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Dynamic Sitting Exercise versus Spinal Extension Exercise on Pain, Lumbar Mobility and Quality of Life in Adults with Mechanical Low Back Pain


Affiliations
1 MPT in Department of Musculoskeletal and Sports, India
2 The Oxford College of Physiotherapy, Begur Road, Hongasandra, Bangalore, India
     

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Background: Now-a-days it is seen that busy work schedule and unhealthy environment leads to discontinuity in exercising despite of awareness and knowledge of its effectiveness on problems like low back pain. There are many factors including improper posture, over loading, immobility, trunk muscles weakness leads to mechanical low back pain in adults. Exercises of various types have been used in managing low back pain. Hence there is a need to find out a single functional and effective exercise for such problems so that they can be done anytime during work and without any equipment which is also economical.

Methodology: Thirty adults aged between 20-30 years participated in this comparative experimental study. After underwent physical screening for selection criteria mechanical low back pain followed by simple randomization participants were divided into group A and group B. Group A and group B received dynamic sitting and spinal extension exercise respectively for thrice a week for six weeks. Pre and post values were assessed using outcome measures Visual Analog Scale for pain, MMST used for lumbar mobility and Short Form-36 Health Survey Questionnaire for quality of life.

Results: In comparison of post test scores of outcome measures evidenced that the reduction of pain score, improvement in lumbar mobility and quality of life scores. There were significantly improvement among the adults with mechanical low back pain treated with Dynamic sitting exercise (DSE) than treated with Spinal extension exercise (SEE).

Conclusion: 6 weeks of dynamic sitting and spinal extension exercise can prevent in pain and improvement in lumbar mobility and quality of life in adults with mechanical low back pain.


Keywords

Mechanical Low Back Pain, Dynamic Sitting Exercise, Spinal Extension Exercise, Lumbar Mobility, Quality of Life.
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  • Kim KH, Kim DH. Diagnosis and Treatment of Spinal Pain. Minimally Invasive Percutaneous Spinal Techniques E-Book. 2010 Jan 1:1.
  • Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, Smeets RJ. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9; 391(10137):2356-67.
  • Ganesan S, Acharya AS, Chauhan R, Acharya S.Prevalence and risk factors for low back pain in 1,355 young adults: a cross-sectional study. Asian spine journal. 2017 Aug; 11(4):610.
  • Khan AA, Uddin MM, Chowdhury AH, Guha RK. Association of low back pain with common risk factors: a community based study. Indian J Med Res. 2014; 25:50-5.
  • Razmjou H, Kramer JF, Yamada R. Intertester reliability of the McKenzie evaluation in assessing patients with mechanical low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2000 Jul; 30(7):368-89.
  • Waongenngarm P, Rajaratnam BS, Janwantanakul P. Perceived body discomfort and trunk muscle activity in three prolonged sitting postures. Journal of physical therapy science. 2015; 27(7):2183-7.
  • Browder DA, Childs JD, Cleland JA, Fritz JM.Effectiveness of an extension-oriented treatment approach in a subgroup of subjects with low back pain: a randomized clinical trial. Physical therapy. 2007 Dec 1; 87(12):1608-18.
  • Chatchawan U, Jupamatangb U, Chanchitc S, Puntumetakul R, Donpunha W, Yamauchi J. Immediate effects of dynamic sitting exercise on the lower back mobility of sedentary young adults. Journal of physical therapy science. 2015; 27(11):3359-63.
  • Ramdas, Jella & Jella, Vasantha. (2018). Prevalence and risk factors of low back pain. International Journal of Advances in Medicine.10.18203/2349-3933.ijam20183413.
  • O’Sullivan K, McCarthy R, White A, O’Sullivan L, Dankaerts W. Lumbar posture and trunk muscle activation during a typing task when sitting on a novel dynamic ergonomic chair. Ergonomics. 2012 Dec 1; 55(12):1586-95.
  • Fryer JC, Quon JA, Smith FW. Magnetic resonance imaging and stadiometric assessment of the lumbar discs after sitting and chair-care decompression exercise: a pilot study. The Spine Journal. 2010 Apr 1; 10(4):297-305.
  • Marc Heller, DC, A Seated Exercise for Daily Decompression. Dynamic Chiropractic.
  • Fryer J, Zhang W. Preliminary investigation into a seated unloading movement strategy for the lumbar spine: a pilot study. Journal of bodywork and movement therapies. 2010 Apr 1; 14(2):119-26.
  • Heller M. “Decompression: Myths and Models.” Dynamic Chiropractic, Jan 1, 2007; 25(1).
  • Yaprak Y. The effects of back extension training on back muscle strength and spinal range of motion in young females. Biology of sport. 2013 Sep; 30(3):201.
  • Steele J, Bruce-Low S, Smith D. A review of the clinical value of isolated lumbar extension resistance training for chronic low back pain.PM&R. 2015 Feb 1;7(2):169-87.
  • Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N. Isolated lumbar extension resistance training improves strength, pain, and disability, but not spinal height or shrinkage (“Creep”) in participants with chronic low back pain. Cartilage. 2017 Feb 1:1947603517695614.
  • .Malik K, Sahay P, Saha S, Das RK. Normative Values of Modified-Modified Schober Test in Measuring Lumbar Flexion and Extension: A Cross-Sectional Study.
  • Chapman JR, Norvell DC, Hermsmeyer JT, Bransford RJ, DeVine J, McGirt MJ, Lee MJ. Evaluating common outcomes for measuring treatment success for chronic low back pain. Spine. 2011 Oct 1; 36:S54-68.
  • Razmjou H, Kramer JF, Yamada R. Intertester reliability of the McKenzie evaluation in assessing patients with mechanical low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2000 Jul; 30(7):368-89.
  • Abdollah V, Parent EC, Battie MC. MRI evaluation of the effects of extension exercises on the disc fluid content and location of the centroid of the fluid distribution. Musculoskeletal Science and Practice. 2018 Feb 1; 33:67-70.
  • Olivier N, Thevenon A, Berthoin S, Prieur F. An exercise therapy program can increase oxygenation and blood volume of the erector spinae muscle during exercise in chronic low back pain patients. Archives of physical medicine and rehabilitation. 2013 Mar 1; 94(3):536-42.

