Tag: ból dolnej części pleców

Effect of 12-weeks adapted physical activity on back disability and pain in Brazilian elderly

Eleonora Esposito, Paola Sinibaldi Salimei, Chiara Salimei, Mohammad Al-Wardat

Eleonora Esposito, Paola Sinibaldi Salimei, Chiara Salimei, Mohammad Al-Wardat – Effect of 12-weeks adapted physical activity on back disability and pain in Brazilian elderly. Fizjoterapia Polska 2021; 21(1); 42-46

Abstract
Aim. Back pain (BP) is a common disabling health problem that affects negatively activity of daily living (ADLs) and quality of life (QoL). Physical activity (PA) showed exerts beneficial effects on BP symptoms and health status. This study aimed to investigate the effect of adapted physical activity (APA) on back disability and pain in Brazilian elderly.
Material and Methods. Forty-eighth elderly people with chronic non-specific BP participated in APA program twice a week for 12-weeks each session for 50 minutes. The function, disability and pain were assessed by Oswestry disability index (ODI) and Visual Analogue Scale (VAS). Additionally, bilateral hip extension range of motion (ROM) and lengthening capacity of bilateral hamstring muscles, and hip flexors were evaluated.
Results. The ODI and VAS scores showed significant improvement post APA interventions. Moreover, hip extension ROM, bilateral hip flexor and extensors muscles flexibility significantly improved as well.
Conclusions. Our findings demonstrate that the 12-weeks APA interventional program was associated with significant improvements in back disability and pain in elderly with chronic non-specific BP. APA interventions should be employed to provide improvement in pain and functional status in the treatment of BP. Further studies are needed to determine whether long-term of APA may improve QoL and ADLs for elderly with BP.
Key words:
low back pain, adaptive physical activity, back function, physiotherapy, rehabilitation
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Electrophysiological response of the Neurodynamic Mobilization and Cupping therapy in Patients with Discogenic Sciatica: A Randomized Controlled Trial

Ahmed Torad, Amir Saleh, Yasser Aneis, Amr Azzam,
Amr Abo-Gazia, Hamdy Radwan

Ahmed Torad, Amir Saleh, Yasser Aneis, Amr Azzam,
Amr Abo-Gazia, Hamdy Radwan – Electrophysiological response of the Neurodynamic Mobilization and Cupping therapy in Patients with Discogenic Sciatica: A_Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(2); 34-40

Abstract

Objectives. To investigate and compare between the neurophysiological response on mobilization, and cupping therapy on pain, range of motion, and function in discogenic sciatica.
Materials and Methods. Thirty-two patients were enrolled in this study from the outpatient physical therapy clinic at Faculty Physical Therapy, Kafrelsheik University. Participants were randomly allocated into: Passive neurodynamic mobilization (PVM; n = 9), traditional cupping (TC; n = 9), and passive neurodynamic mobilization with cupping (COM; n = 14). Participants were assessed for pain pressure threshold at UB-25, GB-30, UB-37 and UB-57 acupuncture points, F-wave and H-reflex latencies, straight leg raising (SLR) ROM and disability by Oswestry Disability Questionnaire (ODQ), immediately prior to and following the assigned intervention.
Results: All groups showed statistically significant improvement in ROM (P < 0.05). In addition, the PVM group improved in the ODQ score (P < 0.05). The COM group showed improvement in pain pressure threshold at UB-25, GB-30 and UB-57 acupuncture points with no significant improvement at UB-37 (P > 0.05). Between groups comparison reveled statistically significant differences for ROM (P < 0.05) otherwise there was no significant difference in other tested variables. Conclusions: There were no differences between the three groups, so we advise to use only neurodynamic mobilization for treatment of discogenic sciatica patients, as adding cupping therapy to it had no superior effect.

Key words: neurodynamic mobilization, cupping, electrophysiological response, discogenic sciatica

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