Skirtingų stuburo stabilizavimo pratimų poveikis skausmui, funkcijai ir gyvenimo kokybei, asmenims, jaučiantiems lėtinį, ne specifinį apatinės nugaros dalies skausmą

Vaičiukynaitė, Akvilė

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Skirtingų stuburo stabilizavimo pratimų poveikis skausmui, funkcijai ir gyvenimo kokybei, asmenims, jaučiantiems lėtinį, ne specifinį apatinės nugaros dalies skausmą

Vaičiukynaitė, Akvilė

URI: http://dspace.kaunokolegija.lt//handle/123456789/1560

Data: 2019-06-07

Santrauka:

Darbo aktualumas: apatinės nugaros dalies skausmas yra pagrindinė ilgalaikės negalios priežastis visame pasaulyje. Tai sudaro apie 58-84%, iš jų 11% vyrų ir 16% moterų patiria lėtinį nugaros skausmą. Daugiau nei 30% žmonių vis dar patiria kliniškai reikšmingus simptomus praėjus metams nuo skausmo atsiradimo pradžios.(Ian A. Bernstein ir kt., 2017) Darbo tikslas: nustatyti skirtingų stuburo stabilizavimo pratimų poveikį skausmui, funkcijai ir gyvenimo kokybei, asmenims, jaučiantiems lėtinį, ne specifinį, apatinės nugaros dalies skausmą. Tyrimo metodai: tyrimas buvo vykdomas Kauno Simono Daukanto progimnazijos mokykloje nuo 2019 m. sausio mėn. iki 2019 m. kovo mėn. Pratimų poveikis funkcinei būklei ir gyvenimo kokybei vertinti buvo taikytas modifikuotas Oswestry negalios ir SF-36 klausimynai, nugaros tiesiamųjų raumenų ištvermei vertinti taikytas Sorenseno testas, skausmo intensyvumas vertintas pagal skaičių analogijos skausmo skalę, apatinės nugaros dalies stuburo paslankumas vertintas Šobero testu. Išvados: stabilizavimo pratimai su pilates volu ir ,,stabilizer” prietaisu mažina apatinės nugaros dalies skausmo intensyvumą, gerina juosmeninės stuburo dalies funkciją ir gyvenimo kokybę asmenims, jaučiantiems lėtinį, ne specifinį, apatinės nugaros dalies skausmą.

Description:

Work relevance: low back pain is the leading cause of long term disability worldwi-de.1 The lifetime incidence of low back pain is 58-84%,2 and 11% of men and 16% of women have chronic low back pain. More than 30% of people still have clinically significant symptoms after a year after onset of sciatica. The aim of research work: to determine the effect of different spinal stabilization exercises for pain, function and quality of life, on persons with chronic, non-specific, lower back pain. Tasks of work: 1. To assess the intensity of lower back pain, lumbar spine function and quality of life , on persons with chronic, non-specific, lower back pain before and after physiotherapy using stabili-zation exercises with pilates roller. 2. To assess the intensity of lower back pain, lumbar spine function and quality of life , on persons with chronic, non-specific, lower back pain before and after physiotherapy using stabili-zation exercises with stabilizer pressure biofeedback. 3. To compare the effect of different stabilization exercises for pain, lumbar spine function, and quality on persons with chronic, non-specific, lower back pain. Materials and methods: the subjects were selected according to the criteria and evaluated before and after the Physiotherapy program, which lasted 4 weeks. Physiotherapy treatments were individual and took place twice a week, after 60 minutes. In total there were 8 classes for each group. Stabilization exercises with stabilizer pressure biofeedback were applied to one group, stabilization exercises with a pilates roller for another group. Results: analyzing the results, it was found that the pain in the pilates group de-creased from 3.4 ± 1.3 points to 1.3 ± 1.1 points and in the stabilizer pressure biofeedback group from 2.9 ± 1.3 points to 1.4 points. ± 1.2 points and this is a statistically significant (p <0.05) im-provement. The results of the AND mobility test in the pilates roller group improved from 20.1 ± 0.3 cm. up to 21.5 ± 0.8 cm and the stabilizer pressure biofeedback from 20.2 ± 0.6 cm. up to 20.6 ± 0.4 and a significant change between the groups. The results of the AND endurance test in the roller group improved from 115.6 ± 72.1 seconds to 148.9 ± 63.9 seconds, and the stabili-zer pressure biofeedback from 110.9 ± 66.9 seconds. to 145.9 ± 59.7 sec. and these results are statistically significant (p <0.05). Also, comparing the results before and after the physiotherapy program in the groups, statistically significant (p <0.05) improvement of participants' functional status and quality of life was determined. Conclusions: 1. Stabilization exercises with pilates roller reduce the intensity of lower back pain, improve lumbar spine function and quality of life on persons with chronic, non-specific, lower back pain. 2. Stabilization exercises with stabilizer pressure biofeedback reduce the intensity of lower back pain, improve lumbar spine function and quality of life on persons with chronic, non-specific, lower back pain. 3. Comparing the effect of different stabilization exercises on pain, partial function of lumbar spine and quality of life on persons with chronic, non-specific, lower back pain, exercises with pilates rolls are statistically more significant than exercises with stabilizer pressure bio-feedback.

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