Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Pelvic Floor Muscle Strengthening Exercises in Chronic Low Back Pain


Affiliations
1 Padmashree Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune, India
     

   Subscribe/Renew Journal


Low back pain (LBP) is a condition of localized pain to the lumbar spine. The pelvic floor muscle (PFM)
have an important role in proper muscular activation for lumbar stabilization and also in unloading
the spine. It was hypothesized that PFM exercise could be of benefit for patients with chronic LBP. After
ethical approval, a randomized controlled trial was carried out on 30 females with chronic LBP. Patients
were randomly allocated into two groups: an experimental and a control group. The control group was
given conventional physiotherapy treatment including modality and exercises; and the experimental
group received PFM strengthening with conventional therapy for 5 times per week upto 4 weeks. Pain
intensity and functional disability by Oswestry Disability Index were measured before and after
intervention . In both groups pain and functional disability were significantly reduced following
treatment (p < 0.01). Also the significant difference was found between the two groups (p > 0.05). It
seems that the PFM exercise combined with conventional treatment was effective over conventional
treatment alone in females with chronic LBP.

Keywords

Pelvic Floor Muscle, LBP
Subscription Login to verify subscription
User
Notifications
Font Size


  • Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin. 2007;25(2): 353-371.

  • Carey TS, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker DR. The out- comes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons: the North Carolina Back Pain Project. N Engl J Med. 1995;333(14):913-917.

  • van Tulder M, Koes B, Bombardier C. Low back pain. Best Pract Res Clin Rheumatol. 2002;16(5): 761-775.

  • Richardson C, Jull G, Hodges P, Hides J. Therapeutic exercise for spinal segmental stabilization in low back pain. Churchill Livingstone, Edinburgh; 1999.

  • “Lower Back Pain Fact Sheet. nih.gov”.. Retrieved 2008-06-16.

  • Bogduk M (2003). “Management of chronic low back pain”. Medical Journal of Australia 180 (2): 79–83.

  • Floyd, R., & Thompson, Clem. (2008). Manual of structural kinesiology. New York, NY: McGraw- Hill Humanities/Social Sciences/Languages.

  • Atlas SJ (2010). “Nonpharmacological treatment for low back pain”. Journal of Musculoskeletal

  • Eliasson K, Elfving B, Nordgren B, Mattsson E. Urinary incontinence in women with low back pain. Manual Therapy. June 2008;13(3):206-212.

  • Panjabi MM. The stabilizing system of the spine. Part 1. Function, dysfunction, adaptation and enhancement. Journal of Spinal Disorders 1992;5:383–9.

  • Samuelsson EC, Victor AFT, Tibblin G, Svardsudd KF. Signs of genital prolapse in a Swedish population of women 20 to 50 years of age and possible related factors. American Journal of Obstetrics and Gynecology 1999;180:299–305.

  • Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthopaedica Scandinavia Supplement. 1989;230:1–54

  • Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, Part 1. American Journal of Physical Medicine and Rehabilitation. 2005;84:473–480

  • Mikkonen P, Leino-Arjas P, Remes J, Zitting P, Taimela S, Karppinen J. Is smoking a risk factor for low back pain in adolescents? A prospective cohort study. Spine. 2008;33:527–532

  • Mirtz TA, Greene L. Is obesity a risk factor for low back pain? An example of using the evidence to answer a clinical question. Chiropractic and Osteopathy. 2005;13:2

  • Mohseni-Bandpei M, Fakhri M, Ahmad- Shirvani M, Bagheri Nessami M, Khalilian A, Shayesteh-Azar M, et al. Low back pain in 1100 Iranian pregnant women: prevalence and risk factors. Spine Journal. 2009;9:795–801

  • Hartvigsen J, Christensen K. Active lifestyle protects against incident low back pain in seniors: a population based 2-year prospective study of 1387 Danish twins aged 70–100 years. Spine. 2007;32:76–81

  • Strine TW, Hootman JM. US national prevalence and correlates of low back and neck pain among adults. Arthritis and Rheumatism. 2007;57:656– 665

  • Smith MD, Russell A, Hodges PW. Do incontinence, breathing difficulties, and gastrointestinal symptoms increase the risk of future back pain?. The Journal of Pain. 2009;10:876–886

  • Hodges PW, Sapsford R, Pengel L. Feedforward activity of the pelvic floor muscles precedes rapid upper limb movements. Australian Physiotherapy Association Conference, Sydney; 2002,

  • J Laycock , D. Jerwood (2001) Pelvic Floor muscle assessment: The PERFECT Scheme, Physiotherapy December 2001, volume 87, no. 12


Abstract Views: 806

PDF Views: 0




  • Effect of Pelvic Floor Muscle Strengthening Exercises in Chronic Low Back Pain

Abstract Views: 806  |  PDF Views: 0

Authors

Manisha Rathi
Padmashree Dr. D. Y. Patil College of Physiotherapy, Pimpri, Pune, India

Abstract


Low back pain (LBP) is a condition of localized pain to the lumbar spine. The pelvic floor muscle (PFM)
have an important role in proper muscular activation for lumbar stabilization and also in unloading
the spine. It was hypothesized that PFM exercise could be of benefit for patients with chronic LBP. After
ethical approval, a randomized controlled trial was carried out on 30 females with chronic LBP. Patients
were randomly allocated into two groups: an experimental and a control group. The control group was
given conventional physiotherapy treatment including modality and exercises; and the experimental
group received PFM strengthening with conventional therapy for 5 times per week upto 4 weeks. Pain
intensity and functional disability by Oswestry Disability Index were measured before and after
intervention . In both groups pain and functional disability were significantly reduced following
treatment (p < 0.01). Also the significant difference was found between the two groups (p > 0.05). It
seems that the PFM exercise combined with conventional treatment was effective over conventional
treatment alone in females with chronic LBP.

Keywords


Pelvic Floor Muscle, LBP

References