Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled trial

Gaowgzeh, Riziq Allah; Chevidikunnan, Mohamed Faisal; BinMulayh, Ejlal A; Khan, Fayaz

doi:10.3233/bmr-171099

Cited by 14 publications

(27 citation statements)

References 14 publications

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“…Core stability exercise aims to activate the deep stability muscles that are generally inactive in patients with lumbar pathologies, such as lumbar HNP. 16,17 In this study, several types of core stability were used, including pelvic tilting exercise, bridging exercise, four-point kneeling exercise with an arm lift and leg lift, and cat-camel exercise. Pelvic tilting exercise is an exercise that use to reduce symptoms in LBP patients.…”

Section: Interventionsmentioning

confidence: 99%

The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study

Pratama

Salam

2021

ptji

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Background: Hernia Nucleus Pulposus (HNP) is a condition in which the nucleus pulposus has bulged from the intervertebral disc, consequently damages the walls of the annulus fibrosus and compresses the nerves. Clinical problems such as radiating pain, sensory disturbances according to dermatomes, muscle weakness, restricted range of motion, especially during flexion, and decreased functional ability. Core stability exercise is one of the physiotherapy treatments to reduce pain and improve the patient's functional ability with lumbar HNP. The purpose of this study is to determine the effectiveness of core stability exercise on increasing functional ability in cases of lumbar HNP with Modified Oswestry Low Back Pain Disability Questionnaire as a parameter. Methods: A single case study provided a physiotherapy intervention to a 56-year-old female patient for four weeks with four evaluations. The dose of exercise given was three times a week, three sets, five repetitions, 6-9 minutes of each type of exercise, and hold time 5-10 seconds. The improvement of functional ability is measured by using the Modified Oswestry Low Back Pain Disability Questionnaire. Results: There was an improvement in functional ability as measured by Modified Oswestry Low Back Pain Disability Questionnaire. At pre-intervention, the Modified Oswestry score was 52% meaning the patient had severe disability. On the 4th week evaluation, the patient's Modified Oswestry score decreased to 26%, indicating moderate disability. Conclusion: This study showed that core stability exercise effectively improved functional ability in a patient with lumbar HNP.

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Section: Interventionsmentioning

confidence: 99%

The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study

Pratama

Salam

2021

ptji

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“…Cupping Massage (CM) that was used in both groups could relax superficial muscles, increase lower back temperature and increase pain threshold [1,2,25,16,15]. On the other hand, CM could facilitate the action of other next treatment modalities [2,3].…”

Section: Oswestry Disability Index (Odi)mentioning

confidence: 99%

“…Conservative treatments include medication, exercise therapy, and physical and rehabilitation methods [11] Therapeutic methods are used in CLDH treatment in gradual manner. Thermotherapy, such as Hot packs, Electrotherapy, Massage and Cupping Massage are used to start treatment sessions to restore blood circulation activity, allowing nutrients to reach tissues, relax muscle tone, decrease nerve endings sensation and rise pain threshold [1,2,3,15]. Now a day, Cupping massage (CM) as an alternative to massage is widely used [1,2,3], especially in light of the emerging Corona-19 pandemic, which makes it an ideal option instead of massage to prevent friction and hand contact with patients.…”

Section: Introductionmentioning

confidence: 99%

Impact Of Combined Lumbar Traction with Cervical Traction in Chronic Lumbar Disc Herniation

