Effects of spinal stabilization exercise with real-time ultrasound imaging biofeedback in individuals with chronic nonspecific low back pain: a pilot study
Raheem Sarafadeen, Sokunbi O. Ganiyu, Aminu A. Ibrahim
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영어(ENG)
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https://www.earticle.net/Article/A376967
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영어
The use of real-time ultrasound imaging (RUSI) as biofeedback to en-hance the performance of spinal stabilization exercise and recovery from low back pain has been a recent trend in musculoskeletal rehabili-tation. The aim of this pilot study was to evaluate whether it would be feasible to conduct a randomized controlled trial investigating the ef-fects of spinal stabilization exercise with RUSI biofeedback in individu-als with chronic nonspecific low back pain. This was a single-group pretest-posttest quasi-experimental study. Ten consecutive patients with chronic nonspecific low back pain met the study criteria. They re-ceived spinal stabilization exercise with the RUSI biofeedback focusing on lumbar multifidus muscle activation. The intervention was provided twice weekly for 6 weeks. Outcome measures were lumbar multifidus muscle cross-sectional area, pain, disability and quality of life assessed at baseline and after intervention. A paired t-test was applied and effect size (Cohen d) was computed. The recruitment and retention rates were 75% and 83% respectively. No adverse events were reported during the study. Compared with the baseline, the participants demonstrated sta-tistically significant improvement in lumbar multifidus muscle cross- sectional area (P<0.05, d=1.03), pain (P<0.001, d=2.56) and disability (P<0.05, d=1.43) with large effect size after the intervention. However, no statistically significant differences were observed for physical and mental health (P>0.05) after the intervention. It was concluded that spi-nal stabilization exercise with RUSI biofeedback is effective in improv-ing lumbar multifidus muscle cross-sectional area, pain and disability in individuals with chronic nonspecific low back pain. The results demon-strated the feasibility of conducting a future, larger-scale powered ran-domized controlled trial to confirm these preliminary findings.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Study design Ethical consideration Participants and flow Baseline assessments Sample size estimation Outcome assessments Quality of life Interventions Data analysis RESULTS DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES
키워드
Chronic nonspecific low back painSpinal stabilization exer-ciseLumbar multifidus muscleCross-sectional areaPainDisability
저자
Raheem Sarafadeen [ Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano State, Nigeria, Department of Physiotherapy, National Orthopedic Hospital, Dala, Kano State, Nigeria ]
Sokunbi O. Ganiyu [ Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano State, Nigeria ]
Aminu A. Ibrahim [ Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University Kano, Kano State, Nigeria, Department of Physiotherapy, Muhammad Abdullahi Wase Teaching Hospital, Hospital Management Board, Kano State, Nigeria ]
Corresponding Author