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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.

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.

Similar Datasets

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