Journal of Health And Care
Volume 24, Issue 2 (Summer 2022)
JHC 2022, 24(2): 171-183 |
Back to browse issues page
Ethics code: IR.BASU.REC.1400.029
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nasiri B, Saki F, Ziya M. The effect of Progressive Core Stability Exercises with and without Respiratory Exercises on Plantar Pressure Distribution in Patients with Lumbar Segmental Instability: a Semi-Experimental Study. JHC 2022; 24 (2) :171-183
URL: http://hcjournal.arums.ac.ir/article-1-1385-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1385-en.html
Department of Corrective Exercise and Sport injury, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran
Abstract: (714 Views)
Background & aim: Lumbar segmental instability is one of the consequences of non-specific chronic low back pain, which is defined as excessive intervertebral transmission and rotational movements and causes functional disabilities. The aim of this study was to determine the effect of progressive stability exercises with and without breathing exercises on plantar pressure variables in patients with lumbar segmental instability.
Methods: The present study was a single-blind randomized clinical trial with a pre-test-post-test design. The population of the present study was male employees of Hamedan city suffering from back instability who were selected as available. . In order to select the research samples, the ability to stand on one leg for 30 seconds and back instability tests were used (three out of five tests were positive). Subjects were randomly selected in two experimental groups (combined core stability-respiratory exercises (CCSRE) and core stability exercises (CSE)) and a control group. The variables of plantar pressure distribution were investigated using a foot scan device. Data were analyzed by ANOVA with repeated measurement (p≤ 0.05).
Results: The results showed changes in the vertical ground reaction force in the CCSRE group (p=0.016), the center of pressure (anterior-posterior) in the CSE group (p=0.001) and the CCSRE group (p=0.001), the center of pressure (internal-external) in the CSE group (p=0.007) and the CCSRE group (p=0.033) and the travel distance in the CSE group (p=0.014), was significant from pre-test to post-test. Also, the inter-group results (interaction between group and time) showed a statistically significant difference in the variables of vertical ground reaction force, center of pressure (internal-external) and (anterior-posterior) and travel distance (p<0.05).
Conclusion: According to the results, it is recommended to use the combination of breathing exercises and core stability in the rehabilitation and treatment of patients with lumbar instability.
Methods: The present study was a single-blind randomized clinical trial with a pre-test-post-test design. The population of the present study was male employees of Hamedan city suffering from back instability who were selected as available. . In order to select the research samples, the ability to stand on one leg for 30 seconds and back instability tests were used (three out of five tests were positive). Subjects were randomly selected in two experimental groups (combined core stability-respiratory exercises (CCSRE) and core stability exercises (CSE)) and a control group. The variables of plantar pressure distribution were investigated using a foot scan device. Data were analyzed by ANOVA with repeated measurement (p≤ 0.05).
Results: The results showed changes in the vertical ground reaction force in the CCSRE group (p=0.016), the center of pressure (anterior-posterior) in the CSE group (p=0.001) and the CCSRE group (p=0.001), the center of pressure (internal-external) in the CSE group (p=0.007) and the CCSRE group (p=0.033) and the travel distance in the CSE group (p=0.014), was significant from pre-test to post-test. Also, the inter-group results (interaction between group and time) showed a statistically significant difference in the variables of vertical ground reaction force, center of pressure (internal-external) and (anterior-posterior) and travel distance (p<0.05).
Conclusion: According to the results, it is recommended to use the combination of breathing exercises and core stability in the rehabilitation and treatment of patients with lumbar instability.
Type of Study: quasi-experimental |
Subject:
nursing
Received: 2022/07/10 | Accepted: 2022/09/21 | Published: 2022/09/22
Received: 2022/07/10 | Accepted: 2022/09/21 | Published: 2022/09/22
References
1. Yarahmadi Y, Hadadnejad M, Shojaedin SS. Effect of TRX resistance training on functional capacity and lumbar range of motion of middle aged men with non-specific chronic low back pain. The Scientific Journal of Rehabilitation Medicine. 2019;8(1):119-27 [Persian].
