THE EFFECT OF LUMBAR STABILIZATION EXERCISES ON CHRONIC LOW BACK PAIN PATIENTS

Year 2023, , 610 - 618, 30.12.2023

Kayra Barut , Engin Taştaban , Ömer Şendur

https://doi.org/10.17343/sdutfd.1309984

Abstract

Objective
The aim of this study is to investigate the effect
of lumbar stabilization exercises (LSE) on pain,
functional capacity, quality of life, and balance in
patients with chronic low back pain (CLBP), and also
to evaluate the effect on the cross-sectional area of
the lumbar multifidus muscle.
Material and Method
Sixty-six patients with CLBP were enrolled,
randomized, and divided into two groups. LSE,
transcutaneous electrical nerve stimulation (TENS),
and hot pack treatments were performed in Group
1 (n=28). In Group 2 (n=37), TENS and hot pack
treatments were performed only. Pre and 8-week
post-treatment assessments were made. Visual
Analog Scale (VAS) was used to evaluate pain.
Modified Oswestry Disability Index (ODI) and Roland
Morris Disability Questionnaire (RMDQ) were used
to evaluate the functional disability. Short Form-36
(SF-36) was used to measure the quality of life. In
the assessment of balance, a Tetrax® posturography
device (Sunlight Medical Ltd, Israel) was used and fall
index (FI) was calculated. The cross-sectional area of
multifidus muscles was measured by ultrasonography.
Results
Significant improvements regarding the crosssectional
area of multifidus musclesand subparameters
of SF-36 named physical role, pain,
mental health, and energy/vitality were determined in
Group 1 compared to Group 2 (p˂0.05). No significant
difference was present between the groups regarding
FI, VAS score, RMDQ, ODI, and balance.
Conclusion
Lumbar stabilization exercises in patients with chronic
low back pain multifidus positively affects crosssectional
area and quality of life. For our sample,
the addition of lumbar stabilization exercises to
the conventional physical therapy program does
not provides an additional contribution in terms of
balance, pain and disability.

Keywords

Lumbar stabilization exercises, chronic low back pain, quality of life, balance, multifidus muscle

KRONİK BEL AĞRILI HASTALARDA LOMBER STABİLİZASYON EGZERSİZLERİNİN ETKİSİ

Abstract

Amaç
Bu çalışmanın amacı kronik bel ağrısı olan hastalarda
lomber stabilizasyon egzersizlerinin (LSE) ağrı,
fonksiyonel kapasite, yaşam kalitesi ve denge üzerine
etkisini araştırmak, ayrıca lomber multifidus kası kesitsel
alanına etkisini değerlendirmektir.
Gereç ve Yöntem
Çalışmaya kronik bel ağrısı tanısı alan 66 hasta alındı.
Hastalar randomize edilerek iki gruba ayrıldı. Birinci
gruba (Grup 1, n=28) lomber stabilizasyon egzersizleri,
TENS ve Hotpack tedavileri, ikinci gruba (Grup
2, n=37) ise sadece TENS, Hotpack tedavileri verildi.
Hastalar tedavi öncesi ve tedavi sonrası 8. haftada
değerlendirildi. Ağrı için Visuel Analog Skala (VAS),
fonksiyonel dizabilite için Roland Morris Sorgulama
Anketi ve Oswestry Özürlülük İndeksi, yaşam kalitesi
için Kısa Form-36 (SF-36) ile değerlendirme yapıldı.
Denge değerlendirmesinde Tetrax® posturografi cihazı
(SunlightMedicalLtd, İsrail) kullanıldı ve düşme
indeksi (FI) hesaplandı. Multifidus kası kesit alanı ultrasonografi
ile ölçüldü.
Bulgular
Gruplar arası karşılaştırıldığında multifidus kası kesitsel
alanı, SF-36`nın fiziksel rol güçlüğü, ağrı, ruhsal
sağlık ve enerji/vitalite/ canlılık alt parametrelerinde
LSE alan hastalarda daha anlamlı iyileşme gözlendi(
p˂0.05). Düşme indeksi, VAS skorları, Roland Morris
Sorgulama Anketi ve Oswestry Özürlülük İndeksi
skorlarında gruplar arasında anlamlı farklılık saptanmadı.
Sonuç
Lomber stabilizasyon egzersizleri, kronik bel ağrısı
olan hastalarda multifidus kesit alanını ve yaşam kalitesini
olumlu yönde etkilemektedir. Bizim örneklemimiz
için lomber stabilizasyon egzersizlerinin konvansiyonel
fizik tedavi programına eklenmesi denge, ağrı
ve dizabilite açısından ek katkı sağlamamaktadır.

Keywords

Denge, Kronik bel ağrısı, Lomber stabilizasyon egzersizleri, Multifidus kası, Yaşam kalitesi

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