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Using Active Techniques to Handle Chronic Low Back Pain Caused By Sedentary Work

2015; Elsevier BV; Volume: 18; Issue: 7 Linguagem: Inglês

10.1016/j.jval.2015.09.2256

1524-4733

G. Gombos, MÁRIA VIZSY, E Sió, V. Bajsz, V Steinhausz, Jácint Szabó, I Boncz, Bettina E. Schmidt,

Fibromyalgia and Chronic Fatigue Syndrome Research

Chronic low back pain (cLBP) is a key issue for health care and society. The purpose of this study was to evaluate the efficacy of a 3-months long training programme by examining the muscular strength, the range of motion, the muscle-stretching, the pain and the functional development at sedentary workers with cLBP. The examination was carried out in Zalaegerszeg in 2014. Thirty patients were involved (30-60y) who had cLBP because of sedentary work for many years. The participants received core stability training and traditional active and passive stretching exercises integrated with myofascial release technique. Data collection: 1) core strength and stability tests (DAVID 110,130 and modified plank-tests), 2) lumbar spine range of motion (Zebris-system), 3) muscle stretching (David-conception), 4) pain and functionality (Visual Analog Scale, Roland-Morris Scale) and 5) general health status (physical examination, discharge report, self-made questionnaire). Descriptive statistics, t-test and chi2–test were used (IBM SPSS 19v.). The trunk muscle forces (flexors p=0.003, extensors p=0.008) and the modified plank tests (prone and side position p=0.001, supine position p=0.042) shown significant improvement. The spine range of motion shown significant improvements (p=0.001). The level of pain decreased significantly (p=0.001), similar to the Roland-Morris Index (p=0.001). The muscle stretching tests represented important but not significant changes. Present study provides further evidence of the effectiveness of core stabilisation and muscle stretching techniques in cLBP. It would be worthwhile to continue this study involving more patients with long follow-up emphasizing the myofascial release techniques.