scholarly journals Therapeutic Exercises in the Management of Non-Specific Low Back Pain

Low Back Pain ◽  
10.5772/35856 ◽  
2012 ◽  
Author(s):  
Johnson Olubusola
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Therapeutic Exercises

Current Knowledge on Low Back Pain and Pelvic Girdle Pain During Pregnancy and after Childbirth: A Narrative Review

2015 ◽  
Vol 11 (1) ◽  
pp. 68-74 ◽  
Author(s):  
Britt Stuge
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Dynamic Control ◽  
Pelvic Girdle ◽  
Pelvic Girdle Pain ◽  
Neutral Position ◽  
Low Back ◽  
Care Providers ◽  
Therapeutic Exercises ◽  
Behavioural Aspects

Women suffering from low back pain (LBP) and/or pelvic girdle pain (PGP) may be advised not to participate in physical exercises. Although LBP and PGP share similar and overlapping features, there is growing evidence that PGP comprises a distinct subgroup with a unique clinical presentation and needs specific management. There is a moderate level of evidence that PGP is related to a change in the pelvic mechanism and/or motor control. Appropriate information to reduce fear and anxiety and specific exercises are recommended. Evidence of moderate quality suggests that exercise or acupuncture during pregnancy significantly reduced LBP/PGP more than usual care alone. Even though group exercises during pregnancy do not seem to influence the prevalence of LBP/PGP, women who exercised handled their pain better. Exercises should focus coordination of the local and overall muscle system, especially addressing the dynamic control of a neutral position of the lumbopelvis, subsequently increase strength and endurance to manage the physical demands facing each individual. Additional essential points to be addressed are: restriction of the sacroiliac joint, posture, breathing, and some cognitive behavioural aspects. As there is strong evidence that stabilization exercises are not more effective than any other form of active exercise, therapeutic exercises should focus less on specific stabilizing muscles and more on behaviour and optimal dynamic control of movements. Women should be encouraged to be physically active and health care providers should help them to find exercises or physical activity optimal for each individual in her own environment.

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 Lombalgia Gestacional: uma Revisão Integrativa sobre Hidroterapia, Reeducação Postural Global e Pilates

2020 ◽  
Vol 24 (3) ◽  
pp. 229-233
Author(s):  
Flávia Borges Domingues Roma ◽  
Denise Campos-Pozzi
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Literature Review ◽  
Pregnant Women ◽  
Functional Limitation ◽  
Lumbar Pain ◽  
Low Back ◽  
Therapeutic Exercises

A gestação compreende um período de várias mudanças anatômicas e fisiológicas no corpo da gestante. Um problema de grande relevância nessa fase é a lombalgia gestacional, que acarreta dor na região lombar e compromete a qualidade de vida da mulher grávida. O objetivo do trabalho foi verificar, através de revisão de literatura, os efeitos da hidroterapia, reeducação postural global (RPG) e Pilates no tratamento da dor lombar durante a gestação. Foram incluídos estudos clínicos de gestantes que estavam no segundo ou terceiro trimestre de gestação, cuja dor lombar surgiu na gestação e não havia associação com dor pélvica, publicados nas bases de dados SciELO, LILACS e Google Acadêmico, disponíveis na íntegra e online, entre os anos de 2010 a 2020. Foram excluídos artigos de revisão de literatura, monografias, que falavam sobre lombalgia decorrente de outras causas e que utilizavam esses tratamentos em homens ou mulheres não gestantes. Foram selecionados 6 artigos, 3 de hidroterapia, 2 de RPG e 1 de Pilates. Verificou-se que os três métodos causaram redução na intensidade da dor lombar gestacional. Além disso, a hidroterapia diminuiu a tensão nos músculos dorsais, aumentou a flexibilidade dos músculos estabilizadores da coluna e melhorou a qualidade de vida das gestantes; e a RPG ocasionou diminuição da limitação funcional e melhora da qualidade de vida. Concluiu-se, a partir desta revisão de literatura, que a hidroterapia, RPG e Pilates proporcionaram melhora significativa da dor lombar durante a gestação, havendo diminuição na intensidade da dor.   Palavras-chave: Gravidez. Dor Lombar. Exercícios Terapêutico. Exercícios de AlongamentoMuscular. Exercícios Aquáticos.   Abstract                               Pregnancy represents a period of several anatomical and physiological changes in the pregnant woman’s body. A problem of great relevance in this phase is gestational low back pain, which causes pain in the lower back and compromises the quality of life of pregnant women. The objective of the study was to verify, through literature review, the effects of hydrotherapy, global posture reeducation (GPR) and Pilates in the treatment of low back pain during pregnancy. Clinical studies of pregnant women who were in the second or third trimester of pregnancy, whose low back pain appeared during pregnancy and there was no association with pelvic pain, published in the SciELO, LILACS and Google Scholar databases, available in full and online, between 2010 to 2020 were included. The literature review articles and monographs, that were about low back pain due to other reasons and that used these treatments in men or non-pregnant women were excluded. Six articles were selected, three of hydrotherapy, two of GPR and one of Pilates. It was found that the three methods caused reduction in the intensity of gestational lumbar pain. In addition, hydrotherapy decreased the tension in dorsal muscles, increased the flexibility of spine stabilizing muscles and improved the quality of life of pregnant women; and GPR caused decrease in functional limitation and improved quality of life. It was concluded, from this literature review, that hydrotherapy, GPR and Pilates provided significant improvement in low back pain during pregnancy, with a decrease in pain intensity.   Keywords: Pregnancy. Low Back Pain. Therapeutic Exercises. Muscle Stretching Exercises. Aquatic Exercises.

