Effects of a stabilization exercise program in functionality and pain in patients with degenerative spondylolisthesis

Nava‐Bringas, Tania Inés; Hernández-López, Mario; Ramírez-Mora, Isabel; Coronado‐Zarco, Roberto; Macías‐Hernández, Salvador Israel; Cruz‐Medina, Eva; Arellano-Hernández, Aurelia; León-Hernández, Saúl Renán

doi:10.3233/bmr-130417

Cited by 14 publications

(10 citation statements)

References 39 publications

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“…Home-based exercise programs are a practical, economic, and long-term effective treatment method for chronic back pain, and are as effective as standard physical treatment methods, indeed even more effective in the long term12, 15,16,17,18 ) . The effects of exercise are a decrease in kinesiophobia, the prevention of recurrence, and a decrease in disability.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of home-based exercise programs for low back pain patients

Anar

2016

J Phys Ther Sci

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[Purpose] The purpose of this study was to investigate the effectiveness of home-based exercise programs for low back pain (LBP) patients. [Subjects and Methods] The study subjects were 49 volunteer chronic LBP patients. Home-based exercises that had been specifically modified for the individual patients were prescribed for a period of four weeks, and the volunteers were asked to return for a control evaluation at the end of this period. Exercise adherence and correct performance, pain intensity, disability, endurance, and flexibility were compared between pre- and post intervention, and correlations between exercise adherence and correct performance with, pain intensity score, endurance, disability, and flexibility were investigated. [Results] Twenty-eight patients (57.14%) did not return for the control evaluation. The mean age of the patients who participated in this control test was 43.24 ± 10.89 years. The adherence rate of the home exercise program was 54.10 ± 26.01%, and the correctly performed execises score was 2.7 ± 1.9. All of the parameters had improved at the final evaluation; however, there was no correlation among the parameters. [Conclusion] Clinicians should be aware of the patient’s adherence level when recommending home-based exercises, and should also realize that exercises might be performed inaccurately in an unsupervised environment.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of home-based exercise programs for low back pain patients

Anar

2016

J Phys Ther Sci

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“…To the best of our knowledge, there is only one other study on the responsiveness of the ODI in a conservative setting for SPL—a non-randomized trial of 20 patients in which the main ODI score in SPL was 30.35 and the mean difference was 10.20 [12]. …”

Section: Introductionmentioning

confidence: 99%

Responsiveness and minimum important change of the Oswestry Disability Index in Italian subjects with symptomatic lumbar spondylolisthesis

et al. 2017

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BackgroundThis study aims to investigate the responsiveness and the minimum important change of the Italian version of the Oswestry Disability Index (ODI-I) in subjects with symptomatic specific low back pain associated with lumbar spondylolisthesis (SPL).Materials and methodsOne hundred and fifty-one patients with symptomatic SPL completed the ODI-I, a 0–100 numerical rating scale (NRS), and performed the prone and supine bridge tests. The global perception of effectiveness was measured with a 7-point Likert scale. Responsiveness was assessed by distribution methods (minimum detectable change [MDC], effect size [ES], standardized response mean [SRM]) and anchor-based methods (ROC curves).ResultsThe MDC was 4.23, the ES was 0.95 and the SRM was 1.25. ROC analysis revealed an area under the curve of 0.76 indicating moderate discriminating capacity. The best cut-off point for the dichotomous outcome was 7.5 (sensitivity 90.3%, specificity 56.7%). .ConclusionsThe ODI-I proved to be responsive in detecting changes after conservative treatment in subjects with lumbar SPL.Level of evidenceII.

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“…Fleksiyon kökenli egzersizler lomber omurganın fleksiyonu ve posterior pelvik tilti destekleyen egzersizlerdir. Fleksiyon egzersizleri, artmış lordozu azaltmakta böylece ağırlık merkezi öne kayarak posterior yüklenmenin de azalmasını sağlamaktadır (29).…”

Section: Konservatif Tedaviunclassified

“…Lomber stabilizasyon egzersizleri, omurga spinal stabilizatör kasların sensörimotor yeniden programlanmasını hedeflemektedir ve bu kasların motor kontrol yeteneklerini artırıp geciken yanıtlarını düzeltmeye ve böylece pasif stabilizatör sistemin kompansasyonuna odaklanmaktadır. Bu egzersizler "anterior köprü (anterior bridge)", "side plank", "plank", "kedi-deve (cat-camel)", "kuş-köpek (bird-dog)" egzersizlerini içermektedir (29,30).…”

Section: Lomber Stabilizasyon Egzersizleriunclassified

Spondylolisthesis: Etiology, Diagnosis, Clinical Features and Treatment

Moustafa¹,

Tur²

2018

atfm

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Spondilolistezis, 18. yüzyıldan bu yana bilinen bir patolojidir. Basit mekanik bel ağrısından, ilerleyici nörolojik defisit ve radyolojik bulgulara kadar değişen geniş bir klinik spektrum olarak karşımıza çıkar (1). Kayma olmaksızın nöral arkın pars interartikularisinin veya isthmusun tek veya çift taraflı defektine spondilolizis denir (2). Defekt bilateral olduğunda; nöral arkın anterior ve posterior elemanları ayrılır. Bu durum spinal kolonda instabiliteye yol açar ve üstteki vertebral segmentin bir sonraki kaudal segmente göre anatomik konumunun bozularak öne, arkaya ve yanlara doğru kaymasına spondilolistezis denir (2,3). Fakat bu terimle daha çok öne doğru kayma olan anterolistezis kastedilir. Vertebranın anatomik konumunun bozularak arkaya doğru kaymasına ise retrolistezis denir (2). Spondylolisthesis is anterior or posterior shift according to the vertebrae to which a vertebrate is associated. It is confronted as a broad clinical spectrum ranging from simple mechanical back pain to progressive neurological deficits and radiological findings. Prevalence is 3-6% and male/ female ratio is 2. The diagnosis of spondylolisthesis is almost always made with direct radiographs. Computed tomography (CT), magnetic resonance imaging (MRI), other radiological diagnostic methods such as bone scintigraphy are also used in diagnosis or follow-up. Conservative treatment includes activity restriction, rehabilitation of abdominal and paraspinal muscles and hyperlordotic rigid bracing. The main goal is to reduce pain, strengthen the core of the muscles and to provide complete lumber motion. Surgical treatment is usually performed in patients who do not respond to conservative treatment. We aimed to review current literature regarding the etiology, diagnosis, clinical features and treatment of spondylolisthesis.

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Effects of a stabilization exercise program in functionality and pain in patients with degenerative spondylolisthesis

Abstract: Lumbar stabilization exercises could be an effective treatment option in controlling pain and improving function in patients with degenerative spondylolisthesis. Further investigation with randomized controlled trials is necessary to obtain confirmation of these results.

Cited by 14 publications

References 39 publications

The effectiveness of home-based exercise programs for low back pain patients

The effectiveness of home-based exercise programs for low back pain patients

Responsiveness and minimum important change of the Oswestry Disability Index in Italian subjects with symptomatic lumbar spondylolisthesis

Spondylolisthesis: Etiology, Diagnosis, Clinical Features and Treatment

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