Statistical Evaluation of Treatment Efficiency in Pain Conditions of Lumbosacral Region
Authors:
J. Vacek 1; M. Pohanka 2; J. Siegelová 2
Authors‘ workplace:
Klinika rehabilitačního lékařství FNKV, IPVZ, Praha
1; Klinika funkční diagnostiky a rehabilitace LF MU, Brno
2
Published in:
Rehabil. fyz. Lék., 18, 2011, No. 3, pp. 111-119.
Category:
Original Papers
Overview
The authors present an attempt to verify the efficiency of the Professor Janda’s concept in the therapy of patients with chronic back pains within the framework of a three-week intensive rehabilitation program oriented to improved stability of the spine. The subjective perception of the pain was evaluated as well as its impact on various aspects of life by means of the “pain questionnaire”.
Methods:
the group consisted of 210 patients, 91 men and 159 women at the age of 19 to 89 years and the mean age of 59.34 years (S.D. 15.12). Physiotherapy concentration on the adjustment of peripheral changes in locomotor apparatus and subsequently the activation of stabilization muscles of the trunk. The evaluation of pain by means of the Brief Pain Inventory was made at the beginning and at the end of the therapy. The statistical evaluation was made by linear regression with determination of statistical significance of correlation coefficient.
Results:
The improvement was reached in all parameters evaluated, and the efficiency of therapy was not influenced by age, original degree of affection or sex.
Conclusion:
The concept of Professor Janda proved to be effective in the treatment of chronic back pains.
Key words:
pain in the area of lumbar spine, physiotherapy, treatment efficiency
Sources
1. Anderson, G. B.: Epidemiological features of chronic low-back pain. Lancet, 354, 1999, č. 14, s. 581-585.
2. Arokoski, J. P., Valta, T., Airaksinen, O., Kankaanpää, M.: Back and abdominal Muscle function during stabilization exercises. Arch. Phys. Med. Rehabil., 82, 2001, 2, s.1089-1098.
3. Atkinson, T. M, Mendoza, T. R., Sit, L. a kol.: The brief pain inventory and its “Pain At Its Worst in the Last 24 Hours” item: Clinical Trial Endpoint Considerations. Pain Med., roč. 16, 2009.
4. Battie. M. C.: Industrial back pain complaints: A broader perspective. Orthop. Clin. North Am., 22, 1991, s. 273-282.
5. Brumagne, S., Cordo, P., Lysens, R.: The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine, 25, 2000, s. 989-994.
6. Burdof, A., Sorock, G.: Positive and negative evidence of risk factors for back disorders. Scand. J. Work Environ Health, 1997, č. 23, s. 243-256.
7. Capodaglio, P., Nilson, J., Jurisic, D. H.: Changes in paravertebral EMG spektrum parallel to strength increases after rehabilitation in chronic low back pain pattern. Clin. Rehabil., 1995, 9, s. 354-362.
8. Cleland, J., Schulte, C., Dural, C.: The role of therapeutic exercise in treating instability-related lumbar spine: A systematic review. J. Back Musculo Rehab., 2002, č. 16, s. 105-115.
9. Cooper, R. G., Stokes, M. J.: Increased central drive during fatiguing contractions of the paraspinal muscles in patients with CLBP. Spine, 18, 1993, č. 5, s. 610-616.
10. Erkintalo, M., Salminen, J., Alanen, A. M. a kol.: Development of degenerative ganges in the lumbar intervertebral disc: Result of a prospective MR imaging study in adolescents with and without low-back pain. Radiology, 1995, č. 196, s. 529-33.
11. Faas, A.: Exercises: which ones are worth trying for which patiens, and hen? Spine, 21, 1996, s. 2874-2879.
12. Ferreira, P. H., Ferreira, M. L., MaheR, C. G. a kol.: Specific stabilisation exercise for spinal and pelvic pain: A systematic review. Aust. J. Physio, 2006, č. 52, s. 79-88.
13. Floyd, W. F., Silver, P. H. S.: Function of the erector spinae muscles in certain movements and postures in man. J. Physiol., 1955, č. 129, s. 184-203.
14. Fransen, M., Woodward, M., Norton, N., Coggan, C.: Risk factors associated with the transition from acute to chronic occupational back pain. Spine, 27, 2002, č. 1, s. 92-98.
15. Gill, K. P., Callaghan, M. J.: The measurement of lumbar proprioception in individuals with and without low back pain. Spine, 23, 1998, s. 371-377.
