Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study

Sertpoyraz, Filiz Meryem; Eyigör, Sibel; Karapolat, Hale; Çapaci, Kazım; Kirazlı, Yeşim

doi:10.1177/0269215508099862

Cited by 43 publications

(34 citation statements)

References 30 publications

(66 reference statements)

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“…Other possible explanations are that they derive from more central effects [14][15][16][17][18][19][20], perhaps as a correction of a distorted ''body schema'' [4,14] or altered cortical representation of the back [22][23][24][25], from modification of motor control patterns as a consequence of a reweighting of sensory input [21], or simply from a positive therapistpatient interaction/relationship [26]. Several studies have reported a correlation between psychological status and low back pain or pain tolerance [15,58,[75][76][77][78]. The efficacy of treatments that solely focus on psychological targets has, however, been shown to be small [4].…”

Section: Discussionmentioning

confidence: 99%

Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

et al. 2011

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Introduction The effect size for exercise therapy in the treatment of chronic non-specific low back pain (cLBP) is only modest. This review aims to analyse the specificity of the effect by examining the relationship between the changes in clinical outcome (pain, disability) and the changes in the targeted aspects of physical function (muscle strength, mobility, muscular endurance) after exercise therapy. Methods We searched for exercise therapy trials for cLBP published up to 15 April 2010 in Medline, Embase, Cochrane Library, Cinahl, and PEDro. Two independent reviewers selected studies according to the inclusion criteria. Data extraction: one author extracted the data of the articles. Results Data synthesis: 16 studies with a total of 1,476 participants met the inclusion criteria. There was little evidence supporting a relationship between the changes in pain or physical function and the changes in performance for the following measures: mobility (no correlation in 9 studies, weak correlation in 1 study), trunk extension strength (7 and 2, respectively), trunk flexion strength (4 and 1, respectively) and back muscle endurance (7 and 0, respectively). Changes in disability showed no correlation with changes in mobility in three studies and a weak correlation in two; for strength, the numbers were four (no correlation) and two (weak correlation), respectively. ConclusionsThe findings do not support the notion that the treatment effects of exercise therapy in cLBP are directly attributable to changes in the musculoskeletal system. Future research aimed at increasing the effectiveness of exercise therapy in cLBP should explore the coincidental factors influencing symptom improvement.

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Section: Discussionmentioning

confidence: 99%

Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

et al. 2011

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“…(41) Other studies have shown that different resistance exercise programs can reduce low back pain symptoms. (3, 16, 17, 26, 30) Resistance exercise also results in favorable psychosocial benefits such as reduction of anxiety and fear of falling, both of which can contribute to increased physical function and activity. (19, 22) It is unclear, however, if resistance exercise protocols reduce perceived disability due to LBP and fear avoidance beliefs and pain catastrophizing in the obese, older adult.…”

Section: Introductionmentioning

confidence: 99%

Resistance Exercise, Disability, and Pain Catastrophizing in Obese Adults with Back Pain

Vincent

George

Seay

et al. 2014

Medicine &Amp; Science in Sports &Amp; Exercise

113

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Purpose The purpose of this study was to compare the effects of two different resistance exercise protocols on self-reported disability, fear avoidance beliefs, pain catastrophizing and back pain symptoms in obese, older adults with low back pain. Methods Obese adults (N=49; 60–85 years) with chronic low back pain (LBP) were randomized into a total body resistance exercise intervention (TOTRX), lumbar extensor exercise intervention (LEXT) or a control group (CON). Main outcomes included perceived disability (Oswestry Disability Index [ODI], Roland Morris Disability Questionnaire [RMDQ]). Psychosocial measures included the Fear Avoidance Beliefs (FAB) survey, Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS). LBP severity was measured during three functional tasks: walking, stair climb and chair rise using an 11 point numerical pain rating scale (NRSpain). Results The TOTRX group had greater reductions in self-reported disability scores due to back pain (ODI, RMDQ) compared to LEXT (p<0.05). The PCS scores decreased in the TOTRX compared to CON by month four (64.3% vs 4.8%, p<0.05). Pain severity during chair rise activity, and walking pain severity was decreased in both LEXT and TOTRX relative to the CON group. Conclusions Greater reductions in perceived disability due to LBP can be achieved with TOTRX compared to LEXT. Pain catastrophizing and pain severity decreased most with TOTRX. The positive change in psychological outlook may assist obese, older adults with chronic back pain re-consider the harmfulness of the pain and facilitate regular participation in other exercise programs.

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“…Sertpoyraz et al 23 saw increased lumbar extension strength and reduced self-reported pain in patients after participation in an isokinetic RT programme; however, the results were not significantly different when compared with a standard therapeutic exercise programme. Unfortunately, the authors failed to provide a description of the standard exercise programme, thus making a direct comparison of the two training programmes difficult.…”

Section: Resultsmentioning

confidence: 96%

Resistance training in musculoskeletal rehabilitation: a systematic review

Kristensen¹,

Franklyn-Miller²

2011

Br J Sports Med

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Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study

Cited by 43 publications

References 30 publications

Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance? A systematic review

Resistance Exercise, Disability, and Pain Catastrophizing in Obese Adults with Back Pain

Resistance training in musculoskeletal rehabilitation: a systematic review

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