scholarly journals Effects of Core Stability Exercises, Lumbar Lordosis and Low-Back Pain: A Systematic Review

2021 ◽  
Vol 5 (1) ◽  
pp. 17-23
Author(s):  
Gojko Skundric ◽  
◽  
Veljko Vukicevic ◽  
Nikola Lukic ◽  
◽  
...  

Core stability has a very positive effect on the prevention of lumbar lordosis and lower back pain. The main focus of this paper was on a review of the available literature on the influence of trunk stability on lower back pain and lumbar lordosis. The two electronic databases researched for collecting articles are PubMed and ScienceDirect. A search was conducted by title, taking a predefined combination of the following keywords into account: low back pain, core stability, training, sports. Screening processes are summarized through a PRISMA flow chart. 408 studies were identified, of which 20 met the inclusion criteria. It was concluded that exercise on the stability of the pelvic nucleus and muscles is recommended as the simplest and most favorable prevention of lower back pain and lumbar lordosis. The stability of the nucleus helps to overcome the main causes and deprive the body of functional disorders and pain.

Author(s):  
Krishna Pedaprolu ◽  
Satyam Rajput ◽  
Sharmila Nageswaran

According to National Institute of Neurological Disorders and Stroke (NINDS), a division of National Institutes of Health (NIH), about 80% adults suffer from low back pain at some point in time and about 2 out of 10 people who are affected by acute low back pain develop chronic low back pain with persistent symptoms at one year [1]. Though in some cases, treatment does relieve chronic low back pain, but in other cases, pain persists despite treatment. Mostly, the lower back pain is of mechanical nature, i.e., disruption in the way the components of the back (the spine, muscle, intervertebral discs, and nerves) fit together and move. The causes of lower back pain can be imputed to various conditions such as sprains and strains, osteoarthritis, herniated discs, whiplash, compression fracture, scoliosis, stenosis, inflammation of joints, osteoporosis. It not only causes pain, but also severs the economy of a nation. It is a major contributor to missed workdays [1]. Research indicates that the total indirect costs due to back pain accrue to more than $100 billion annually [2]. Not many people can afford traveling by car or taxi to office, especially in developing countries and in cities with high traffic, where people prefer to travel by two-wheelers for their access to work and other amenities. However, people with lumbar problems are recommended not to use two-wheelers as the movement of the body on uneven roads or while braking/accelerating may increase the pain and discomfort. This reduces the productivity of not only the individual and the firm but also the productivity of the country as a whole.


2019 ◽  
Vol 5 (1) ◽  
pp. 48-55
Author(s):  
I Gede Purnawinadi ◽  
Andrew Rumegang

ABSTRACT Introduction: Low back pain (NPB) is the second leading cause of global disability in musculoskeletal problems, with the highest prevalence in Indonesia being among farmers. A non-ergonomic work attitude is at risk for lower back pain. Purpose: This study identified work attitudes as a risk in relation to the incidence of low back pain. Method: This study was an observational analytic cross-sectional approach conducted on 32 farmers in Karowa Village using Rapid Entire Body Assessment (REBA) to evaluate work attitudes and questionnaires to measure complaints of lower back pain. Results: The working attitude of farmers was 77.4% at high risk and 93.7% of farmers complained of moderate pain. There is a significant relationship between work attitude and lower back pain in farmers with a positive and strong direction. Discussion: The more it is not ergonomic the working attitude of farmers is, the more at risk of developing complaints of lower back pain. Community and farmers are expected to do work safely such as avoiding overloading of shoulders, often changing positions or stretching the body while working, and if possible do work alternately.   Keywords: Evaluation, Work Attitude, Risk, Pain, Lower Back.


2021 ◽  
Vol 27 (7) ◽  
pp. 695-698
Author(s):  
Lei Ye ◽  
Chunyan Liu ◽  
Cunxi Jiang ◽  
Youshen Cao

ABSTRACT Introduction: The main clinical feature of chronic nonspecific low back pain (CNLBP) is lower back pain, and suspension sports therapy has a specific effect in this case. Objective: To investigate the changes of flexion-relaxation phenomenon in patients with lower back pain after core control training of suspension exercise therapy (SET). Methods: 84 subjects who met the inclusion and exclusion criteria of chronic low back pain in this experiment were randomly divided into an experimental group and a control group. The experimental group was treated with suspension training. The control group only received acupuncture. We then determined the muscle fascia tension and core stability of the lower lumbar region. Results: The visual analog scale (VAS) and Oswestry dysfunction index (ODI) evaluations of the two groups of patients were different. Conclusion: Suspended core stabilization training has a significant long-term effect in reducing lower back pain and improving waist function in patients with chronic nonspecific low back pain. Level of evidence II; Therapeutic studies - investigation of treatment results.


Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.


2017 ◽  
Vol 20 (01) ◽  
pp. 1750005 ◽  
Author(s):  
Ghorbanali Mohammadi

Low back pain (LBP) is one of the most frequent occupational health problems and accounts for a large number of losses in working days and disability for workers in modern industrialized countries. The aim of this paper was to investigate the prevalence of lower back problem and to associate risk factors among high school teachers. A cross-sectional study was conducted among high school teachers using self-administered questionnaires, which were distributed to randomly selected school teachers of 7 boys’ and 10 girls’ high schools across the city of Kerman and collected between October and November 2010. A total of 296 teachers returned completed questionnaires, yielding a response rate of 78.9%. The 12-month prevalence of LBP was 68.8%, which reporting with moderate disability. The results of multiple logistic regression analysis revealed that females [odds ratio (OR): 1.85, 95% confidence interval (CI): 1.51–2.00] were positively correlated to LBP. Awkward arm posture (OR: 1.81, 95% CI: 1.24–2.62) and awkward body posture (OR: 1.23, 95% CI: 0.87–1.49) were significantly associated with LBP. Psychosocial job demands and job dissatisfaction were also significantly associated with LBP. Smoking cigarette was three times more likely to develop lower back pain when compared with non-smokers. The prevalence of LBP was high among high school teachers. A wide variety of LBP risk factors were identified in the current study. The present study indicates that the high prevalence of lower back pain may lose difficulty to teachers in getting to work and “performing” the work required of them, resulting in work absenteeism, which may decrease work productivity.


