Trunk stabilization among women with chronic lower back pain: a randomized, controlled, and blinded pilot study
| Autor: | Guilherme Carlos Brech, Gabriela Faller Vitale, Julia Maria D'Andrea Greve, Silvia Ferreira Andrusaitis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Weakness medicine.medical_treatment Pilot Projects law.invention Lumbar Randomized controlled trial Double-Blind Method law Back pain medicine Humans Prospective Studies Postural Balance lcsh:R5-920 Rehabilitation Proprioception business.industry General Medicine Middle Aged Trunk Exercise Therapy medicine.anatomical_structure Chronic Disease Physical therapy Abdomen Female medicine.symptom lcsh:Medicine (General) business Low Back Pain Rapid Communication |
| Zdroj: | Clinics Clinics, Vol 66, Iss 9, Pp 1645-1650 (2011) Clinics; v. 66 n. 9 (2011); 1645-1650 Clinics; Vol. 66 Núm. 9 (2011); 1645-1650 Clinics; Vol. 66 No. 9 (2011); 1645-1650 Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 66, Issue: 9, Pages: 1645-1650, Published: 2011 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | Treatment for mechanical lower back pain is a challenge in Western society, in which its occurrence can now be considered to have reached epidemic proportions. The origin of such pain and the factors that cause it to become chronic and recurrent remain poorly understood. Abnormalities in motor control and trunk muscle function have been found in individuals with chronic lumbar pain.1-4 Many studies have demonstrated that the deep muscles of the lumbar column and abdomen, especially the multifidus and transversus abdominis, present late activation, weakness, and diminished resistance during episodes of lower back pain.5 These changes persist even when the painful condition goes into remission, and they contribute to episodes of lower back pain recurrence.1,5,6 However, it is still difficult to determine whether the neuromuscular imbalance occurs because of the pain or whether the imbalance causes the pain.1,6 Although the mechanisms that lead to these abnormalities are incompletely understood, rehabilitation programs aiming to stabilize the lumbar spine and improve its musculature and proprioceptive action have been used with positive effects on pain and functional capacity in individuals with mechanical lower back pain.7 This pilot study compared stabilization exercises with strengthening exercises for the trunk and hips in women with chronic lower back pain in terms of their effects on pain, functional capacity, and postural balance. |
| Databáze: | OpenAIRE |
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