Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain

Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam


Mai Hassan Ahmed Desouki, Alaa Eldin Balbaa, Mohamed Samir Gobba, Ahmed M. El Melhat, Mohammed S. Abdelsalam – Effect of lumbar repositioning feedback training on pain and joint position sense in participants with chronic mechanical low back pain. Fizjoterapia Polska 2022; 22(4); 106-111

DOI: https://doi.org/10.56984/8ZG1A6Np0

Abstract
Objective. The aim of this study was to investigate the effect of lumbar repositioning feedback training (LRFT) on pain and joint position sense (JPS) in patients with chronic mechanical low back pain (CMLBP). Materials and Methods. Twenty-four patients, from both genders, suffering from CMLBP were assigned randomly into 2 equal groups. The lumbar repositioning feedback training (LRFT) group who received lumbar repositioning feedback training and conventional proprioception exercises on Swiss ball, and control group who received conventional proprioception exercises on Swiss ball only. Pain was assessed using visual analogue scale (VAS), and joint position sense was assessed using absolute repositioning error (ARE). All patients received treatment twice per week for 6 weeks. Assessments were carried out pre and post experimentally. Results. Pre- post treatment evaluations comparisons showed improvement of pain and joint position sense post- treatment compared to pre-treatment within both groups. However, pre-treatment between groups comparisons were non-significant, with significant post- treatment improvements of pain and joint position sense in favor of LRFT compared to control group. Conclusion. Patients in LRFT group showed significant pain reduction and improvement in joint position sense in patients with CMLBP than did patients in control group. Thus, LRFT might be a suggested component of treatment programs in managing patients with CMLBP.

Keywords
lumbar repositioning feedback training, chronic mechanical low back pain

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Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review

Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy


Ahmed Elhamy Koshek, Salwa Fadl, Nagy Ahmed Zaki Sabet, Hamed El-Khozamy – Core stability exercise versus movement control exercise in chronic mechanical low back pain – A systematic review. Fizjoterapia Polska 2022; 22(4); 74-78

DOI: https://doi.org/10.56984/8ZG1A6XT7

Abstract
Purpose. The aim of this study was to compare the efficacy of two types of therapeutic exercise: core stability exercises and movement control exercises in pain and function.
Methods. Thirty-five patients were diagnosed and referred to physiotherapy as CMLBP, their age ranged from 25–40 years old, patients divided randomly into two groups and assessed for their current level of pain using a visual analog scale (VAS) and for disability using Oswestry disability index (ODI) before and after the study. Both groups received a well-documented fully supervised exercise program as group I movement control exercise, and group II received core stability exercises. Results. Showed significant effect of both exercise approaches on reducing pain level and restoring function. Although the group I exercises showed to be more effective in reducing pain than group II, their difference regarding improving function was non-significant. Conclusion. Conservative forms of treatment (therapeutic exercises) still prove it is a successful, cost-effective treatment of choice in patients with chronic mechanical low back pain. Movement control exercises are superior in reducing pain to core stability exercises.

Keywords
chronic mechanical low back pain, therapeutic exercises, functional training exercises, core stability exercises, movement control exercises

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