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Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.

ABSTRACT: OBJECTIVE:The purpose of this preliminary study was to investigate the effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain (LBP). METHODS:Thirty women with menstrual LBP participated in the study. Subjects were assigned to a control group (n = 10, mean age = 25.1 ± 4.7 years) and an intervention group (n = 20, mean age = 21.7±2.4 years). Treatment for the intervention group consisted of functional lumbar stabilization exercises, 10 repetitions each, 3 times a day, for 3 consecutive months. The women in the control group received no exercise and performed their regular activity daily living. Pain intensity using a Numeric Pain Scale (NPS), Oswestry Disability Index (ODI), Roland-Morris Questionnaire (RMQ), and Tampa Scale of Kinesiophobia (TSK) was collected at baseline and at the end of 3 months in both groups. RESULTS:Statistical analysis (paired t test) revealed a significant decrease in NPS, ODI, RMQ, and TSK after treatment in the intervention group. No significant difference in NPS, ODI, RMQ, or TSK was found between pre- and postmeasurement scores in the control group. In the analysis of covariance, controlling for pretest scores, a significant difference was found between the 2 groups in the postmeasurement score of NPS (P = .01), ODI (P < .001), RMQ (P = .002), and TSK (P = .04). CONCLUSION:Lumbar stabilization exercises were shown to improve pain, disability, and kinesiophobia during menstrual LBP for subjects who participated in this preliminary study compared to those who did not receive the intervention.

SUBMITTER: Shakeri H

PROVIDER: S-EPMC3838710 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature

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Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.

Shakeri Hassan H Fathollahi Zahra Z Karimi Noureddin N Arab Amir M AM

Journal of chiropractic medicine 20130901 3

<h4>Objective</h4>The purpose of this preliminary study was to investigate the effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain (LBP).<h4>Methods</h4>Thirty women with menstrual LBP participated in the study. Subjects were assigned to a control group (n = 10, mean age = 25.1 ± 4.7 years) and an intervention group (n = 20, mean age = 21.7±2.4 years). Treatment for the intervention group consisted of functional lumbar ...[more]

PMID: 24396316

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Project description:ImportancePrevious studies, using mostly cross-sectional data, provide conflicting evidence of an association between lumbar spine radiographic changes and the severity of back pain-related disability. Such conflicting evidence may be associated with widely unnecessary diagnostic imaging of the lumbar spine.ObjectiveTo examine both cross-sectional and longitudinal associations between lumbar spine radiographic changes and the severity of back pain-related disability among middle-aged, community-dwelling women.Design, setting, and participantsThis population-based prospective cohort study used data from the Chingford 1000 Women Study. Analyses included data collected from year 6 (1994-1996; physical activity was measured), year 9 (1997-1999; treated as baseline), and year 15 (2003-2005), with a total length of follow-up for longitudinal analyses of 6 years. Data were analyzed from April 17 to November 3, 2020.ExposuresPrimary exposure was lumbar spine radiographic changes, defined using the Kellgren-Lawrence (K-L) grade. Secondary exposures were defined using presence of osteophytes and disc space narrowing. The composite score combined the number of lumbar spine segments with definite changes detected on radiographic images (ie, radiographic changes) (K-L grade ≥2, which means at least definite osteophyte and possible narrowing of disc space are present; osteophyte and disc space narrowing grade ≥1, which means at least mild or definite changes are present).Main outcomes and measuresSelf-reported back pain-related disability measured in years 9 and 15 assessed by the St Thomas disability questionnaire.ResultsAmong 650 women (mean [SD] age, 61.3 [5.9] years) in cross-sectional analyses and 443 women (mean [SD] age, 60.6 [6.0] years) in longitudinal analyses, there was no evidence to support an association between higher number of lumbar segments with radiographic changes (K-L grade, osteophytes, and disc space narrowing) and more severe back pain-related disability (eg, cross-sectional analyses using the K-L grade; 1 segment vs 0 segment: adjusted odds ratio, 1.22 [95% CI, 0.76-1.96]). No interactions were found of an association between lumbar spine radiographic changes and the severity of back pain-specific disability with age, body mass index, or smoking status.Conclusions and relevanceIn this cohort of middle-aged, community-dwelling women, there was no evidence to support an association between a higher number of lumbar segments with radiographic changes (K-L grade, osteophytes, and disc space narrowing) and more severe back pain-related disability cross-sectionally or over time. These findings provide further evidence against routinely using diagnostic imaging of the lumbar spine.

Project description:BackgroundPatients with chronic low back pain (CLBP) frequently present with kinesiophobia. Though large body of evidence reported the impact of kinesiophobia in patients with CLBP, there are paucity of studies in associating kinesiophobia to muscle endurance and position sense in patients with CLBP. The primary aim of the study is to compare the impact of kinesiophobia on lumbar extensor endurance, position sense in patient with CLBP, and asymptomatic individuals. Secondarily, we aim to examine the association between kinesiophobia and lumbar extensor endurance, position sense, pain intensity, and functional ability in patients with CLBP. Thirdly, we aim to assess the degree of association of various factors on CLBP, lumbar endurance, and position sense.Material and methodsThis case-control study will have 200 patients with CLBP and 400 controls. Kinesiophobia, lumbar endurance, and lumbar position sense will be assessed with Tampa Scale, Soren's lumbar extensor test, and lumbar repositioning test respectively. Secondarily, the pain intensity will be assessed with visual analog scale and functional ability with Patient-specific Functional Scale in patients with CLBP. Lumbar endurance and joint position sense will be compared between subjects with and without kinesiophobia. Kinesiophobia scores will be compared with lumbar extensor endurance and proprioception joint position errors, pain intensity, and functional ability. Simple and multiple binary logistic regression will be used to determine crude and adjusted odd's ratio for kinesiophobia, lumbar position sense and kinesiophobia, and lumbar endurance.DiscussionThe finding from this study can be generalized as this study has adequate sample size and subgroup analysis by adjusting the variables to draw a valid conclusion. The finding of this study will help the working physician to include assessment of kinesiophobia as part of musculoskeletal evaluation for patient with CLBP in a prospective diagnostic intervention.Trial registrationClinicalTrials.gov NCT05079893 . Registered on 14 October 2021.

Dataset Information

Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.

Publications

Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial.

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