Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Comparison of Effects of Specific Stabilization Exercises and Conventional Back Extension Exercises in Management of Chronic Disc Prolapse


Affiliations
1 Department of Sports Medicine and Physiotherapy, Guru Nanak Dev University, Amritsar. Ph No. 91-9988060152, India
2 Department of Sports Medicine and Physiotherapy Guru Nanak Dev University, Amritsar, India
     

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The concept of spinal segmental stabilization in one of the least explored intervention in the management of back pain. The purpose of the study was to examine usefulness of stabilization exercises for athletes with chronic disc prolapse. Twelve subjects who were sport persons (age: 20- 40 yrs) with MRI findings of disc protrusion and were randomly assigned to three groups viz. Group I (n=4) stabilization exercise regimen, Group II (n=4) conventional extension exercise regimen and Group III (n=4) control. The two experimental groups participated in four weeks of treatment program, five times a week. Outcome was based on self reported pain (visual analogue scale), disability (Ronald and Morris disability questionnaire) and custom made barobag testing of transversus abdominis measured immediately before and after intervention program. Outcome measures of self-reported pain and disability were reduced for both experimental groups. Furthermore, motor control deficit was reduced in stabilization exercise group after intervention period.

A – Specific Stabilization Exercise" treatment approach appears effective in athletes with chronic disc prolapse.


Keywords

Disc Prolapse, Conventional Exercises, Stabilization Exercises
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  • Emerson P. The evolution of spinal stability in the physical therapy field. CNI Review, Online Library. A Medical Review Journal. 2001; 12(1).

  • Decandido P, Reinig JW, Dwyer AJ. Magnetic resonance assessment of the distribution of lumbar spine disc degenerative changes. J Spinal Disord. 1988; 1: 9-15.

  • Adams Michael A, Freeman Brain JC, Morrison Helen, et al. Mechanical initiation of intervertebral disc degeneration. Spine. 2000; 25: 1625 1636.

  • Kazemi M. Adolescent lumbar disc herniation in a Tae Kwon Do martial artist: a case report. J Can Chiropr Assoc.1999; 43(4): 236-242.

  • Richardson C, Jull G, Hodges P. Therapeutic exercise for spinal segmental stabilization in low back pain. Scientific Basis and Clinical Approach. Churchill Livingstone. 1999; pp. 61-96.

  • Kermode, F. Benefits of utilizing real time ultrasound imaging in the rehabilitation of the lumbar spine stabilizing muscles following low back injury in the elite athlete a single case study. Phys Ther in Sports. 2004; 5: 13-16.

  • Hodges PW and Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. Spine. 1996; 21(22): 2640-2650.

  • Hides Julie A, Richardson Carolyn A, Jull Gwendolen A. Multifidus muscle recovery is not automatic after resolution of acute, first episode low back pain. Spine. 1996; 21(23): 2763-2769.

  • Danneels LA, Vanderstraeten GG, Cambier DC. Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br J Sports Med. 2001; 35: 186-191.

  • Drysdale Cheri L, Earl Jennifer E. Surface electromyographic activity of the abdominal muscles during pelvic-tilt and abdominal hollowing exercises. J Athletic Training. 2004; 39(1): 32-36.

  • Scrimshaw SV, Maher C. Responsiveness of visual analogue scale and McGill pain scale measures. J Manipul Physiol Ther. 2001; 24(8): 501-504.

  • Brouwer S. Test-retest reliability and stability of the Dutch language version of the Roland and Morris Disability Questionnaire. Disability and Rehabilitation. 2004; 26(3): 162-165.

  • Agarwal, Neetu. Electromyographic validation and reliability of quantification of custom made apparatus against stabilizer in selected exercise tasks. J of Sports Traumatol. Allied Sports Sci. 2004; 5 and 6: 36-43.

  • Grindrod S, Tofts P, Edwards R. Investigation of human skeletal muscle structure and composition by x-ray computerized tomography, Eur J Clin Invest. 1983; 13(6): 465-468.

  • Hultman G, Nordin M, Saraste H. Body composition, endurance, strength, cross sectional area, and density of MM erector spine in men with and without low back pain. J Spinal Disord. 1993; 6(2): 114-23.

  • Ong A, Anderson J, Roche J. A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic games. Br J Sports Med. 2003; 37: 263-266.

  • Gatt CJ, Hosea TM, Palumbo RC. Impact loading of the lumbar spine during football blocking. Am J Sports Med. 1997; 25(3): 317-321.

  • Cholewicki J, McGill SM, Norman RW. Lumbar spine loads during the lifting of extremely heavy weights. Med Sci Sports Exe. 1991; 23(10): 1179-1186.

  • Cappozzo A, Felici F, Figura F. Lumbar spine loading during half-squat exercises. Med Sci Sports Exe. 1985; Oct; 17(5): 613-620.

  • Gracovetskey S, Farfan H, Helleur C. The abdominal mechanism. Spinal. 1985; 10: 377-324.

  • Maher CG. Effects of motor control exercise versus placebo inpatients with chronic low back pain. BMC Musculoskeletal Disord. 2005; 6: 54.

  • O Sullivan Peter B, Phyty Dip Manip Grad, Twomey Lance T. Evaluation of specific stabilization exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolis thesis. Spine. 1997; 22(24): 2959-2967

  • Bakhtiary Amir H, Farokhi Ziaeddin S, Rezasoltani Asghar. Lumbar stabilization exercises improve activities of daily living in patients with lumbar disc herniation. J of Back Musculoskeletal Rehab. 2005; 18(3-4): 55-60.

  • Koumontakis G A, Watson PJ, Oldman JA.Trunk muscle stabilization training plus general exercise versus general exercise only : Randomized controlled trail of patients with recurrent low back pain. Phys Ther. 2005; 85(3): 209-225.


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  • Comparison of Effects of Specific Stabilization Exercises and Conventional Back Extension Exercises in Management of Chronic Disc Prolapse

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Authors

Kaul Rohini
Department of Sports Medicine and Physiotherapy, Guru Nanak Dev University, Amritsar. Ph No. 91-9988060152, India
Thakral Gaurav
Department of Sports Medicine and Physiotherapy Guru Nanak Dev University, Amritsar, India
Sandhu Jaspal Singh
Department of Sports Medicine and Physiotherapy Guru Nanak Dev University, Amritsar, India

Abstract


The concept of spinal segmental stabilization in one of the least explored intervention in the management of back pain. The purpose of the study was to examine usefulness of stabilization exercises for athletes with chronic disc prolapse. Twelve subjects who were sport persons (age: 20- 40 yrs) with MRI findings of disc protrusion and were randomly assigned to three groups viz. Group I (n=4) stabilization exercise regimen, Group II (n=4) conventional extension exercise regimen and Group III (n=4) control. The two experimental groups participated in four weeks of treatment program, five times a week. Outcome was based on self reported pain (visual analogue scale), disability (Ronald and Morris disability questionnaire) and custom made barobag testing of transversus abdominis measured immediately before and after intervention program. Outcome measures of self-reported pain and disability were reduced for both experimental groups. Furthermore, motor control deficit was reduced in stabilization exercise group after intervention period.

A – Specific Stabilization Exercise" treatment approach appears effective in athletes with chronic disc prolapse.


Keywords


Disc Prolapse, Conventional Exercises, Stabilization Exercises

References