Trening funkcjonalny jako forma terapii w przewlekłych dolegliwościach bólowych odcinka lędźwiowego kręgosłupa

Aleksandra Adamik; Edyta  Mikołajczyk

doi:10.55225/hppa.575

Authors

Aleksandra Adamik University of Physical Education, Faculty of Motor Rehabilitation, Krakow, Poland
Edyta Mikołajczyk University of Physical Education, Faculty of Motor Rehabilitation, Krakow, Poland https://orcid.org/0000-0003-4109-9409

DOI:

https://doi.org/10.55225/hppa.575

Keywords:

lumbar spine, pain, functional training

Abstract

Aim: The aim of this study was to assess the effectiveness of the applied functional training on pain level, lumbar spine range of motion, pelvic anterior tilt, and limitations in daily functioning caused by chronic pain.

Material and methods: Twenty women aged 20–24 with chronic low back pain participated in a 12-week therapy in the form of a functional training program. Both before and after the intervention period, measurements of lumbar spine range of motion and pelvic anterior tilt were taken for all participants. Pain levels were quantified using the VAS Scale, and disability levels were measured using the Oswestry Disability Index questionnaire. Statistical analysis were conducted using Statistica 13.3 (Student’s t-test, Wilcoxon’s signed-rank test, Pearson linear correlation).

Results: The proposed training program significantly reduced the pain level (p < 0.05) from 4.80 to 1.35. There was a significant improvement in the overall assessment of disability caused by spinal pain in the Oswestry Disability Index questionnaire. The lumbar spine range of motion changed significantly (p < 0.05) in each of the examined planes. A significant decrease in the pelvic anterior tilt angle in the neutral position was observed in the subjects.

Conclusions: The proposed functional training program contributed to reducing the perceived level of pain, improving the range of spinal motion and decreasing the degree of pelvic anterior tilt. The obtained results demonstrate the effectiveness of using functional training as a form of therapy in the treatment and prevention of low back pain and in improving the quality of participants’ lives.

Downloads

Download data is not yet available.

References

Nicol V, Verdaguer C, Daste C, et al. Chronic low back pain: A narrative review of recent international guidelines for diagnosis and conservative treatment. J Clin Med. 2023;12(4):1685. doi: 10.3390/jcm12041685. DOI: https://doi.org/10.3390/jcm12041685 Google Scholar

Lin C-WC, McAuley JH, Macedo L, Barnett DC, Smeets RJ, Verbunt JA. Relationship between physical activity and disability in low back pain: A systematic review and meta-analysis. Pain. 2011;152(3):607-613. doi: 10.1016/j.pain.2010.11.034. DOI: https://doi.org/10.1016/j.pain.2010.11.034 Google Scholar

Claeys K, Brumagne S, Dankaerts W, Kiers H, Janssens L. Decreased variability in postural control strategies in young people with non-specific low back pain is associated with altered proprioceptive reweighting. Eur J Appl Physiol. 2011;111(1):115-123. doi: 10.1007/s00421-010-1637-x. DOI: https://doi.org/10.1007/s00421-010-1637-x Google Scholar

Treede R-D, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019;160(1):19-27. doi: 10.1097/j.pain.0000000000001384. DOI: https://doi.org/10.1097/j.pain.0000000000001384 Google Scholar

Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I, et al. Best exercise options for reducing pain and disability in adults with chronic low back pain: Pilates, strength, core-based, and mind-body. A network meta-analysis. J Orthop Sports Phys Ther. 2022;52(8):505-521. doi: 10.2519/jospt.2022.10671. DOI: https://doi.org/10.2519/jospt.2022.10671 Google Scholar

Byrom B, Elash CA, Eremenco S, et al. Measurement comparability of electronic and paper administration of visual analogue scales: A review of published studies. Ther Innov Regul Sci. 2022,56:394-404. doi: 10.1007/s43441-022-00376-2. DOI: https://doi.org/10.1007/s43441-022-00376-2 Google Scholar

Saltychev M, Mattie R, McCormick Z, Bärlund E, Laimi K. Psychometric properties of the Oswestry Disability Index. Int J Rehabil Res. 2017;40(3):202-208. doi: 10.1097/mrr.0000000000000226. DOI: https://doi.org/10.1097/MRR.0000000000000226 Google Scholar

Radzimińska A, Strączyńska A, Weber-Rajek M, et al. Oswestry Disability Index (ODI) – a method for assessing the effectiveness of physical therapy in patients with low back pain. Acta Balneol. 2017;59(4):310-316. Google Scholar