2. Clark S, Horton R. Low back pain: a major global challenge. Lancet. 2018; 391(10137): 2302-2312. [DOI:10.1016/S0140-6736(18)30725-6]
3. Ezadi H, Ghanizadeh Hesar N. The effect of eight weeks of selected exercises in water on pain and balance of female nurses with chronic back pain. Journal of Sport Biomechanics. 2021;6(4):44-55 [Persian]. [DOI:10.32598/biomechanics.7.1.3]
4. Heydari M, Babamiri M, Karimi S, Rostami F. A survey of relationship between severity and pain states with disability in patients with low back pain. Journal of Anesthesiology and Pain. 2018;8(4):37-45 [Persian].
5. Letafatkar A, Javdaneh N. Comparison of physical therapy with and without positional release techniques on the pain, disability and range of motion of patients with chronic low back pain. Journal of Anaesthesia and Pain. 2019;10(1):11-21 [Persian].
6. Khaledi A, Bayattork M, Gheitasi M. The effectiveness of exercise therapy on improving pain and functional disability in patients with non-specific chronic low back pain: a Systematic review of english clinical trials. Journal of Anesthesiology and Pain. 2020;11(2):89-107 [Persian].
7. Rubinstein SM, De Zoete A, Van Middelkoop M, Assendelft WJJ, De Boer MR, Van Tulder MW. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. British Medical Journal. 2019;364(1689):1-15. [DOI:10.1136/bmj.l689] [PMID] [PMCID]
8. Taghipour Darzi M, Ebrahimi Takamjani E, Salavati M, Mobini B, Zekavat H. Translation and rotational profiles of lumbar vertebrae in flexion-extension radiography. Knowledge and Health. 2010;4(4):1-6 [Persian].
9. O'Sullivan PB. Lumbar segmental "instability": clinical presentation and specific stabilizing exercise management. Manual Therapy. 2000;5(1):2-12. [DOI:10.1054/math.1999.0213] [PMID]
10. Barr KP, Griggs M, Cadby T. Lumbar stabilization: core concepts and current literature, part 1. American Journal of Physical Medicine & Rehabilitation. 2005;84(6):473-80. [DOI:10.1097/01.phm.0000163709.70471.42] [PMID]
11. Gandomi F, Soufivand P, Fadaei Dehcheshmeh P. Studying the pattern of foot pressure distribution, symmetry index, and center of pressure sways in women with back pain due to lumbar disc herniation: a descriptive study. Journal of Rafsanjan University of Medical Sciences. 2021;20(5):487-502 [Persian]. [DOI:10.52547/jrums.20.5.487]
12. Jafarnezhadgero A, Ghane G, Valizadehorang A, Malekabadi AM. A comparison of planatar pressure variables during three differnt running patterns in pronated feet individuals with and without low back pain. Pain. 2020;11(3):77-87 [Persian].