scholarly journals Additional treatments for acute nonspecific lumbodynia

2019 ◽  
Vol 11 (2S) ◽  
pp. 98-102
Author(s):  
O. A. Solokha ◽  
N. V. Vashchenko
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Medical Care ◽  
Manual Therapy ◽  
Clinical Guidelines ◽  
Clinical Findings ◽  
Common Reason ◽  
Low Back ◽  
Therapeutic Exercises ◽  
Inflammatory Drugs

Low back pain (lumbodynia) is a most common reason for seeking medical care and a most common of disability. The review presents current clinical guidelines for the management of patients with acute nonspecific lumbodynia. The diagnosis of acute nonspecific lumbodynia is based on clinical findings and, in most cases, requires no instrumental studies. Nonsteroidal anti-inflammatory drugs are most effective in reducing pain. Additional therapies, such as therapeutic exercises, manual therapy, massage, acupuncture, etc., are discussed. There are data on the use of B vitamins, Milgamma® in particular, in acute non-specific lumbalgia.

scholarly journals Effects of kinesitherapy on chronic non-specific low back pain: discussion based on clinical observations

2021 ◽  
pp. 14-20
Author(s):  
V. A. Parfenov ◽  
I. A. Lamkova
Keyword(s):  
Physical Activity ◽  
Low Back Pain ◽  
Back Pain ◽  
Integrated Approach ◽  
Neutral Position ◽  
Low Back ◽  
Static Loads ◽  
Treatment And Prevention ◽  
Therapeutic Exercises ◽  
The Right

In chronic nonspecific low back pain (CNLBP), an integrated approach is effective, which must include kinesitherapy. Unfortunately, in our country, kinesitherapy is not always used in CNLBP, ineffective methods of therapy are often used. The article presents an observation of a 55-year-old female patient who suffered from CNLBP. Magnetic resonance imaging of the lumbar spine revealed protrusions up to 4 mm at the level of L4-L5, L5-S1 segments, which were regarded as the cause of back pain. The patient was prescribed non-steroidal anti-inflammatory drugs (NSAIDs), ointments at the place of residence, limitation of physical activity was recommended, which did not have a significant positive effect. In a specialized neurological center, during manual examination, the patient showed signs of lesion of the right sacroiliac joint (SIJ), and with diagnostic and treatment blockade (with anesthetics and corticosteroids) of the right SIJ, an almost complete temporary regression of pain was noted. The patient was explained the causes of pain, the role of SIJ lesions, prolonged physical inactivity and static loads as the causes of CNLBP, the safety and effectiveness of kinesitherapy. Movalis® (meloxicam) was used as an NSAID at 15 mg per day. The patient underwent exercises to activate the gluteal muscles, rectus abdominis muscles, strengthen the back of the thigh, relieve tension from the square muscles of the lower back, and relax the hip flexor muscles. Techniques for controlling the neutral position of the spine and the walking pattern were worked out. Within 10 days, the pain completely disappeared, functional disorders on the Oswestry scale decreased from 34% to 10%. Over the next 3 months, the patient regularly performed therapeutic exercises, avoided static loads, her physical activity increased from 10 to 26 points, back pain did not bother her. The issues of the effectiveness of kinesitherapy in CNLBP are discussed. It is noted that in CNLBP, regularity of physical exercises, exclusion of abrupt and excessive movements, and static loads are of leading importance. Walking represent a highly effective method of treatment and prevention of CNLBP and should be combined with other methods of kinesitherapy. The efficacy and low risk of complications from the use of meloxicam in patients with CNLBP not only from the gastrointestinal tract, but also from the cardiovascular system are noted. The use of kinesitherapy in complex therapy can help many patients with CNLBP, in whom it has not been previously used.

scholarly journals BokSmart: Preventive rehabilitation for rugby injuries to the lower back and core

2008 ◽  
Vol 20 (4) ◽  
Author(s):  
N Hopkins
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Weight Training ◽  
Cochrane Review ◽  
Core Stability ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Therapeutic Exercises ◽  
Spinal Flexibility

Background. The low back is an integral part of the entire movement chain as it functions as part of a complex network of the skeletal, muscular and nervous system. Eighty to 90% of acute low back pain episodes dissipate within 8 - 12 weeks regardless of any intervention, but 5 - 10% regress into chronic low back pain. As a result of its undistinguished aetiology, the treatment for low back pain remains controversial. Treatment options for low back pain include the following: analgesics, muscle relaxants, antidepressants, nonsteroidal anti-inflammatory drugs, epidural steroid injections, manipulation, back schools, electromyographic biofeedback, traction, orthoses, behaviour therapy, transcutaneous electrical nerve stimulation, acupuncture, and exercise therapy. Results. Therapeutic exercises for low back pain have been shown in 6 different randomised controlled trials to be beneficial in reducing pain by up to 60% and improving functional ability by up to 47%. Furthermore, a Cochrane review on low back pain found strong evidence that exercise therapy is an effective intervention in the treatment of low back pain. When prescribing exercises for an individual with low back pain the following goals need to be considered: (i) improve performance in endurance activities; (ii) improve muscular strength around the spine; (iii) eliminate any impairments in spinal flexibility; (iv) reduce the intensity of the pain being experienced by the individual; and (v) reduce back pain-related disability. A rugby player will have increased core stability/strength and a reduced risk of injury if the internal support mechanisms of the spine have been conditioned to resist distortion or injury from external forces. Not only will improved core  stability benefit players on the field during matches or practices, it will also assist in preventing unnecessary injuries during weight training and pre-season conditioning. Conclusion. Exercise programmes which combine core stability with general strength training should be prescribed for rugby players to prepare them for the level of impact involved in the game, as well as for sport-related weight training and non-sport-related daily activities.

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