Al-Qudah¹

2021

TURCOMAT

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Traction Is Part Of The Evidence Based Manual Physical Therapy Management Due To Its Mechanical Nature. The Efficacy Of Lumbar Traction (Lt) Has Been Established, Lt As The Most Used Method Of Spinal Decompression Therapy (Sdt) Reduces The Intradiscal Pressure And Vertically Increases The Intervertebral Space And Restore Disc Height Allowing Nutrients And Oxygen Supply To The Disc. While Lt Had Recently Been Used As A Conservative Treatment For Chronic Lumbar Disc Herniation (Cldh), Combined Lumbar Traction With Cervical Traction (Cltct) As One Intervention Which Has Been Suggested By (Al-Qudah, M.K) Was Used As A Part Of Rehabilitative Program In Patients With Cldh. Therefore, The Effectiveness Of Cltct Separately At Any Other Interventions Remains Absolutely Unclear And Uncertain. Objective: The Aim Of The Presented Work Is To Identify The Effectiveness Of Cltct [(Positional Sustained Lumbar Traction (Pslt) Combined With Mechanical Sustained Cervical Traction (Msct) As One Intervention] On Patients With Moderate (L4-L5) (L5-S1) Cldh, And To Compare Cltct With Traditional Mechanical Lumbar Traction (Mlt). Methods: In This Study, Twelve Outdoor Male Patients Diagnosed With Magnetic Resonance Imaging (Mri), Had Accepted To Participate The Study. They Were Chosen From Al-Karak Governmental Hospital, From 20th Of December To 1st February 2021. Subjects Were Divided Randomly In To Two Groups, Experimental Group (N=6) Performed Cupping Massage (Cm), Cltct And Core Stabilization Exercise (Cse), While The Control Group (N=6) Performed Cm, Mlt And Cse. All Subjects Were Advised To Perform The Cse Three Times Daily As A Home Program In Addition To One Set During Each Session Under The Therapist Supervision. All Subjects Had Exposed (18) Sessions For (6) Weeks. The Results Were Analyzed Using The Spss System. Results: Indicates That There Was Statistically Significant Difference Between The Pre And Post Measurements In Both Groups In Favor Of The Post Measurements In Term Of Pain And Disability. Also Results Indicate That There Was Statistically Significant Difference Between The Groups In Favor Of Experimental Group. Conclusions: The Present Study Demonstrates That The Use Of Cltct Has A Positive Effect On Patients With Cldh More Than Mlt.

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“…Traction is part of the evidence based manual physical therapy management due to its mechanical nature, type of traction and parameters related to its applicability and are still to be explored more through research [11], it is typically recommended for patients with cervical radiculopathy [16]. Traction can be administered with different modality: mechanical or manual and in an intermittent or continuous mode, with the aim to increase intervertebral space, inhibit nociceptive impulses, and reduce spinal nerve root compression [13], and deliver nutrients and oxygen [18,24,25].…”

Section: Introductionmentioning

confidence: 99%

“…Therapeutic exercise (TE) is one of the most common conservative treatments, It can assist the activation of the deep fibers through low loaded isometric activity [3,26,28]. TE seemed to decrease pain intensity and improve functional ability when added to the other treatment modalities [3,18,28]. Stretching is a common intervention performed during rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Effect Of Cupping Massage and Modified Spinal Decompression Therapy With Exercise Therapy in Neck Radiculopathy Syndrome

Al-Jazzazi¹

2021

TURCOMAT

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Cervical radiculopathy Syndrome (CRS) is a common neuro-musculo-skeletal disorder causing pain and disability. Manual therapy interventions including cervical traction with other treatment modalities have been advocated to decrease pain and disability caused by cervical radiculopathy (CR). Al-Qudah & AL-Jazzazi (2021) conducted a new method of Spinal Decompression Therapy (SDT) in patients with Chronic Lumbar Disc Herniation (CLDH) which includes Combination of Lumbar Traction With Cervical Traction (CLTCT) as one intervention. Despite of that this new method clinically reduces pain and disability more effectively than the conventional types of Traction, CLTCT method was not previously used in CR patients nor with Cervical Disc Herniation (CDH). The clinical effectiveness of this new method with other treatment modalities in patients with CRS was not approved yet. OBJECTIVE: The purpose of the presented work is to identify the effectiveness of rehabilitative program on patients with Cervical Radiculopathy, by (15) sessions for (4) Weeks. The suggested Rehabilitative program consisted of: 1.Supine Soft Full Back, Shoulders and Neck Cupping Massage (CM) for (10) minutes, 2.CLTCT: Combined Lumbar Traction with Cervical Traction as one intervention for (20) minutes, 3.Gradual Therapeutic Exercise Package of Neck Stretching and Strengthening Exercise for approximately (15) minutes. METHODS: In this study, Five outdoor male patients had accepted to participate and were randomly chosen from Al-Karak Governmental Hospital, All subjects applied the proposed rehabilitative program. The results were analyzed using the SPSS system. RESULTS: indicates that there was statistically significant difference between the pre and post measurements in favor of the post measurements in terms of Pain, Disability. CONCLUSIONS: The present study demonstrated that the use of proposed rehabilitative program has a positive effect on patients with Cervical Radiculopathy.

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Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled trial

Cited by 14 publications

References 14 publications

The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study

The Effectiveness of Core Stability Exercise to Improve Functional Ability in A Lumbar Herniated Nucleus Pulposus Patient: A Case Study

Impact Of Combined Lumbar Traction with Cervical Traction in Chronic Lumbar Disc Herniation

Effect Of Cupping Massage and Modified Spinal Decompression Therapy With Exercise Therapy in Neck Radiculopathy Syndrome

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