Volume 3, Issue 1 (1-2017)                   ATVSPORT 2017, 3(1): 1-18 | Back to browse issues page

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Bello B, Ade Fatai A. EFFECTS OF LUMBAR STABILIZATION EXERCISES AND TREADMILL WALK ON MULTIFIDUS ACTIVATION, PAIN AND FUNCTIONAL DISABILITY IN INDIVIDUALS WITH CHRONIC MECHANICAL LOW BACK PAIN. ATVSPORT. 2017; 3 (1) :1-18
URL: http://europeansp.org/article-2-21-en.html
Lecturer, Physiotherapy Department, Faculty of Medicine, Bayero University, Kano, Nigeria
Abstract:   (379 Views)
Chronic Mechanical Low Back Pain (CMLBP) is a common disabling health problem among the general population. Multifidus muscle inhibition accompanying CMLBP plays a major role in perpetuating the pain and functional disability. Lumbar stabilisation and treadmill exercises are established treatments for CMLBP. However, it is not known which is more effective. This study compared the effects of lumbar stabilisation and treadmill walk on multifidus activation, pain and functional disability in individuals with CMLBP. Fifty-three individuals (23 females and 30 males) with CMLBP participated in this single blind randomised clinical trial. Consecutive participants were recruited and randomly assigned to Lumbar Stabilisation Group (LSG; n = 27) and Treadmill Walk Group (TWG; n = 26). However, 50 participants, (LSG: n = 25; and TWG: n = 25) completed the eight week study. Participants in the LSG had lumbar stabilisation exercises using McGill protocol while those in the TWG had walking exercise on a treadmill using the Bruce protocol. Outcomes assessed were: Pain Intensity (PI) using Visual Analogue scale, Functional Disability (FD) using Oswestry Disability Index Questionnaire; and Multifidus Muscle Activation (MMA) level using a surface electromyography machine. Data were analysed using descriptive statistics, paired and independent t-tests at α0.05. Participants in both groups were comparable in age (46.60±11.60 vs 45.20±12.91) years. At baseline, PI, FD and MMA values were comparable in both groups. At the end of eighth week of the study, the LSG when compared with the TWG, had lower scores in PI (2.60±0.48 vs 4.50±0.12), FD (24.20±4.06 vs 40.00±10.56), with a significant higher MMA levels (40.00±4.16 vs 26.95±4.04). Lumbar stabilisation exercises are more effective than treadmill walk in the activation of multifidus muscle, reduction in pain and functional disability in individuals with CMLBP. Lumbar stabilisation exercises are recommended in the management of chronic mechanical low back pain.
 
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Received: 2019/08/7 | Accepted: 2019/08/7 | Published: 2019/08/7

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