Effect of the 8 weeks DNS training on pain, range of motion and upper body strength on women with chronic Low back Pain.

Document Type : Research Paper

Authors

1 shahid beheshti

2 Department of education :Faculty of Shahid chamran:kerman Baranch: Technical and vocational University (YVU) ,Tehran.Iran

Abstract

Background and aim: Low back pain is one of the most common health problems in different societies in the world. The purpose of this study was to investigate the effect of dynamic stability training on pain, range of motion and trunk muscular endurance in women with chronic low back pain.
Materials and methods: The subjects of this study included 30 women with chronic non-athlete low back pain who ranged in age from 19 to 48 years and were randomly divided into experimental (n=15) and control (n=15) groups. All subjects were first assessed by the Oswestry Low Back Disability Questionnaire for disability in the lumbar region. VAS, goniometer and ITO were used to determine pain, a range of motion and muscular endurance, respectively. The experimental group then received a training program (DNS) for eight weeks, but the control group received no specific rehabilitation program. Pre-test and post-test were used in both experimental and control groups. In this study, paired samples t-test and independent samples test was used by spss24 software.
Results: The results showed that after eight weeks of dynamic neuromuscular stability training, there was a positive effect on pain, the trunk muscular endurance and range of motion (p≤0.05).
Conclusion: The dynamic neuromuscular stability (DNS) training focus on the natural growth process of the motor system, reduce pain, increase lumbar range of motion, and increase trunk muscular endurance in women with chronic low back pain.
Keywords: DNS training, Chronic back pain, Range of motion, Trunk selective muscular endurance

