Possibilities of influencing the function of the deep stabilization system by exercising for low back pain
Language English Country Czech Republic Media print
Document type Journal Article
PubMed
40293832
DOI
10.21101/cejph.a8199
Knihovny.cz E-resources
- Keywords
- Pilates method, balance aids, deep stabilization system, dynamic neuromuscular stabilization, low back pain,
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Low Back Pain * therapy rehabilitation physiopathology MeSH
- Pain Measurement MeSH
- Exercise Movement Techniques * methods MeSH
- Exercise Therapy * methods MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
OBJECTIVES: Chronic back pain is the most common cause of incapacity for work. The purpose of the study was to determine the effectiveness for activating the function of the deep stabilization system (DSS) in patients with chronic low back pain. METHODS: The effectiveness of three different methods was compared: Pilates method (PM), dynamic neuromuscular stabilization and balance aids on deep stabilization system function and pain perception in the lumbar spine. The group consisted of 75 patients. RESULTS: The results show differences in the effectiveness of the methods depending on the observed characteristics. The least significant differences were observed when comparing the Pilates method to balance aids. No statistically significant difference was observed in four out of five areas. The only area where a statistically significant effect of the exercise method got recorded was the intra-abdominal pressure test (p < 0.05). The lowest change was recorded in the measured values using the intra-abdominal pressure test at PM, and the highest change was recorded in Thomayer's values at dynamic neuromuscular stabilization. CONCLUSION: By comparing the three methods it was noted that each of them has its own positive reaction to the pain and the muscular apparatus. The most appropriate method to affect DSS function appears the dynamic neuromuscular stabilization (DNS) concept, where was the most significant improvement in DSS activation and the most significant reduction in chronic low back pain.
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Kasîk J, et al. [Vertebrogenic root syndromes]. Prague: Grada; 2002. Czech.
Tyrlîková I. [Neurology for nurses]. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů; 2003. Czech.
Vrba I. [Differential diagnosis of back pain]. Med Praxi. 2008;5(5):208-12. Czech.
Hakl M. [Back pain treatment]. Cas Lek Cesk. 2018;157:62-6. Czech.
Kolar P, Sulc J, Kyncl M, Sanda,J, Cakrt O, Andel R, et al. Postural function of the diaphragm in persons with and without chronic low back pain. J Orthop Sports Phys Ther. 2012 Apr;42(4):352-62.
La Touche R, Escalante K, Linares MT. Treating non-specific chronic low back pain through the Pilates Method. J Bodyw Mov Ther 2008 Oct;12(4):364-70.
Natour J, de Araujo Cazotti L, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function, and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil 2015 Jan;29(1):59-68.
Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009 Dec 15;147(1-3):17-9.
Isacowitz R, Clippinger K. Pilates anatomy. Champaign (IL): Human Kinetics; 2011.
Jackson D. [Pilates on the foam roller]. Prague: Euromedia Group; 2013. Czech.
Jebavý R, Zumr T. [Strengthening with balance aids]. Prague: Grada; 2009. Czech.
Sama. WMA Declaration of Helsinki - ethical principles for medical research involving human subjects [Internet]. New Delhi: Sama [cited 2017 Jan 15]. Available from: http://www.samawomenshealth.in/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005 Jun 1;30(11):1331-4.
Kolář P., et al. Clinical rehabilitation. Prague: Alena Kobesová; 2013.
Konečná P, Opavský J. [Assessment of motor control disorders in patients with non-specific low back pain]. Rehabil Fyz Lek. 2019;26(4):166-73. Czech.
Rychlîková E. [Manual medicine]. 5th ed. Prague: Maxdorf; 2016. Czech.
Barnett R, Ingram T, Sengupta R. Axial spondyloarthritis 10 years on: still looking for the lost tribe. Rheumatology (Oxford). 2020 Oct 1;59 Suppl 4:iv25-37.
Page P. [Pilates illustrated guide]. Brno: CPress; 2012. Czech.
Čîž, I. [Technique of exercises in the gym]. Brno: Helbich; 2017. Slovak.
