and after delivery. In order to solve this problem it is essential to apply proper and effective treatment methods. Hypothesis: physical therapy exercises are more effective than maternity support garment in low back pain treatment and core stability during pregnancy and after delivery.Research aim was to evaluate the influence of physical therapy and maternity support garment on spinal stability and low back pain during pregnancy and after delivery.Research methods. Study sample comprised 40 pregnant women. The assessments were made twice: at 28–35 weeks of gestation and 8–9 weeks after delivery. The low back pain was evaluated using SAS, core stability and transversus abdominis muscle activation were objectively tested using special device stabilizer and the presence of diastasis recti was tested as well. Research results. Physiotherapy is 42.4% more effective than maternity support garment in low back pain control during pregnancy and after delivery (p < 0.05). The best results of transversus abdominis muscle activation were observed in physiotherapy group with maternity support garment whereas participants without physiotherapy could not properly activate this muscle. The diastasis recti after delivery occurred only in control group, and in the group with maternity support garment it occurred 36.7% less frequently than in the group where women did not use this garment.Discussion and conclusions. 1. Perceived low back pain after delivery was less expressed in women wearing maternity support garment both among women attending and not attending physiotherapy exercises. Nevertheless, physical therapy was more effective in reducing low back pain than maternity support garment during pregnancy and after delivery. 2. Core stability after delivery improved among women attending physical therapy exercises, but in case of maternity support garment it improved better. In contrast, in case of not attending physiotherapy the spinal stability after delivery improved only for women wearing maternity support garment. 3. Core stability during pregnancy and after delivery was better among women attending physical therapy but not wearing maternity support garment compared to women not attending physical therapy but wearing maternity support garment. 4. Physical therapy and maternity support garment improves core stability during pregnancy and has a positive effect on activity of rectus abdominis muscles following delivery.Keywords: obstetrics, transversus abdominis muscle, exercises.

scholarly journals Transversus abdominis and multifidus asymmetry in runners measured by MRI: a cross-sectional study

2019 ◽  
Vol 5 (1) ◽  
pp. e000556
Author(s):  
Ulrike H Mitchell ◽  
A Wayne Johnson ◽  
Patrick J Owen ◽  
Timo Rantalainen ◽  
Daniel Belavy
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activation ◽  
Cross Sectional Study ◽  
Transversus Abdominis ◽  
Low Back ◽  
Sectional Study ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
The Right

ObjectiveThe transversus abdominis muscle (TrA) is active during running as a secondary respiratory muscle and acts, together with the multifidus, as trunk stabiliser. The purpose of this study was to determine size and symmetry of TrA and multifidus muscles at rest and with contraction in endurance runners without low back pain.DesignCross-sectional study.SettingA medical imaging centre in Melbourne, Australia.ParticipantsThirty middle-aged (43years±7) endurance-trained male (n=18) and female (n=12) runners without current or history of low back pain.Outcome measuresMRI at rest and with the core engaged. The TrA and multifidus muscles were measured for thickness and length (TrA) and anteroposterior and mediolateral thickness (multifidus). Muscle activation was extrapolated from rest to contraction and compared with the same and contralateral side. Paired t-tests were performed to compare sides and contraction status.ResultsLeft and right TrA and multifidus demonstrated similar parameters at rest (p>0.05). However, with contraction, the right TrA and multifidus (in mediolateral direction) were 9.2% (p=0.038) and 42% (p<0.001) thicker, respectively, than their counterparts on the left. There was no TrA thickness side difference with contraction in left-handed participants (p=0.985). When stratified by sex, the contracted TrA on the right side remained 8.4% thicker, but it was no longer statistically significant (p=0.134). The side difference with contraction of the TrA became less with increasing training age.ConclusionsRight-handed long-term runners without low back pain exhibit a greater right side core muscle activation when performing an isometric contraction. This activation preference diminishes with increasing training age.

scholarly journals Efficacy of Core Stability in Non-Specific Chronic Low Back Pain

