Assessment of the strength and endurance of the trunk muscle in patients with low back pain
Journal Title: Rehabilitacja Medyczna - Year 2008, Vol 12, Issue 3
Abstract
Introduction: In this study, strength and endurance of the trunk muscles were assessed in patients with spondyloarthrosis of the lower spine. Material and methods: 52 women and 49 men with low back pain syndrome (LBPS) were enrolled into the study. The muscle strength of the flexors and extensors of the trunk was determined by calculation of the maximum (MT) and relative torque (RT) during an isometric contraction. Evaluation of endurance of the extensors used calculation of the regression coefficient of the strength reduction during the testing of maximum strength capability. The obtained results were compard to results obtained in healthy persons. Moreover, the relation of those parameters to age, body-mass index – BMI (describing somatic habitus) and the Oswestry Disability Index – ODI (describing pain intensity during activities of daily living) was assessed. Separate analyses were conducted for the groups of males and females.Results: Based on the conducted study and the performed analyses, it can be stated that in patients with chronic low back pain syndrome there is a marked reduction in trunk muscle strength as compared to healthy persons. For females, the reduction ranged from 45% (flexors) to 48% (extensors) for absolute maximum torque values, while for relative values (RT) – from 51% (flexors) to 56% (extensors). In men, the strength reduction of abdominal and back muscles was smaller and was approximately 40% (for MT and RT). Becasue of such differences in the strength of the back muscles and methodological reasons, endurance variables were not compared. Reduction in trunk muscle strength is primarily due to the pain syndrome and does not depend on patients’ age or habitus. Lower muscle strength can affect the intensity of spinal pain during every-day activities.Conclusions: Precise determination of strength and endurance of the trunk muscles and the appropriate selection of methods of their reinforcement should constitute one of the principal aims of rehabilitation treatment in patients with low back pain.
Authors and Affiliations
Jacek Głodzik, Wiesław Chwała, Anna Marchewka, Tadeusz Ruchlewicz, Antoni Skura
Keywords
Related Articles
- EP ID EP82062
- DOI -
- Views 75
- Downloads 0
Retrospective evaluation of the surgical treatment and rehabilitation of patients with idiopathic scoliosis using the ‘bone-on-bone’ surgical technique
Introduction: The aim of this study was the retrospective evaluation of the results of the surgical treatment with the ‘bone on bone’ method, and the rehabilitation of patients for a period of 3 years after the operation...
The influence of a six week rehabilitation programme of low intensity on the functional fitness of elderly patients suffering from circulatory system diseases
Introduction: The preservation of functional performance and the independence of elderly people is a challenge for rehabilitation today. Aim of the study: We aimed to investigate the effects of a 6-week, low-intensity re...
The early results of the treatment of idiopathic scoliosis using the dynamic SpineCor brace
Introdcution: Idiopathic scoliosis is a three-dimensional deformation of the spine. Treatment of this condition depends on many factors, with curve magnitude (Cobb angle) and skeletal maturity (Risser sign) being the mos...
Functional disturbances of the masticatory apparatus – diagnosis and treatment
Diagnosis of the masticatory motor system functional disturbances frequently creates significant difficulties. Aside from detailed medical history and examination of a patient, precise analysis of occlusion and lower jaw...
Ocena wzorca oddechowego u osób zdrowych i osób z depresją
Założenia: Oddychanie jest procesem złożonym. Wiele czynników zarówno zewnętrznych jak i wewnętrznych ma wpływ na jego przebieg. Są to również czynniki psychiczne.Cel: Celem prezentowanych badań była analiza ruchów oddec...