Comparing the Effect of Core Stability Exercises and Electrotherapy on Nonspecific Chronic Low Back Pain in Mother Assistants Working in Mentally or Physical Retarded Children Wards
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Abstract
Introduction: Low Back Pain (LBP) is the most common cause of daily activities restriction and functional disability. Of various chronic LBPs, the most common type is chronic non-specific LBP. This study aimed to compare the effect of core stability exercises and electrotherapy on relieving symptoms of chronic non-specific LBP in mother assistants working in caring centers for mental-physical disabled children.
Material and Methods: A total of 42 mother assistants with nonspecific chronic LBP were randomly selected and put into three groups: the stabilization exercises (n= 15), the electrotherapy (n=15), and the control (n=12). Their mean(SD) age was 40.3 [1.8] years; mean(SD) work background: 15.8 [7.6] years, mean(SD) weight: 69 [11.8] kg, and mean(SD) height: 161.5 [6.3] cm. The first group underwent a 6-week training of core stability exercises every other day; the second group received a 10-session electrotherapy; however, the third group received no treatment at all. The three groups were given pretests and posttests via completing McGill Pain Questionnaire at the beginning of the study.
The 1-way analysis of variance to test all variables showed that all groups were matched in terms of job background, height, weight and age. The Shapiro-Wilk test results showed that the difference between the scores of pretest and posttest were normally distributed. To verify the hypotheses, ANOVA test was applied. All analyses were done at significance level of 0.05 using SPSS 22.
Results: Results revealed a significant difference in the mean changes chronic LBP in working mother assistants in the electrotherapy group (-31.5), and control group (-1.7) (P=0.000). In other words, a course of electrotherapy led to a significant reduction in chronic non-specific LBP in mother assistants.
Conclusion: Electrotherapy compared to core stability exercises contributes significantly in reducing nonspecific chronic LBP in mother assistants working in units for caring children with physical or mental disabilities.
Akuthota.Venu, Ferreiro Andrea, Fredericson Michael, (2008). Core Stability Exercise Principles. Current Sports Medicine Reports, Vol 7, No. 1, pp, 42.
Bayramoglu M, Akman MN, K l n c, s, cetin, Yavuz, zke R, (2001). Isokinetic Meas-urement of trunk muscle strength in women with chronic low-back pain. Psy Med Reh-abil 80:650-5.
Costa L0, Maher C G, Latimer J, Jedyes PW, Herbert RD, Refshaugev KM. (2009). Motor Control exercise for chronic low back pain: a randomized placebo – controlled trial, phys Ther:89(12):1275-1286
DWorkin RH, Turk DC,Revicki DA, Harding G, Coyneks, Peirce-Sanders, (2009). Development and initial validation of an expanded and resived version of the short –from Mc Gill pain Questionnaire (SF-Mpa-2). Pain.144:35, 42.
Facci Ligia Maria, Paulus Nowotny Jean, Tormem Fabio, treviani Virginia Fernondes Moca, (2011). Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain:randomized clinical trial. Sao Paulo MedJ: 120(4):206, 16.
Hides JA, Richardson CA, Jull GA, (1996). Mutifidus nuscle recovery is not automatic after resolution of acute, first episode low back pain. Spine 21 (23): 2763-2769.
Hodges Pw, Richardson CA. (1996). Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. spine (philapa 1976) 21(22): 2640,50
Hazard RG, (1996).Chronic low back pain and disability: the efficacy of functional restoration. BullHosp Jt Dis.55.pp:213-16-
Henschken, MahercG, Refshauge KM, Herbert RD, Cumming RG, Bleaselj, etal.(2008). Prognosisin Australian Primary Care: inception cohort Study. BMJ, 337: 1-7
Koumantakis GA, Watson PJ,Oldham JA.(2005). Trunk muscle stabilization training plus general exercise versus jeneral exercise only, phys Ther 85(3):209-225.
