Investigating the lumbar proprioception and core muscles recruitment pattern while getting up from a chair with weight lifting in patients with chronic functional constipation: cross-sectional study.

Autor: Azhdari N; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, 1st, Abivardi Avenue, Chamran Blvd, Shiraz, Iran., Ebrahimi S; Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, 1st, Abivardi Avenue, Chamran Blvd, Shiraz, Iran. ebrahimis@sums.ac.ir.; Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. ebrahimis@sums.ac.ir., Abolahrari-Shirazi S; Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, 1st, Abivardi Avenue, Chamran Blvd, Shiraz, Iran.; Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Rojhani-Shirazi Z; Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, 1st, Abivardi Avenue, Chamran Blvd, Shiraz, Iran.; Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Bervis S; Rehabilitation Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Ghahramani L; Department of Colorectal Surgery, School of Medicine Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2024 Jan; Vol. 35 (1), pp. 109-117. Date of Electronic Publication: 2023 Nov 22.
DOI: 10.1007/s00192-023-05673-4
Abstrakt: Introduction and Hypothesis: Patients with chronic functional constipation have some problems such as weakness of pelvic floor muscles, and a lack of coordination of pelvic floor and abdominal muscles has been seen. The goal of this study was to investigate the lumbar proprioception and the core muscle recruitment pattern.
Methods: The study type is a cross-sectional case-control study. There were 30 participants (case, n = 15, and control, n = 15). Electromyography of the core muscles was recorded while the subjects were getting up from the chair accompanied by lifting a weight, to check the pattern of muscle recruitment. Moreover, the lumbar proprioception was evaluated by an isokinetic device in both groups. The study was analyzed using independent t test and Mann-Whitney U test, and a nonparametric Friedman test was performed followed by Bonferroni pairwise comparison.
Results: The comparison of muscle activity delay between the two groups showed that there was a significant difference between the two groups regarding the abdominal muscles, anal sphincter, and erector spinae (p < 0.05). However, there was no significant difference in the rectus femoris and gluteal muscles between the two groups (p > 0.05). Moreover, the proprioception of the lumbar region showed a significant difference (p < 0.05) between the two groups.
Conclusions: The results of this study demonstrated that the lumbar proprioception sense was reduced in the case group. This result can be justified, based on the problems in constipation (lack of coordination of muscles, weakness of pelvic floor muscles). The coordination of core muscles changed in patients with chronic functional constipation during a functional task.
(© 2023. The International Urogynecological Association.)
Databáze: MEDLINE
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