Varangaonkar VC, Ganesan S, Kumar K. Normative values for active lumbar range of motion using the Back Range--of-Motion Measurement (BROM) device in school age children: A cross-sectional study. Int Neuropsychiatr Dis J. 2015;3(2):59-68. doi: 10.9734/INDJ/2015/15158. DOI: https://doi.org/10.9734/INDJ/2015/15158 Google Scholar

Atya AM. The validity of spinal mobility for prediction of functional disability in male patients with low back pain. J Adv Res. 2013;4(1):43-49. doi: 10.1016/j.jare.2012.01.002. DOI: https://doi.org/10.1016/j.jare.2012.01.002 Google Scholar

Byström MG, Rasmussen-Barr E, Grooten WJA. Motor control exercises reduces pain and disability in chronic and recurrent low back pain: A meta-analysis. Spine. 2013;38(6):350-358. doi: 10.1097/BRS.0b013e31828435fb. DOI: https://doi.org/10.1097/BRS.0b013e31828435fb Google Scholar

van Dillen LR, Norton BJ, Sahrmann SA, et al. Efficacy of classification-specific treatment and adherence on outcomes in people with chronic low back pain: A one--year follow-up, prospective, randomized, controlled clinical trial. Man Ther. 2016;24:52-64. doi: 10.1016/j.math.2016.04.003. DOI: https://doi.org/10.1016/j.math.2016.04.003 Google Scholar

Wong TKT, Lee RYW. Effects of low back pain on the relationship between the movements of the lumbar spine and hip. Hum Mov Sci. 2004;23(1):21-34. doi: 10.1016/j.humov.2004.03.004. DOI: https://doi.org/10.1016/j.humov.2004.03.004 Google Scholar

Zbylut A, Wódka K. Evaluation of therapeutic management in women with lumbar spine pain complaints. Health Prom Phys Act. 2023;23(2):1-12. doi: 10.55225/hppa.512. DOI: https://doi.org/10.55225/hppa.512 Google Scholar

van Dillen LR, Lanier VM, Steger-May K, et al. Effect of motor skill training in functional activities vs strength and flexibility exercise on function in people with chronic low back pain: A randomized clinical trial. JAMA Neurol. 2021;78(4):385-395. doi: 10.1001/jamaneurol.2020.4821. DOI: https://doi.org/10.1001/jamaneurol.2020.4821 Google Scholar

Sadler SG, Spink MJ, Ho A, DeJonge XJ, Chuter VH. Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: A systematic review of prospective cohort studies. BMC Musculoskelet Disord. 2017;18(1):179. doi: 10.1186/s12891-017-1534-0. DOI: https://doi.org/10.1186/s12891-017-1534-0 Google Scholar

Salt E, Wiggins AT, Rayens MK; et al. The relationship between indicators of lumbo-pelvic coordination and pain, disability, pain catastrophizing and depression in patients presenting with non-chronic low back pain. Ergonomics. 2020;63:724-734. doi: 10.1080/00140139.2020.1755059. DOI: https://doi.org/10.1080/00140139.2020.1755059 Google Scholar

Malarvizhi D, Sai Kishore V, Sivakumar Vpr. Measurement of anterior pelvic tilt in low back pain: An observational study. 2017; 10(4):115. Asian J. Pharm. Clin. Res. doi: 10.22159/ajpcr.2017.v10i4.16254. DOI: https://doi.org/10.22159/ajpcr.2017.v10i4.16254 Google Scholar

Jiménez-Del-Barrio S, Mingo-Gómez MT, Estébanez-de--Miguel E, et al. Adaptations in pelvis, hip and knee kinematics during gait and muscle extensibility in low back pain patients: A cross-sectional study. J Back Musculoskelet Rehabil. 2020;33(1):49-56. doi: 10.3233/BMR-191528. DOI: https://doi.org/10.3233/BMR-191528 Google Scholar

Al-Banawi LAA, Youssef EF, Shanb AA, Shanb BS. Effects of the addition of hands-on procedures to McKenzie exercises on pain, functional disability and back mobility in patients with low back pain: A randomised clinical trial. Malays J Med Sci. 2023;30(3):122-134. doi: 10.21315/mjms2023.30.3.11. DOI: https://doi.org/10.21315/mjms2023.30.3.11 Google Scholar

Altuğ F, Ünal A, Kilavuz G, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain. J Back Musculoskelet Rehabil. 2016;29(3):527-531. doi: 10.3233/BMR-150653. DOI: https://doi.org/10.3233/BMR-150653 Google Scholar