Effect of trunk muscles training using a star excursion balance test grid on strength, endurance and disability in persons with chronic low back pain

2015 ◽  
Vol 28 (3) ◽  
pp. 521-530 ◽  
Author(s):  
G. Shankar Ganesh ◽  
Deepak Chhabra ◽  
Monalisa Pattnaik ◽  
Patitapaban Mohanty ◽  
Rishee Patel ◽  
...  
2021 ◽  
pp. 229-236
Author(s):  
Yi-Chien Peng ◽  
Chung-Yuan Hsu ◽  
Wen-Tzu Tang

The purpose of this study was to investigate whether low-handicap elite golfers with chronic low back pain (CLBP) exhibit deficits in dynamic postural control and whether CLBP affects golfers in terms of their golf swing parameters. A total of fifteen Division 1 college golfers were recruited as participants. Of these, six of whom experienced CLBP, while the remaining participants were healthy. In this study, CLBP was defined as experiencing chronic pain symptoms for more than six months. The Star Excursion Balance Test (SEBT) was administered to examine dynamic posture control in both groups. The TrackMan Golf Launch Monitor Simulator was used to collect data on the performance parameters of the swing of the participants. The results for both feet in the medial, lateral, posterior, posteromedial, and posterolateral directions indicated that the CLBP group scored lower than the control group. However, the CLBP group scored higher for the right foot in the anterolateral direction. The parameters for the club speed and ball carry of the CLBP group were lower than those of the control group. Further, the CLBP group exhibited a more upright swing plane relative to the control group. Taken together, our findings suggest that SEBT may be feasible and highly accessible to assess golf swing performance of elite players with CLBP.


2019 ◽  
Vol 20 (4) ◽  
pp. S24
Author(s):  
Y. Alshehre ◽  
K. Alkhathami ◽  
S. Wang-Price ◽  
K. Brizzolara

2014 ◽  
Vol 27 (3) ◽  
pp. 447-455 ◽  
Author(s):  
Jarbas Melo Filho ◽  
Fernanda Maria Cercal Eduardo ◽  
Auristela Duarte de Lima Moser

Introduction Chronic low back pain with a mechanical and degenerative origin is among the most common symptoms experienced by people all over the world. Objective To analyze the effects of a protocol for lumbar and pelvic segmental stabilization with regard to isokinetic variables, functionality, and pain in patients with low back pain. Materials and methods The sample consisted of 21 subjects, 8 female and 13 male, with a mean age of 42.6 ± 12.5 years. We used tests for mobility (modified Schober index), flexibility (finger-floor distance), functionality (Roland-Morris questionnaire), pain (Visual Analog Scale of Pain), and the isokinetic variables torque peak, work, flexors/extensors ratio before and after application of a protocol for segmental stabilization in subjects with chronic low back pain with a mechanical and degenerative origin. This protocol was used for two months, being applied twice a week. The data were statistically tested by means of the software Statistica, version 8.0. Results There were significant improvements for the variables flexibility (p = 0.014), functionality (p < 0.001), pain level (p < 0.001), torque peak flexion (p = 0.008), torque peak range (p < 0.001), torque flexion (p = 0.001), torque range (p < 0.001), and flexors/extensors ratio (p = 0.001). Conclusion Even with the improved levels of trunk muscles strength, both flexors and extensors, it was not possible to rebalance the segment according to data available in the literature. It is believed that there is a need for a protocol with a longer application period, maintaining the recruitment of extensor muscles. Regarding mobility of the lumbar segment, the protocol showed no significant differences in post-treatment (p = 0.520). This may be attributed to improved muscle control, providing the increased passive stiffness required to promote stability.


2021 ◽  
Author(s):  
Nackhwan Kim ◽  
Soo Hoon Yoon ◽  
Minhee Kim ◽  
Sang-heon Lee ◽  
Dong Hee Kim ◽  
...  

Abstract Background: We used two methods, direct and indirect, to study the application of vibration training. This pilot study aimed to investigate the short-term effect of direct vibration and spinal stabilization exercises on the deep trunk muscles of patients with non-specific chronic low back pain (CLBP). Methods: Sixty-two participants with non-specific CLBP were randomly placed into two groups, one with direct vibration to the trunk muscles, VSE (vibration-plus stabilization exercise) group, and one without, CSE (conventional stabilization exercise) group. The groups underwent twelve sessions of an exercise program for spinal stability. We measured the thickness and activity of the following trunk muscles using ultrasonography and surface electromyography (sEMG): transversus abdominis (TrA), external oblique (EO), internal oblique (IO), rectus abdominis (RA), lumbar multifidus (LM), and lumbar erector spinae (LES). Results: The ultrasonographic examination revealed that the ratio of muscle thickness to muscle contraction and relaxation was increased after training in the TrA and LM muscles of patients in the CSE group, and in the TrA, LM, and IO muscles in the VSE group. We also found that the LM/LES ratio in the CSE group and the IO/RA, TrA/RA, and LM/LES ratios in the VSE group were significantly increased. Using multiple regression analysis, we showed that the improvement of the symptoms was related to increased activity of the deep trunk muscles in the VSE group (p<0.05).Conclusion: The findings suggest that direct vibration on the trunk muscles may increase the activity of contracting deep muscles and be used in addition to the effective enhancement of stabilization exercise in patients with non-specific CLBP.Trial registration: KCT0003858. Registered 26 April 2019.


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