Low Back Pain
Conditions
Keywords
Core stabilization exercises, Low back pain, Lumbar lordosis
Brief summary
Comparative effect of Sahrmann's exercises and core stabilization exercises on low back pain in individuals with lumbar lordosis
Detailed description
Low Back pain is the most usual cause of disability and is worsening on a global scale. The prevalence of Low back pain is reported to be about 80%. Lumbar lordosis has significance because of its distinctive position and its direct contact with the pelvis. Increased lordosis leads to excessive compression of apophyseal joint. Sahrmann's exercises refers to address the muscular component by shortening long muscles, reducing the load on weak or long muscles, supporting weakened using specific muscles to train the patient to activate specific muscles in a precise manner, and emphasize correct use of muscles in postural positioning activity and functional activity. The commonly used core stability training programs is the McGill Big 3 core stability exercise which was introduced by McGill and Karpowicz. Core stability has an impressive effect even on prevention of low back and lumbar lordosis. Core stability training has been widely used in physical therapy as treatment of low back pain.
Interventions
OTHERSahrmann's Exercises
Sahrmann's Exercises include exercises like Pelvic Clock which strengthen transverse abdominis and improve pelvic alignment. Its positions includes; Pelvic tilt (12 o'clock), Lateral pelvic shift (3 o'clock and 9 o'clock), Posterior pelvic tilt (6 o'clock) with 3 sets of 10-15 repetitions. Lumbar Extensions which enhance lumbar lordosis and strengthen erector spinae. Bridging which strengthen gluteus maximus and improve hip-pelvic alignment. Knee to Chest stretch which improves lumbar flexibility, mobility, enhances strength of hip and pelvic muscles.
OTHERCore Stabilization Exercises
Core Stabilization Exercises includes; Curl-Up which strengthen the rectus abdominis and transverse abdominis muscles with 3 sets of 10-15 repetitions. Bird Dog which strengthen the extensor muscles, including the erector spinae and latissimus dorsi. Side Plank (Modified Plank) which strengthen the transverse abdominis and oblique muscles.
Sponsors
Rashid Latif Medical College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The assessor was kept blind and was not aware of any intervention group.
Intervention model description
Group A: Sahrmann's Exercies Patients received Sahrmann's exercises along with baseline treatment. Group B: Core Stabilization Exercises Patients received Core Stabilization Exercises along with baseline treatment.
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Male and Female patients * Age 20-60 * Low back pain * Functional disability
Exclusion criteria
* Pathological signs, Ankle injury, pregnant females, previous surgery * History of any specific medication * Regular high intensity exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Baseline and 4th week | The intensity of pain was measured by a numerical pain rating scale is an accurate and reliable tool for measuring pain intensity. It is a scale rating from 0 to 10 (no pain to moderate pain and to severe pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability | Baseline and 4th week | Disability was measured by Oswestry disability index is a questionnaire includes total 10 sections and each section has 5 further statements related daily routine activities e.g. lifting, washing, walking, traveling, sitting etc. The possible score is 5 for each section. The score ranges from 0 (minimum disability) to 50 (maximum disability) indicating disability index. |
Countries
Pakistan
Outcome results
None listed