Keywords

References

Abbaszadeh, A., & Delavari, M. A. (2019). “Comparing Balance, Function, Strength and Endurance of Selected Core Muscles in Male Volleyball Players with and Without a Chronic Ankle Sprain in Bandar Abbas in 2018: A Descriptive Study”. Journal of Rafsanjan University of Medical Sciences, 18(3), 251-266. (In Persian)
Barr, K. P., Griggs, M., & Cadby, T. (2005). “Lumbar stabilization: core concepts and current literature, Part 1”. American journal of physical medicine & rehabilitation, 84(6), 473-480.
Carlton, C. K. (2017). “The Impact of Dynamic Neuromuscular Stabilization in Eliminating Low Back Pain in a High School Pitcher: A Case Report” (Doctoral dissertation, Azusa Pacific University).
Chung, S., Lee, J., & Yoon, J. (2013). “Effects of stabilization exercise using a ball on multifidus cross-sectional area in patients with chronic low back pain”. Journal of sports science & medicine, 12(3), 533-541.
Frangolias, D. D., & Rhodes, E. C. (1996). “Metabolic responses and mechanisms during water immersion running and exercise”. Sports Medicine, 22(1), 38-53.
Frank, C., Kobesova, A., & Kolar, P. (2013). “Dynamic Neuromuscular Stabilization & sports rehabilitation”. International journal of sports physical therapy, 8(10), 62-73.
Harris, B. A., & Dyrek, D. A. (1989). “A model of Orthopedic Dysfunction for clinical decision making in physical therapy practice”. Physical therapy & Rehabilitation Journal, 69(7), 548-553.
Hemmati, S., Rajabi, R., & Karimi, N. (2011). “Effects of consecutive supervised core stability training on pain and disability in women with nonspecific chronic low back pain”. Koomesh, 12(3), 244-252.
Hides JA, Richardson CA, Jull GA, (2012). Multifidus Muscle Recovery Is Not Automatic After improving trunk endurance. International Journal of Health Sciences & Research, 2(5): 56-63.
Hides, J. A., Jull, G. A., & Richardson, C. A. (2001). “Long-term effects of specific stabilizing exercises for first-episode low back pain”. Spine, 26(11), e243-e248.
Ko, K. J., Ha, G. C., Yook, Y. S., & Kang, S. J. (2018). “Effects of 12-week lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, and pain scale of patients with chronic low back pain”. Journal of physical therapy science, 30(1), 18-22.
Kobesova, A. (1997). Postural-Locomotion Function in the Diagnosis and Treatment of Movement Disorders Summary for the lecture Assoc. Prof. Pavel Kolar, PaedDr., Ph. D. Alena Kobesova, MD, Ph. D.
Kumar, A., Zutshi, K., & Narang, N. (2011). “Efficacy of trunk proprioceptive neuromuscular facilitation training on chronic low back pain. International Journal of Sports Science and Engineering”, 5(03), 174-80.
Lim, Y. L., Lepsikova, M., & Singh, D. K. A. (2018). “Effects of Dynamic Neuromuscular Stabilization on lumbar Flexion Kinematics and Posture Among Adults with Chronic non-specific low back pain: a study protocol”. In Regional Conference on Science, Technology and Social Sciences (RCSTSS 2016) (pp. 715-724). Springer, Singapore.
MacDonald, D. A., Dawson, A. P., & Hodges, P. W. (2011). “Behavior of the lumbar multifidus during lower extremity movements in people with recurrent low back pain during symptom remission”. Journal of orthopedic & sports physical therapy, 41(3), 155-164.
Mahjur, M., Hashemi Javaheri, S., Khoshraftar Yazdi, N., Norouzi, K., (2016). “The effect of six weeks’ exercise therapy in the water on the trunk extensor muscle endurance in men with chronic non-specific low back pain”. JNKUMS.8 (1): 147-157. (In Persian)
Matlabi, L., Mohseni Bandapy., MA, Rahmani; N. (2013). “The effect of stability training on pain, functional disability and multifidus muscle cross section in women with non-specific chronic low back pain”. Journal of Mazandaran University of Medical Sciences; 23 (100), 11-19. (In Persian)
Naseri, N., Fakhari, Z., Senobari, M., & Sadria, G. (2012). “The relationship between core stability and lower extremity function in female athletes”. Modern Rehabilitation, 6(2), 1-9. (In Persian)
Nezhad Roomezi, S., Rahnama, N., Habibi, A., & Negahban, H. (2012). “The effect of core stability training on pain and performance in women patients with non-specific chronic low back pain”. Journal of Research in Rehabilitation Sciences, 8(1), 59-60.
Nuri, S., Ghasemi, G. A., Karimi, A., Salehi, H., Khayambashi, K., & Alizamani, S. (2011). “Comparing the effects of exercise therapy and self – treatment through “The Back Book" on chronic low back pain”. Journal of Research in Rehabilitation Sciences, 7(2), 179-187.
Panjabi, M. M. (2003). “Clinical spinal instability and low back pain”. Journal of electromyography and kinesiology, 13(4), 371-379.
Perrott, M. A., Pizzari, T., Opar, M., & Cook, J. (2012). “Development of clinical rating criteria for tests of lumbopelvic stability”. Rehabilitation research and practice, 12(7), 1-8.
Refshauge, K. M., & Maher, C. G. (2006). “Low back pain investigations and prognosis: a review. British journal of sports medicine”, 40(6), 494-498.
Rissanen, A., Kalimo, H., & Alaranta, H. (1995). “Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain”. Spine, 20(3), 333-340.
Rose, S. J. (1986). “Description and classification—the Cornerstones pathokinesiological research”. Physical therapy & Rehabilitation Journal, 66(3), 379-381.
Schneider, K. J., Iverson, G. L., Emery, C. A., McCrory, P., Herring, S. A., & Meeuwisse, W. H. (2013). “The effects of rest and treatment following sport-related concussion: a systematic review of the literature”. British journal of sports medicine, 47(5), 304-307.
Shankar, G., & Caucasia, V. (2012). “Comparative study of core stability exercise with Swiss ball in improving trunk endurance”. International Journal of Health Sciences & Research, 2(5), 56-63.
Ya'ghoubi, Z., Kahrizi, S., Parnian-Pour, M., Ebrahimi-Takmajani, E., & Faghih-Zadeh, S. (2012). “The short effects of two spinal stabilization exercise on balance tests and limit of stability in men with non–specific chronic low back pain: randomized clinical trial study”. Archives of Rehabilitation, 13(1), 102-113.
Yalfani, A., Ahmadnezhad, L., Gholami Borujeni, B., & Khoshnamvand, Z. (2017). “The Effect of six weeks’ core stability exercise training on balance, pain and function in women with chronic low back pain”. Journal of Health and Care, 18(4), 336-346.
Yarahmadi, Y., & Hadadnezhad, M. (2017). “The effect of core stabilization on pain control, Dynamic balance and lumbopelvic proprioception of subjects with non-specific chronic low back pain”. Journal of Anesthesiology and Pain, 8(1), 54-66. (In Persian)
Zamani, Ali; Ghasemi, Somayeh; Gholam. Ali; Salehi, Hamid; Marandi, Seyed Mohammad. (2010). “The effect of Pilates exercises on female patients with chronic low back pain”. Journal of Sport Medicine, 1 (3), 37-55. (In Persian)

Files

Share

How to cite

Statistics