13. Seify F, Mamashli E, Jafarnejadgero A, Dehghani M, Katanchi M, Alavi-Mehr SM. The effect of eight-week elastic walking exercise on the pattern of plantar pressure distribution in women with chronic low back pain during walking. Medical Journal of Tabriz University of Medical Sciences. 2021;42(6):713-21 [Persian]. [DOI:10.34172/mj.2021.012]
14. O'Sullivan PB, Beales DJ. Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: a case series. Manual Therapy. 2007;12(3):209-18. [DOI:10.1016/j.math.2006.06.006] [PMID]
15. Kolář P, Šulc J, Kynčl M, Šanda J, Čakrt O, Andel R, et al. Postural function of the diaphragm in persons with and without chronic low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(4):352-62. [DOI:10.2519/jospt.2012.3830] [PMID]
16. Hagins M, Lamberg EM. Individuals with low back pain breathe differently than healthy individuals during a lifting task. Journal of Orthopaedic & Sports Physical Therapy. 2011;41(3):141-48. [DOI:10.2519/jospt.2011.3437] [PMID]
17. Janssens L, Brumagne S, Polspoel K, Troosters T, McConnell A. The effect of inspiratory muscles fatigue on postural control in people with and without recurrent low back pain. Spine (Phila Pa 1976). 2010;35(10):1088-94. [DOI:10.1097/BRS.0b013e3181bee5c3] [PMID]
18. Otadi K, Nakhostin Ansari N, Sharify S, Fakhari Z, Sarafraz H, Aria A, et al. Effects of combining diaphragm training with electrical stimulation on pain, function, and balance in athletes with chronic low back pain: a randomized clinical trial. BMC Sports Science, Medicine and Rehabilitation. 2021;13(1):13-20. [DOI:10.1186/s13102-021-00250-y] [PMID] [PMCID]
19. Kumar SP. Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: a randomized placebo controlled crossover study. North American Journal of Medicine & Science. 2011;3(10):456-61. [DOI:10.4297/najms.2011.3456.] [PMID] [PMCID]
20. Kocjan J, Gzik-Zroska B, Nowakowska K, Burkacki M, Suchoń S, Michnik R, et al. Impact of diaphragm function parameters on balance maintenance. PLoS One. 2018;13(12):1-14. [DOI:10.1371/journal.pone.0208697] [PMID] [PMCID]
21. Oh YJ, Park SH, Lee MM. Comparison of effects of abdominal draw-in lumbar stabilization exercises with and without respiratory resistance on women with low back pain: a randomized controlled trial. International Medical Journal of Experimental and Clinical Research. 2020;26:e921295-1-e921295-9. [DOI:10.12659/MSM.921295] [PMID] [PMCID]
22. Park SH, Lee MM. Effects of progressive neuromuscular stabilization exercise on the support surface on patients with high obesity with lumbar instability: a double-blinded randomized controlled trial. Medicine. 2021;100(4):1-8. [DOI:10.1097/MD.0000000000023285] [PMID] [PMCID]
23. Farahpour N, Jafarnezhad AA, Damavandi M, Bakhtiari A, Allard P. Gait ground reaction force characteristics of low back pain patients with pronated foot and able-bodied individuals with and without foot pronation. Journal of Biomechanics. 2016;49(9):1705-10. [DOI:10.1016/j.jbiomech.2016.03.056] [PMID]
24. Park SH, Lee MM. Effects of a progressive stabilization exercise program using respiratory resistance for patients with lumbar instability: a randomized controlled trial. Medical Science Monitor. 2019;25:1740-48. [DOI:10.12659/MSM.913036] [PMID] [PMCID]
25. Shaw I, Shaw BS, Brown GA. Role of diaphragmatic breathing and aerobic exercise in improving pulmonary function and maximal oxygen consumption in asthmatics. Science Sports. 2010;25(3):139-45. [DOI:10.1016/j.scispo.2009.10.003]
26. Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. Journal of Applied Physiology. 2000;89(3):967-76. [DOI:10.1152/jappl.2000.89.3.967] [PMID]
27. Gholami Borujeni B, Yalfani A. Postural control and plantar pressure symmetry in male and female athletes with chronic low back pain when performing overhead squat. Journal of Kerman University of Medical Sciences. 2019;26(4):307-15 [Persian].
28. Hodges PW, Eriksson AM, Shirley D, Gandevia SC. Intra-abdominal pressure increases stiffness of the lumbar spine. Journal of Biomechanics. 2005;38(9):1873-80. [DOI:10.1016/j.jbiomech.2004.08.016] [PMID]
29. Herrington L, Davies R. The influence of Pilates training on the ability to contract the transversus abdominis muscle in asymptomatic individuals. Journal of Bodywork and Movement Therapies. 2005;9(1):52-57. [DOI:10.1016/j.jbmt.2003.12.005]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |