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Journal of Back and Musculoskeletal RehabilitationVolume 33, Issue 6, 2020, Pages 897-907

Efficacy of the lumbar stabilization and thoracic mobilization exercise program on pain intensity and functional disability reduction in chronic low back pain patients with lumbar radiculopathy: A randomized controlled trial(Article)

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  • aMedical Faculty, University of Novi Sad, Clinical Research, Novi Sad, Serbia
  • bRehabilitation Clinic 'Dr. Miroslav Zotović' Belgrade, University of Belgrade, School of Medicine, Belgrade, Serbia
  • cMedical Faculty, University of Novi Sad, Medical Rehabilitation Clinic, Clinical Centre of Vojvodina, Novi Sad, Serbia

Abstract

BACKGROUND: Exercise programs in the treatment of chronic lumbar pain are quite diverse, but it has been proven that stabilization exercises are the most effective. OBJECTIVE: We compared the lumbar stabilization exercise program in a closed and open kinetic chain (LSCO) and lumbar stabilization exercises and thoracic mobilization program in a closed kinetic chain (LSTMC), and evaluated the clinical effectiveness of each program. METHODS: Prospective, randomized, controlled trial in 80 chronic low back pain (CLBP) patients with lumbar radiculopathy of both sexes (35 male, 45 female), average age (48.45 ± 10.22 years), divided in two groups that performed different sets of exercises. Participants were given laser therapy, transcutaneous electro-nerve stimulation and an eight-week kinesiotherapy that included exercises to strengthen the deep lumbar spine stabilizers. Retesting was done after four and eight weeks. RESULTS: Statistically significant (p< 0.05) superior recovery of the LSTMC group subjects compared to the LSCO group was achieved at all measurement intervals in the pain intensity and functional disability parameters. CONCLUSION: Patients who performed the lumbar stabilization and thoracic mobilization exercise program in a closed kinetic chain had the most effective reduction of pain intensity and functional disability. © 2020 - IOS Press and the authors. All rights reserved.

Author keywords

Chronic low back painclosed kinetic chainlumbar stabilizationthoracic mobilization

Indexed keywords

EMTREE medical terms:adultArticlebody masschronic patientclinical effectivenesscomorbiditycomparative studycontrolled studyexercisefemalehumanincidencekinesiotherapylow back painlow level laser therapylumbar spinemajor clinical studymalenerve stimulationneuropathic painnuclear magnetic resonance imagingobservational studypain intensityphysiotherapistpriority journalprogram efficacyprospective studyquestionnaireradiculopathyrandomized controlled trialsexual functionspine stabilizationstandingvisual analog scalechronic paindisabilitylow back painlumbosacral regionmiddle agedmultimodality cancer therapypain measurementpathophysiologyproceduresradiculopathytranscutaneous electrical nerve stimulationtreatment outcome
MeSH:AdultChronic PainCombined Modality TherapyDisability EvaluationExercise TherapyFemaleHumansLow Back PainLumbosacral RegionMaleMiddle AgedPain MeasurementProspective StudiesRadiculopathyTranscutaneous Electric Nerve StimulationTreatment Outcome
  • ISSN: 10538127
  • CODEN: JBMRF
  • Source Type: Journal
  • Original language: English
  • DOI: 10.3233/BMR-201843
  • PubMed ID: 32675390
  • Document Type: Article
  • Publisher: IOS Press BV

  Kostadinović, S.; Medical Faculty, University of Novi Sad, Clinical Research, Novi Sad, Serbia;
© Copyright 2021 Elsevier B.V., All rights reserved.

Cited by 12 documents

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Pain intensity, spine structure, and body composition in patients with acute discogenic lumbar radiculopathy
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