2016 ◽  
Author(s):  
Vikram B Patel

Lumbar or lower back pain is a very debilitating condition that affects  almost one fifth of the adult population during a given year. Almost everyone walking on two feet is bound to suffer from some back pain during their lifetime. The health care burden for treating low back pain is enormous, especially if the lost work hours are combined with the amount used in diagnosing and treating low back pain. Lumbar facet (zygapophysial) joints are one of the major components involved in causing lower back pain. Diagnosing the pain generator is more of an art than a science. Combining various parameters in the patient’s history, physical examination, and diagnostic studies is not much different from solving a murder mystery. Although facet joint pain may be accompanied by other pain generators, that is, lumbar intervertebral disks, nerve roots, and vertebral bodies, once treated, the relief in pain is more helpful in performing proper rehabilitation and improving further deterioration in low back pain. Muscles are almost always painful due to myofascial pain syndrome that accompanies the facet joint–related pain. Treating one without addressing the other leads to failure in management and optimization of patient’s pain and function. Several treatments are available for treatment of facet joint–mediated pain, including steroid injections using a miniscule amount and radiofrequency ablation of the nerves supplying the facet joints (medial branches of the dorsal primary ramus of the lumbar nerve root). With proper diagnosis and treatment, a patient’s pain and function can be optimized to a level where it may not impact the day-to-day activities or even resumption of the patient’s routine job function. The following review describes the anatomy, pathophysiology, diagnosis, and treatment of lumbar facet joint–mediated pain.   Key words: facet joint pain, facet joint syndrome, low back pain, medial branch radiofrequency, spondylolisthesis


2021 ◽  
Vol Special issue (3) ◽  
pp. 30-34
Author(s):  
Dilrabo Jalilovna Khalimova ◽  

In the polyclinics of the city of Bukhara and the Bukhara region, in the polyclinics of the city of Navoi and the Navoi region of the Republic of Uzbekistan, in the period for 2019, they were selectively interviewed using a questionnaire developed in the Bukhara Medical Institute of the Republic of Uzbekistan to determine the characteristics of LBP (for a patient). According to a survey on this questionnaire, specific characteristics of LBP were identified in patients living in urban and rural conditions


2018 ◽  
Vol 1 (1) ◽  
pp. 47-53
Author(s):  
Tati Murni Karokaro ◽  
Melisa Queen Hutabarat

In fulfillment of these needs sometimes human forget to maintain their health, good attitude so that the position in work is not ergonomic which can lead to problems when carrying out activities. Lower back pain is a clinical symptom that is characterized by pain or a discomfort feeling in lower back area. In the United States, the incidence of lower back pain region in the past one year is 15% -20%. This study aims to see whether there were differences in giving of Mc Kenzie and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain. This study is quasi experiment with a sample of patients with lower back pain, with purposive sampling technique. The results obtained are p-value ? <(0,000 <0,05), it means that there is a difference in giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain, that uses body movements that is directed to extension, to provide strengthening and reflecting on the extensor and flexor muscles of the lumbar joint, while the Core Stability Exercise has the ability to regulate the position and movement in the central region of the body, and it can be concluded that there is differences in Giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain. It is recommended for patients who experience lower back pain so that keep always repeat the exercises that suggested by physiotherapist, for further research so that choose more samples.


Author(s):  
Matchimamart Chamnankrom ◽  
Nuttaset Manimmanakorn ◽  
Apiwan Manimmanakorn ◽  
Kiattisak Kongwattanakul ◽  
Michael J. Hamlin

BACKGROUND: Low back pain is a common problem in pregnant woman. Elastic tape is an alternative method that may reduce low back pain. OBJECTIVES: To compare the effect of elastic tape to placebo tape in the treatment of low back pain in pregnant women. METHODS: Forty pregnant women were allocated into two groups: elastic group (n= 20) and placebo group (n= 20). All participants were taped by either stretched (elastic group) or non-stretched (placebo group) Kinesio tape at the lower back area for one week. RESULTS: After the application of stretched elastic tape, lower back pain was significantly reduced by 29.4% (p= 0.003) immediately post-taping and by a further 75.4% after wearing the tape for a week. Compared to the placebo group, lower back pain was significantly reduced in the elastic group after one week of wearing the tape (p< 0.001). Compared to placebo, the application of elastic tape significantly reduced the disability score (Roland-Morris Disability Questionnaire) after one week of wearing the tape (p= 0.018). Taping to the back improved walking speed (immediately and after one week) in both the elastic (p< 0.001, p< 0.001) and placebo groups (p< 0.001, p= 0.001); however, the application of either tape had little effect on posture change. CONCLUSION: Elastic tape reduced back pain and improved physical function in pregnant women compared to the placebo tape.


Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.


Sign in / Sign up

Export Citation Format

Share Document