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  • Dynamic Sitting Exercise versus Spinal Extension Exercise on Pain, Lumbar Mobility and Quality of Life in Adults with Mechanical Low Back Pain

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Authors

Dibyadarshini Das
MPT in Department of Musculoskeletal and Sports, India
R. Venkatesan
The Oxford College of Physiotherapy, Begur Road, Hongasandra, Bangalore, India

Abstract


Background: Now-a-days it is seen that busy work schedule and unhealthy environment leads to discontinuity in exercising despite of awareness and knowledge of its effectiveness on problems like low back pain. There are many factors including improper posture, over loading, immobility, trunk muscles weakness leads to mechanical low back pain in adults. Exercises of various types have been used in managing low back pain. Hence there is a need to find out a single functional and effective exercise for such problems so that they can be done anytime during work and without any equipment which is also economical.

Methodology: Thirty adults aged between 20-30 years participated in this comparative experimental study. After underwent physical screening for selection criteria mechanical low back pain followed by simple randomization participants were divided into group A and group B. Group A and group B received dynamic sitting and spinal extension exercise respectively for thrice a week for six weeks. Pre and post values were assessed using outcome measures Visual Analog Scale for pain, MMST used for lumbar mobility and Short Form-36 Health Survey Questionnaire for quality of life.

Results: In comparison of post test scores of outcome measures evidenced that the reduction of pain score, improvement in lumbar mobility and quality of life scores. There were significantly improvement among the adults with mechanical low back pain treated with Dynamic sitting exercise (DSE) than treated with Spinal extension exercise (SEE).

Conclusion: 6 weeks of dynamic sitting and spinal extension exercise can prevent in pain and improvement in lumbar mobility and quality of life in adults with mechanical low back pain.


Keywords


Mechanical Low Back Pain, Dynamic Sitting Exercise, Spinal Extension Exercise, Lumbar Mobility, Quality of Life.

References