16. Hagen, K. B., Hilde, G., Jamtvedt, M. P. H., Winnem, M. F.: The cochrane review of bed rest for acute low back pain and sciatica. Spine, 25, 2000, č. 22, s. 2932-2939.
17. Härpakää, K., Järvikoski, A., Estlander, A. M.: Health optimism and kontrol beliefs as predictors for treatment outcome of a multimodal back treatment program. Psychol. Health, 1996, č. 12, s. 123-134.
18. Hayden, J. A., van Tulder, M. W., Malmivaara, A. V., Koes, B. W.: Meta-analysis:exercise therapy for non specific low back pain. Ann. Intern. Med., 2005, č. 142, s. 765-775.
19. Hides, J. A., Jull, G. A., Richardson, C. A.: Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine, 26, 2001, s. E243-248.
20. Hilde, G., Bo, K.: Effect of exercise in the treatment of chronic low back pain: A systematic review, emphasising type and dose of exercise. Phys. Ther. Rev., 1998, č. 3, s. 107-117.
21. Hubley-Kozey, C. L., McCulloch, T. A., Mc Farland, D. H.: Chronic low back pain a critical review of specific therapeutic exercise protocols on musculoskeltal and neuromuscular parameters. J. Man Manip Ther., 2003, č. 11, s. 78-87.
22. Janda, V., Véle, F.: A polyelectromyographic study of muscle testing with special reference to fatigue. Disability, Prevention, Rehabilitation. Sborník abstraktů IX. World Congress ISRD, Copenhagen,1963, s. 21-25.
23. Janda, V.: Hybné stereotypy v oblasti pánve a kyčelního kloubu se zvláštním zřetelem k patogenesi vertebrogenních poruch. Habilitační práce. Praha, LFHKU, 1964.
24. Janda, V.: Dynamické hybné stereotypy a jejich význam v reedukaci hybných poruch. Pokroky v rehabilitaci. Praha, Státní zdravotnické nakladatelství, 1968.
25. Janda, V.: Co je typický stoj člověka? Čas. Lék. Čes., 1972, č. 111, s. 748-750.
26. Janda, V., Vávrová, M.: Senzomotorická stimulace. Rehabilitácia, 25, 1992, č. 3, s. 14-34.
27. Kankaanpää, M., tabela, S., Airaksinen, O., Hänninen, O.: The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability. Spine, 24, 1999, s. 1034-1042.
28. Luoma, K., Riihimaki, H., Luukkonen, R. a kol.: Low back pain in relation to lumbar disc degeneration. Spine, 25, 2000, s. 487-492.
29. Manchikanti, L., Singh, V., Datta, S. a kol.: American society of interventional pain physicians. Comprehensive review of epidemiology scope and impal of spinal pain. Pain Physician, 12, 2009, č. 4, s. E35-70.
30. Manniche, C., HesselsŅe, G., Bentzen, L. a kol.: Clinical trial of intensive muscle training for chronic low back pain. Lancet, 343, 1988, č. 2, s. 1473-1476.
31. Manniche, C., Lundberg, E., Christensen, I. a kol.: Intensive dynamic back exercises for chronic low back:A clinical trial. Pain, 1991, č. 47, s. 53-64.
32. Mannion, A. F., Helbling, D., Pulkovski, N., Sprott, H.: Spinal segmental stabilisation exercises for chronic low back pain: Programme adherence and its influence on clinical outcome. Eur. Spine J., 18, 2009, č. 12, s. 1881-1891.
33. May, S., Johnson, R.: Stabilisation exercises for low back pain: A systematic review. Physiotherapy, 2008, č. 94, s. 179-189.
34. Mientjes, M. I., Frank, J. S.: Balance in chronic back patients compared to healthy people under various conditions in upright standing. Clin. Biomech., 1999, č. 14, s. 710-716.
35. Miranda, H., Kaila-Kangas, L., Heliovaara, M.: Musculoskeletal pain at multiple sites and its effects on work ability in general working population. Occup. Environ Med., 2009, č. 3.
36. Nachemson, A.: Towards a better understanding of back pain; a review of the mechanics of the lumbar disc. Rheumatol. Rehabil., 1975, č. 14, s. 129-143.
37. OęSullivan, P. B., Phyty, G. D., Twomey, L. T. a kol.: Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine, 22, 1997, s. 2959-2967.
38. Oegeme, J. r T. R, Johnson, S. L, Aguiar, D. J. a kol.: Fibronectin and its fragments increase with degeneration in the human intervertebral disc. Spine, 25, 2000, s. 2742-2747.