2021 ◽  
Vol 6 (2) ◽  
pp. 37
Author(s):  
Antonio Frizziero ◽  
Giacomo Pellizzon ◽  
Filippo Vittadini ◽  
Davide Bigliardi ◽  
Cosimo Costantino
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Muscle Activation ◽  
Neuromuscular Control ◽  
Core Stability ◽  
Cochrane Library ◽  
Therapeutic Effects ◽  
Low Back ◽  
Therapeutic Exercises

(1) Background: Management of chronic low back pain (cLBP) is often multidisciplinary, involving a combination of treatments, including therapeutic exercises. Core stability exercises aim to improve pain and disability in cLBP increasing spinal stability, neuromuscular control, and preventing shear force that causes injury to the lumbar spine. The purpose of this study was to review the available evidence about the effectiveness in reducing pain and improving disability of core stability exercises for non-specific cLBP. (2) Methods: We perform a systematic research on common Medline databases: PubMed, Pedro, and Cochrane Library. Search results were limited to articles written in English and published between January 2005 and November 2020.The search provided a total of 420 articles. Forty-nine articles met the inclusion criteria and 371 articles were excluded. (3) Results: Core stability provides great therapeutic effects in patients with non-specific chronic low back pain reducing pain intensity, functional disability, and improving quality of life, core muscle activation, and thickness. Evidences suggest that core stability is more effective than rest or no/minimal intervention and combination with other types of exercise for cLBP have shown grater efficacy. (4) Conclusion: Core stability could be proposed in a comprehensive approach in cLBP, the combination with other modalities of therapeutic exercise should be promoted. Patient compliance is crucial to determine the efficacy of the intervention.

scholarly journals Comparison of muscle activation of the transversus abdominis and muscle strength between individuals with low back pain, herniated disc and healthy individuals: a cross-sectional study.

2020 ◽  
Author(s):  
Clecio Souza ◽  
Sanderson Assis ◽  
Karinna Costa ◽  
Yago Medeiros ◽  
Liane Macedo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activation ◽  
Cross Sectional Study ◽  
Transversus Abdominis ◽  
Herniated Disc ◽  
World Population ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional

Abstract BACKGROUND: Low back pain and disc herniation are common problems in the world population, being characterized by discomfort in the region of the spine, resulting in functional capacity and quality of life reduced. Some of the causes of these conditions seem to be associated with the biomechanical imbalance of the muscles that act in the spine. There are methods to assess the level of activation and strength of the stabilizing muscles of the spine, such as the Pressure Biofeedback Unit (PBU). This study aims to compare the level of activation of the transverse abdomen muscle and back strength in healthy, low back pain and herniated disc individuals. METHODOS: a cross-sectional study was carried out with 30 men that were homogeneously distributed in three groups: healthy (HG), with low back pain (LBPG) and with herniated disc (HDG). The primary outcomes were the level of activation of the transversus abdominis, assessed by PBU, and back strength, assessed by dynamometry. Pain, flexibility and disability were evaluated as secondary outcomes.RESULTS: The mean age of the participants in this study was 30.47 ± 9.74 years. Regarding the activation of the transversus abdominis, no differences were found between groups (p = 0.155). For strength, LBPG and HDG were different compared to HG (p = 0.028 and p = 0.045, respectively). Pain was different between the HG and both LBPG and HDG (all p < 0.001). Regarding flexibility, no differences (p > 0.05) were found. The HDG had the highest disability score and was statistically different of the HG (p = 0.005), but with no difference from LBPG (p = 0.087).CONCLUSION: the activation of the tranversus abdominis is similar between healthy, non-specific back pain and herniated disc individuals; however, the latter presents a reduced level of strength and more disability.

Individuals with chronic low back pain do not modulate the level of transversus abdominis muscle contraction across different postures

2014 ◽  
Vol 19 (6) ◽  
pp. 534-540 ◽  
Author(s):  
Takuya Miura ◽  
Masanori Yamanaka ◽  
Kengo Ukishiro ◽  
Harukazu Tohyama ◽  
Hiroshi Saito ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Contraction ◽  
Chronic Low Back Pain ◽  
Transversus Abdominis ◽  
Low Back ◽  
Transversus Abdominis Muscle
Sign in / Sign up

Export Citation Format

Share Document