Press Up Exercises as an Alternative to Conventional Therapy of Radicular Symptoms in Patients with Low Back Pain

Q4 Health Professions
Jan Vagner, Ingrid Palascákova Springrova, Eva Baranova, Šárka Tomková, Elena Bendikova
{"title":"Press Up Exercises as an Alternative to Conventional Therapy of Radicular Symptoms in Patients with Low Back Pain","authors":"Jan Vagner, Ingrid Palascákova Springrova, Eva Baranova, Šárka Tomková, Elena Bendikova","doi":"10.18276/cej.2023.2-02","DOIUrl":null,"url":null,"abstract":"The study examines whether clinical and objective improvement can be achieved in patients with LBP (low back pain) with radicular symptoms using a 6-week exercise program based on press up exercises created from ADL (activities of daily living) movement patterns. This original study involved 10 men with acute L5 / S1 disc hernia. Before starting the exercise program, patients determined the intensity of pain VAS (Visual Analogue Scale), the intensity of paraesthesias (NSIP: numerical scale of paraesthesia intensity) and the location of paraesthesias. Magnetic resonance imaging (MRI) was used to objectify the extent of the disc hernia, spinal cord compression, and pressure acting on the dural sac. Patients completed -week exercise program consisting only of press up ADL movement patterns in a closed kinematic chain. At the end of the exercise program, patients determined the outcome values of clinical symptoms and underwent control MRI within 2 weeks at the latest. At the end of the study all patients showed a statistically significant reduction in pain intensity (p = 0.005), paraesthesia (p = 0.006). The pressure on the dural sac was reduced in all patients. One of the patients had a partial reduction of intervertebral disc hernia by 35.7 %. None of the patients had a change in spinal root compression. Conventional therapy should focus on influencing clinical symptoms that appear to correlate with dural sac compression. We dare to argue that reduction of hernia disc is not a sign of primary recovery in LBP patients with acute phase radicular symptoms.","PeriodicalId":36509,"journal":{"name":"Central European Journal of Sport Sciences and Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Central European Journal of Sport Sciences and Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18276/cej.2023.2-02","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 0

Abstract

The study examines whether clinical and objective improvement can be achieved in patients with LBP (low back pain) with radicular symptoms using a 6-week exercise program based on press up exercises created from ADL (activities of daily living) movement patterns. This original study involved 10 men with acute L5 / S1 disc hernia. Before starting the exercise program, patients determined the intensity of pain VAS (Visual Analogue Scale), the intensity of paraesthesias (NSIP: numerical scale of paraesthesia intensity) and the location of paraesthesias. Magnetic resonance imaging (MRI) was used to objectify the extent of the disc hernia, spinal cord compression, and pressure acting on the dural sac. Patients completed -week exercise program consisting only of press up ADL movement patterns in a closed kinematic chain. At the end of the exercise program, patients determined the outcome values of clinical symptoms and underwent control MRI within 2 weeks at the latest. At the end of the study all patients showed a statistically significant reduction in pain intensity (p = 0.005), paraesthesia (p = 0.006). The pressure on the dural sac was reduced in all patients. One of the patients had a partial reduction of intervertebral disc hernia by 35.7 %. None of the patients had a change in spinal root compression. Conventional therapy should focus on influencing clinical symptoms that appear to correlate with dural sac compression. We dare to argue that reduction of hernia disc is not a sign of primary recovery in LBP patients with acute phase radicular symptoms.
俯卧撑运动作为治疗下腰痛患者神经根症状的替代疗法
该研究考察了是否可以通过基于ADL(日常生活活动)运动模式创建的俯卧撑运动的6周锻炼计划来实现具有神经根性症状的LBP(腰痛)患者的临床和客观改善。这项原始研究涉及10名患有急性L5 / S1椎间盘突出的男性。在开始运动计划前,患者确定疼痛强度VAS (Visual Analogue Scale)、感觉异常强度NSIP (numerical Scale of parthesia intensity)和感觉异常位置。采用磁共振成像(MRI)客观显示椎间盘突出、脊髓受压和硬膜囊受压的程度。患者完成了一周的运动计划,只包括在封闭的运动链中向上按压ADL运动模式。在运动计划结束时,患者确定临床症状的预后值,最迟在2周内进行对照MRI检查。在研究结束时,所有患者的疼痛强度(p = 0.005)和感觉异常(p = 0.006)均有统计学意义上的显著降低。所有患者的硬膜囊压力均减轻。其中1例椎间盘突出部分复位35.7%。所有患者均无脊髓根受压改变。常规治疗应侧重于影响与硬脑膜囊受压相关的临床症状。我们敢说,腰椎间盘缩小并不是腰痛患者急性期神经根症状初步恢复的标志。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Central European Journal of Sport Sciences and Medicine
Central European Journal of Sport Sciences and Medicine Business, Management and Accounting-Tourism, Leisure and Hospitality Management
CiteScore
0.60
自引率
0.00%
发文量
9
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信