39. Olmaker, K., Nordborg, C., Larsson, K. a kol.: Ultrastructural changes in spinal nerve roots induced by autologous nucleus pulposus. Spine, 1996, č. 21, s. 411-414.
40. Panjabi, M. M.: The stabilizing system of the spine. Part I. Function, dysfunction, adaptaton and enhancement. J. Spinal Disord., 1992, č. 5, s. 383-390.
41. Panjabi, M. M.: The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J. Spinal Disord., 1992, č. 5, s. 390-397.
42. Paquet, N., Malouin, F., Richards, C. L.: Hip-spine movement interaction and muscle activation patterns during santal trunk movements in low back pain patiens. Spine, 19, 1994, s. 596-603.
43. Radebold, A.,Cholewicki, J., Polzhofer, G. K., Greene, H. S.: Impaired postural control of the lumbar spine is associated with delayed muscle response times in patients with chronic idiopathic low back pain. Spine, 26, 2001, s. 724-730.
44. Richardson, C., Jull, G.: Therapeutic exercise for spinal segmental stabilization in low back pain. Scientific basis and clinical approach. Edinburg, London, Churchill Livingston, 1999, 52.
45. Richardson, C., Hodges, P., Hides, J.: Therapeutic exercise for lumbopelvic stabilization. Churchill, Livingston, 2004, ISBN 0443 07293.
46. Rossignol, M., Rozenberg, S., Leclerc, A.: Epidemiology of low back pain: whatęs new? Joint Bone Spine, 76, 2009, č. 6, s. 608-613.
47. Roffey, D. M., Wai, E. K., Bishop, P. a kol.: Casual assessment of occupational sitting and low back pain: Reset of systematic review. Spine, 35, 2010.
48. Sakai, T., Sairo, K., Takao, S.: Incidence of lumbar spondylolis in the general population in Japan based on multidetector computed tomography svane. Spine, 34, 2009, č. 21, s. 2346-2350.
49. Shirado, O., Iro, T., Kaneda, K.: Flexion-relaation phenomenon in the back muscles. A komparative study between healthy subjects and patiens with chronic low back pin. Am. J. Phys. Med. Rehabil., 74, 1995, s. 139-144.
50. Shiri, R., Karpinen, J., Leino-Arjas, P. a kol.: The association between smoking and low back pain:a meta-analysis. Am. J. Med., 123, 2010, č. 1, s. 17-37.
51. Taimela, S., Dietrich, C., Hubsch, M.: The role of physical exercise and inactivity in pain recurrence and absenteeism from work after outpatient rehabilitation for recurrent or chronic low back pain. Spine, 25, 2000, č. 14, s. 1809-1816.
52. Taimela, S., Härkäpää, K., Strengt, h.: Mobility, thein ganges, and pain reduction in active functional restoration for chronic low back disorders. J. Spinal Disord., 9, 1996, s. 306-312.
53. Taylor, T. K. F., Melrose, J., Burkhardt, D. a kol.: Spinal biomechanics and aging are major determinants of the proteoglycan metabolism of intervertebral disc cells. Spine, 25, 2000, s. 3014-3020.
54. Tissot, F., Messing, K., Stock, S.: Studying the relationship between low back pain and working postures among those who stand and those who sit most of the working day. Ergonomice, 52, 2009, č. 11, s. 1402-1418.
55. Triano, J. J., Schultz, A. B.: Correlation of objektive measure of trunk motion and muscle fiction with low-back disability ratings. Spine, 12, 1987, s. 561-565.
56. Van Tulder, M., Koes, B., Bouter, L.: A cost- of- illnesss study of back pain in the Netherlands. Pain, 62, 1995, s. 233-240.
57. Wittink, H., Michel, T. H., Kulich, R. a kol.: Aerobic fitness testing in patiens with chronic low back pain. Spine, 21, 2000, s. 1704-1710.
58. Yoshida, H., Shinomiya, K., Nakai, O. a kol.: Lumbar nerve root compression caused by lumbar intraspinal gas. Spine, 22, 1997, č. 3, s. 348-351.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2011 Issue 3
Most read in this issue
- Chest Expansion, Ventilatory Parameters and Selected Kinesiologic Indices in Patients with Bronchial Asthma and Chronic Obstructive Disease
- Therapy and Training with Vibrations: Acctual Trend or Effectives Procedures?
- Results of the Investigation Among Participants of the Course in „Diagnostics and Pain Management in Rehabilitation”
- Statistical Evaluation of Treatment Efficiency in Pain Conditions of Lumbosacral Region