Volume 6, Number 4 (3-2017)                   cmja 2017, 6(4): 1690-1702 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

sedaghati P, sedaghati N, ardjmand A. The impact of hydrotherapy, extension/flexion exercises on truncal muscle strength and pain intensity in nonspecific chronic low back pain. cmja. 2017; 6 (4) :1690-1702
URL: http://cmja.arakmu.ac.ir/article-1-433-en.html

, parisasedaghati@yahoo.com
Abstract:   (484 Views)

Introduction: Back pain is a common complaint both in developing and developed countries with a prevalence of 70-80% among the adults. The purpose of this study was to investigate the effect of three different exercises (hydrotherapy, McKenzie extension and Williams flexion exercises) on truncal muscle strength and pain intensity among females with chronic low back pain (LBP).

Methods: The female participants (No=68, age: 21-27 years) with chronic LBP were selected based on available purposeful sampling and were randomly assigned into 4 groups: control and three experimental (Hydrotherapy, McKenzie and Williams) groups. The strength of truncal flexor and extensors and the pain intensity of participants were assessed with a pre-/post design. The participants undergone the exercises for 12 weeks, 3 sessions/week, 45 minutes each week. The data were analyzed using paired t-test, one way ANOVA and the post hoc Scheffe’s test.

Result: The findings obtained from comparing the mean for the strength of truncal flexor and extensors in pre-/post-periods showed a significant difference (P=0.001), but the ratio of truncal flexor to extensors was significant only in Williams exercise group (P=0.001) and the significant relief of pain intensity in both hydrotherapy and Williams exercise groups.

Conclusion: Considering the effectiveness of hydrotherapy and the flexor pattern of Williams exercises on pain intensity and the ratio of truncal flexor to extensors, performing such exercises are recommended to chronic low back pain patients.

Full-Text [PDF 690 kb]   (255 Downloads)    
Type of Study: Research | Subject: Other cases

1. 1. Khonsardy-koulr M, Norrste A, Danshmady H. Electromyographic study of lumbar and thigh muscles flex fatigue in athletes with low back pain. Journal of sports medicine. 2011;6: 39-45.
2. Omino k, hayashi y. Preparation of dynamic posture and occurrence of low back pain. Ergonomics. 1992;35(5-6):693-707.
3. Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain. 2000;84(1):95-103.
4. Afsharzadeh T, Rezaei S, Yusef-Zadeh S. the relationship between fear of movement and physical disability in patients with chronic low back pain. Journal of Rehabilitation. 2010; 11 (2): 22-28. [ Persian]
5. Chung S, Lee J, Yoon J. Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain. The Journal of Sports Science and Medicine. 2013;12(3):533-41.
6. Hayden JA, Van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of internal medicine. 2005;142(9): 776-85.
7. Saal ja, saal js. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy: an outcome study. Spine. 1989;14(4):431-7.
8. Gupta S. A comparison between mckenzie extensions exercises versus william’s flexion exercises for low back pain in b. Pt. Students. Indian journal of physical therapy. 2016;3(2):51-5.
9. Cuesta-Vargas A, Adams N, Salazar J, Belles A, Hazañas S, Arroyo-Morales M. Deep water running and general practice in primary care for non-specific low back pain versus general practice alone: randomized controlled trial. Clinical rheumatology. 2012;31(7):1073-8.
10. Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. American journal of physical medicine & rehabilitation. 2005;84(6):473-80.
11. McGill SM. Low back exercises: evidence for improving exercise regimens. Physical therapy. 1998;78(7):754-65.
12. Moffett JK, Hughes GI, Griffiths P. A longitudinal study of low back pain in student nurses. International journal of nursing studies. 1993;30(3):197-212.
13. Ya'ghoubi Z, Kahrizi S, Parnian-Pour M, Ebrahimi-Takmajani E, Faghih-Zadeh S. The Short Effects of Two Spinal Stabilization Exercise on Balance Tests and Limit of Stability in Men with Non–Specific Chronic Low Back Pain: Randomized Clinical Trial Study. Quarterly Journal of Rehabilitation. 2012;13(1):102-13. [Persian]
14. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale: Measurement Properties. Spine. 1995;20(3): 341-52.
15. Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy pool. Archives of physical medicine and rehabilitation. 2003;84(9):1319-23.
16. Biering-sørensen fi. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2): 106-19..
17. Pirouzi S, Hides J, Richardson C, Darnell R, Toppenberg R. Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotation efforts. Spine. 2006;31(26): 999-1005.
18. Koumantakis GA, Watson PJ, Oldham JA. Supplementation of general endurance exercise with stabilisation training versus general exercise only: physiological and functional outcomes of a randomised controlled trial of patients with recurrent low back pain. Clinical biomechanics. 2005;20(5):474-82.
19. Farahpour N, Farajollahi N, Hamze Jalili A, Salami A, Sheykhrezayi E. Functional abnormalities of trunk muscles in chronic low bacck pain before and after therapeutic exercies. Journal of movement abnormalities of science and sport.2002; 1: 82-70.
20. Ghaderi, Ebrahimi Takamjani, Salavati, Marofi. Effects of active spinal stabilization exercises on lumbar muscle performance in sagital plane in healty subjects. Razi Journal of Medical Sciences. 2003;10(34):263-73. [Persian]
21. Granata KP, Wilson SE. Trunk posture and spinal stability. Clinical biomechanics. 2001;16(8):650-9.
22. Kim YS, Park J, Shim JK. Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy. Archives of physical medicine and rehabilitation. 2010 ;91(2):208-14.
23. Rutledge E, Silvers WM, Browder K, Dolny D. Metabolic-cost comparison of submaximal land and aquatic treadmill exercise. International Journal of Aquatic Research and Education. 2007;1(2):118-33.
24. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques: Fa Davis; 2012.
25. Pires D, Cruz EB, Caeiro C. Aquatic exercise and pain neurophysiology education versus aquatic exercise alone for patients with chronic low back pain: a randomized controlled trial. Clinical rehabilitation. 2015;29(6):538-47.
26. Irandoust K, Taheri M. The effects of aquatic exercise on body composition and nonspecific low back pain in elderly males. Journal of physical therapy science. 2015;27(2):433.
27. Oláh M, Molnár L, Dobai J, Oláh C, Fehér J, Bender T. The effects of weightbath traction hydrotherapy as a component of complex physical therapy in disorders of the cervical and lumbar spine: a controlled pilot study with follow-up. Rheumatology international. 2008;28(8):749-56.

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author

© 2015 All Rights Reserved | Complementary Medicine Journal of faculty of Nursing & Midwifery

Designed & Developed by : Yektaweb