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Showing 3 results for Exercise Therapy
The Effects Of Adding Complementary Treatment And Comparison To Ordinary Physical Therapy In Women With Low Back Pain Due To Osteoarthritis
S Talebian , Gh Olyaei , Sh Mousavi , P Khajavi , A Talebian ,
Volume 63, Issue 3 (6-2005)
Abstract

Background: Low back pain (LBP) is a one of the most common symptoms of vertebral column diseases. Spinal muscles have a outstanding role in maintaining vertebral column function in daily life. But proper function and motion of hip and knee joints also has an important role in performing smooth, fine and nonstressed movements of lumbar spin. Where as accurate and fine motions of hip and knee joints in cooperate with lumbar spin can improve translation and summation of forces and increase performance of movements. The aim of this research is to indicate the amount of interventions of lower limb joints on lumbar spin function in patients with LBP, and attention to physical treatment (PT) of them.

Materials and Methods: Fifty females with LBP due to osteoarthritis ( OA) of lumbar spin participated in this study and divided in two groups randomly with similar number of cases: a) ordinary treatment or control group and b) complementary treatment group. Patients in control group treated by routine PT approach ( superficial heat, ultrasound, TENS, forward flexion and back extension exercises ) and patients in complementary or test group received routine treatment similar to control group and also strength and stretching exercises of hip and knee joint muscles ( latisimous dorsi, gluteous maximus, iliopsoas, quadriceps and hamstring ) bilaterally. Range of motion (ROM) of lumbar, hip and keen joints by valid goniametere and pain of lumbar in motions at all of axis by visual analog scale measured before, after five and ten sessions of treatments in both groups.

Results: In control group with non parametric tests there was not significant difference of MMT of muscles and ROMs of hip and knee joints. Lumbar pain in motion after ten sessions of PT in this group reduced significantly ( P< 0.05 ). Increase of lumbar motion in all of axis after PT was significant at this patients ( P< 0.05 ). In second group that received complementary treatments ROM of joints, lumbar pain had significant differences between onset of treatments and five and ten sessions later ( P< 0.05 ), but there was not significant findings in MMT of muscles. There were significant differences between percentages of reduce of pain and increase of ROM in comparison of two groups ( P< 0.05 ). Where as patients that received ordinary PT and strength and stretching of muscles around of hip and knee indicated better recovery signs.

Conclusion: Reduce of lumbar pain with improve of motion and flexibility of muscles such as quadriceps, hamstring, gluteus maximus, iliopsoas and latisimous dorsi in a complete physical therapy approach indicate there are a great correlation between lumbar pain and functionality of lower limb joints. Therefore concentration to flexibility and extensibility of muscles of lower limbs is a basis aim in treatment of patients with lumbar OA.


Postural deviations from chronic low back pain and correction through exercise therapy
Farahpour N, Marvi Esfahani M,
Volume 65, Issue 2 (3-2008)
Abstract
Background: It has been shown that five deficits of the proprioceptive system and poor motor skills are associated with chronic low back pain (CLBP). However, the exact mechanism is unknown. The objectives of this study were to assess the dynamic postural balance behavior of CLBP patients, as well as the effects of a specific exercise therapy for the treatment of CLBP and related postural imbalances.
Methods: Sixteen females with CLBP and 30 healthy females all between 20 and 40 years of age, of similar height and weight, voluntarily participated in this study. Patients underwent a three-month therapeutic exercise program. The disability and back pain of the patients were measured using the Oswestry and Quebec questionnaires, respectively. A dynamic stability platform system (Biodex) was used to evaluate the postural imbalances in both groups. All measurements of the experimental group were repeated after the therapy.
Results: Overall deviation of center of gravity (COG) from COBOS in patients and controls were 3 (±0.3) and 1.3 (±0.2), respectively. Thus, postural imbalances were 2.3 times greater in the patients than those of the controls. After the treatment, the disability and pain of the patients were diminished by 53% and 58%, respectively. Furthermore, with the improvement of the patients COG deviation, both groups had similar posture.
Conclusions: The postural orientation of CLBP patients was significantly improved by the therapeutic exercise program. The applied exercise therapy significantly reduced both the pain and the disability of the patients. Based on these conclusions, we recommend that postural correction be included in regular therapeutic exercise programs.
Fluoroscopic analysis of anterior tibial translation during eccentric and concentric phase of knee rehabilitation exercises in men with anterior cruciate ligament injury
Sadegh Norouzi , Fateme Esfandiarpour , Ali Shakouri Rad , Nasim Kiani Yousefzadeh , Zeinab Helalat , Reza Salehi , Mehrnoosh Amin , Farzam Farahmand ,
Volume 77, Issue 8 (11-2019)
Abstract
Background: The amount of anterior tibial translation during rehabilitation exercises is a key factor in organizing exercise regimen after anterior cruciate ligament injury. Excessive anterior tibial translation could increase the magnitude of tension imposed on injured and reconstructed anterior cruciate ligament knees. Forward lunge and open-kinetic knee extension exercises are commonly used in anterior cruciate ligament rehabilitation. However, there is insufficient data about the amount of anterior tibial translation in the eccentric and concentric phases of these exercises. This study compared the amount of anterior tibial translation in the eccentric and concentric phase of the lunge and seated knee extension in anterior cruciate ligament deficient and intact knees.
Methods: Using a non-probability sampling method, 14 men with unilateral anterior cruciate ligament rupture were selected for participation in this cross-sectional study. Participants were recruited from the university’s physiotherapy clinics. A uni-plane fluoroscope was used to image the knee joint while participants performed the forward lunge and open-kinetic knee extension exercises with the intact and injured legs in random order. Fluoroscopy imaging was performed in the radiology center at Sina Hospital, Tehran, Iran, from September 2013 to February 2014. Two factorial mixed ANOVA was used to analyze the data.
Results: There were no significant differences in the anterior tibial translation between the limbs and contraction phases during the lunge exercise. During open-kinetic knee extension, the anterior tibial translation in anterior cruciate ligament deficient knees was significantly more than that of healthy knees at 0⁰ (P=0.007). The anterior tibial translation in the eccentric phase of open-kinetic knee extension at flexion angles of 0⁰ (P=0.049) and 15⁰ (P=0.024) was significantly greater than that in the concentric phase.
Conclusion: In the lunge exercise, the amount of anterior tibial translation was similar between the eccentric and concentric phases and the intact and anterior cruciate ligament deficient knees, however, during open-kinetic knee extension exercise, in the eccentric phase was greater than that in concentric, and in the intact knees was greater than that in the intact knees, at 0-15⁰ angles.

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