Volume 17, No. 2
Effects of trunk functional stability training in subjects suffering from chronic low back pain: a pilot study
Učinkovitost senzorično-motorične stabilizacijske vadbe trupa pri pacientih s kronično bolečino v ledvenem delu hrbtenice: pilotska študija
Abstract (English)
The aim of our study was to examine the effectiveness of sensory-motor trunk stability training for patients with chronic low back pain. Ten volunteers (three male, seven female; 47.7 ± 8.1 years), suffering from chronic low back pain, undertook eight weeks of guided trunk stability training. Flexibility, strength and subjective self-evaluation measures were measured before and after the training. The subjects were generally very satisfied with the exercise programme (8 out of 10). After the training, the Oswestry Questionnaire totals as well as pain levels decreased (p < 0.01). The strength tests showed a significant improvement in the trunk flexors and lateral trunk flexors (p < 0.001 and p < 0.05, respectively). The flexibility tests indicated an improved maximal range of motion for hip flexion and extension (p < 0.05 and p < 0.01, respectively). Our data suggest that the neuro-muscular control of patients with chronic low back pain can be changed by undertaking systematic trunk stability training.
Keywords (English)
Key words: low back pain, chronic, kinesiotherapy, training effects
Abstract (Slovenian)
Namen študije je bil preveriti učinkovitost senzorično-motorične stabilizacijske vadbe za trup pri pacientih s kronično bolečino v ledvenem delu hrbtenice. Deset prostovoljcev (3 moški, 7 žensk, 47,7±8,1 let), s kronično bolečino v ledvenem delu hrbtenice, je izvajalo osem-tedenski program vadbe za funkcionalno stabilnost trupa. Vadba je potekala pod strokovnim nadzorom. Pred in po vadbi so bili izmerjeni testi moči, gibljivosti in subjektivne mere samovrednotenja. Splošno zadovoljstvo pacientov z vadbenim programom je bilo zelo visoko (8 od 10). Po vadbi sta se statistično značilno izboljšali oceni bolečine ter rezultat Oswestry vprašalnika (p<0,01). Testi moči so pokazali značilen napredek v moči upogibalk in bočnih upogibalk trupa (p<0,001 in p<0,05). Značilno se je povečala gibljivost upogibanja in iztegovanja kolčnega sklepa (p<0,05 in p<0,01). Rezultati raziskave dokazujejo, da s sistematično vadbo funkcionalne stabilizacije trupa lahko vplivamo na mehanizme živčno-mišičnega nadzora pri pacientih s kronično bolečino v križu.
Keywords (Slovenian)
Ključne besede: bolečina v križu, kronična, kinezioterapija, učinki vadbe