Kumar Saravana, Beaton Kate, Hughes Tyicia, (2013). The effectiveness of massage therapy for the treatment of nonspecific low back pain. Saravana kumar international center for Allied Health C7-61 SA 5000, Email Saravana Kumar @ Unisa-edu.au
Kesh Patel, (2009) , Corrective Exercise A Practical Approach, 5th ed, Hodder Arnold , 132 – 143
Liebenson, (1995). Rehabilitation of the spine: a practitioner’s manual 1st ed. Philadelphia, PA: Lippincott Williams 8 wilkins, p.205, 298,317.
Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, etal.(1998). Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States, Rrthrit Rheum, 41:778-99.
Maniadakis N, Gray A, (200). The economic burden of back pain in the UK. Pain, 84:95-103
Maluf Ks, Sahrmann SA, Van Dillen LR, (2000). Use of a classification systems to guide non-surgical management of a patient with chronic low back pain. Phys Ther 80: 1097 – 111. SPSS
Moffroid MT. (1997). Endurance of trunk mu-scles in persons with chronic low back oain: assessment, performance, training, J Reh- abil Res 34:440-7.
Macedo LG, Maher CG, Lantimer J, McAuley JH.(2009).Mo Control exercise for persistent nonspecific low pain, phys Ther; 89(1)
McGills.(2007). Low back disorder: evidence – based prevention and rehabilitation 2nd ed. London,UK:Human Kinetics:P-124.58
Melzackr, (1975). The McGill Pain Questionnaire: major properties and scaring methods. Pain 1 (3),277,299
Muthukrishnan RT،shenoy SD, Jaspal ss, Nellikunjas, Fernandess (2010). The differential effects of core stabilization exercise regime and conventional physiotherapy regime on postural control parameters during perturbation in patients with movement and control impairment chronic low back pain. Sports Med Arthrose Rehabil Ther Technol: 2:13
Mohseni-Bandpei Mohammad PhD,Critchley b, StauntoncThomas, Richardson A Barbara,(2006). Prospective randomized controlled trial of spinal manipulation and ultrasound in the treatment of chronic low back pain. J MazanduniV Med sci, 23(100)11, 19(Persian).
Nourbakhsh MR, Arab AM. (2002). Relationship between mechanical factors and inci-dence of low back pain. Jerthop Sports Pp-hys Ther, 32:447-6.
Panjabi MM, (2003). Clinical Spinal instability and low back pain. J. Electromyogr.kinesiol, 13:371, 379.
Rubin DI, (2007). Epidemiology and risk factors for spine pain. Neural Clin, 25: 353-71
Snijders CJ, Ribbers MT.de Bakker HV, Stoechart R, Stam HJ.(1998) EM recordings of abdominal and back muscles in various standing postures: Vakidation of a biomechanical model on sacroiliac joint stability. JElectromyogr Kinesiol; 8(4):205-214.
Saharmn S, (2011).Diaynosis and treatment of movement impairment syndrome.
Samadipour A, Ekhvatian F, Kahrizis, (2003)Comparison of three exercise therapy on severity of pain and percentage of disability in people with chronic mechanical low back pain. Journal of research in Rehabilitation; 4:7615.
Torkan F(2013),Low Back Pain,Khatam al Anbia hospital,Mir mah Publication ,2:11
Lena Motallebi, Mohammad Ali Mohseni Bandpei, Nahid Rahmani, May 7, 2013 Effects of Stabilization Exercises on Pain Intensity, Functional Disability and Cross Sectional Area of Multifidus Muscle in Women with Non-specific Chronic Low Back Pain. J Mazand Univ Med Sci 2013; 23(100): 11-19 (Persian)
Val Robertson, PhD, Alex Ward, PhD, John Low, BA(Hons), FCSP, DipTP and Ann Reed, BA, MCSP, DipTP, (2006) Electrotherapy Explained, Principles and Practice, 4th Edition
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| Issue | Vol 11 No 1 (2017) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18869/nirp.jmr.11.1.63 | |
| Keywords | ||
| Core stability exercises Electrotherapy Chronic non-specific low back pain | ||
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