Comparison of lumbar specific stabilization exercises and general exercises in reducing pain and disability in patients with spondylolysis and spondylolisthesis

مجله دانشگاه علوم پزشکی بیرجند

卷:20

Asghar Akbari¹  Parvane Jahanshahi Javaran² 

[1] Department of Physiotherapy, Faculty of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran;

[2] Zahedan University of Medical Sciences, Zahedan, Iran;

关键词: Low back pain;    Stabilization exercise;    General exercise;    Spondylolysis;    Spondylolisthesis;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background and Aim: Submaximal training oflumbar stabilizing muscles decreases both pain and disability in patients withmechanical low back pain. However, these effects have rarely been studied wheresegmental stability has been compromised. The purpose of the present study wasto compare lumbar muscle specific stabilization exercises with generalexercises in the reduction of pain and disability in patients withspondylolysis and spondylolisthesis. Materials and Methods: This randomized controlled trial study wasperformed in Zahedan in 2009. Twenty-four patients with spondylolysis andspondylolisthesis were randomly assigned to either a stabilization (n=12) or ageneral exercise group (n=12). Before and after intervention, the extentof pain was assessed through VisualAnalogue Scale (VAS), lumbar lordosis using a flexible ruler, range of lumbarflexion applying Modified Schober test, anddisability severity by means of Oswestry Disability Index (ODI). A 24 thirtyminute session exercise program lasting for 12 weeks, twice each week, wereperformed by both groups. The obtained data was fed into SPSS software (V:17)using statistical tests culmograph smear novo, Levin, independentT ,and paired T and analysed at thesignificant level P<0.05.  Results: Mean pain decreased from 6.1±2.5 to 2.7±2.5 in the stabilizationgroup (P<0.0001) and from 6.3±1.8 to 3.3±1.3 in the general group (P=0.003).Besides, mean disability decreased from 33.4±9.03 to 9.12±5.1 in thestabilization group and from 32.5±6.12 to 18.52±4.68 in the general group(P<0.0001). Pain reduction (P=0.012) and function improvement (P<0.0001)was significant in stabilization group compared with the general one. Conclusion: The results showed that stabilization exercises are more effectivethan the general ones in decreasing pain and improving function.

【 授权许可】

Unknown