| Abstract [eng] |
Open and Closed Kinematic Chain Exercises Stabilizing Effect of Adolescent with Low Back Pain The Author: Monika Lizdenė, second year Vilnius University Faculty of Medicine Master‘s degree of rehabilitation program student Academic advisor: Asoc. Prof., Phd., Juozas Raistenskis, Vilnius University, Faculty of Medicine, Rehabilitation Physical and Sports Medicine Department. Keywords: low back pain, effectiveness of physiotherapy, stabilization exercise, adolescents. The aim - to evaluate open and closed kinetic chain exercises for back pain effects teen Task of work: 1. To assess the closed and open kinematic chain exercises on the subjects of the low back pain intensity and functional status. 2. To compare open and closed kinematic chain exercises on the results of the lap - pelvic stability and motion control. 3. To assess the closed and open kinematic chain exercises effects in the hip flexion and tiesimųjų muscle flexibility. 4. To compare open and closed kinematic chain exercises effects in the static balance and the lap strength. The hypothesis. It is believed that the closed kinematic chain exercises will produce more than the open kinematic chain exercises on adolescents experiencing back pain. Materials and methods : The study was conducted in 2016. December - 2017. March. Children's Hospital, Vilnius University Hospital branch of Physical Medicine and Rehabilitation section. The study included 34 (n = 34), low back pain are under 12-17 years of age. Research by the applicable program to stabilize the spinal column has been divided into two groups: The study group, where performed spinal stabilization exercise program and the second group where by spinal stabilization exercises program. The study was conducted in patients after 16 procedures, 16 massage treatments, physiotherapy 16 treatments. The test procedure consists of the rehabilitation program. Evaluation collected: pain scale - Pain intensity Modified Oswestry index questionnaire - functional condition Modified McGill Test - back muscle endurance Flamingo Test - static equilibrium Modified Schober tests - lower back flexibility Modified Thomas Test - hip flexors, hip builders, functional evaluation of the torso, waist - pelvic motion control testing. Data analysis: was performed using IBM SPSS 21 and Microsoft Office 2008 packages. The research results and conclusions. The closed and open kinematic chain exercises to reduce the impact of pain. This change is statistically significant (p <0.05) after rehabilitation study group decreased more pain than the control group, but no statistically significant change was found between the groups (p> 0.05). After rehabilitation the overall assessment of the functional state of all issues between the treatment and control groups was not a statistically significant improvement (p> 0.05) .Uždaros and open kinematic chain exercises to increase the effect of lumbar - pelvic stability (p <0.05). Comparing the results between the groups was not statistically significant (p> 0.05). Compared to control movement results between groups revealed that a statistically significant change (p <0.05) is the test, for a "waiter bending, standing on one leg, the lower leg construction sitting, bending the shank lying, position fours ".Turime greater efficiency in closed kinematic chain program. It was found that there are statistically significant in all movements and results in both groups. However, no significant result compared between the groups (p> 0.05) .After the rehabilitation of both leg muscle condition has improved and the differences between the leg muscles become less pronounced. In comparison between the groups left side endurance mean differences was a statistically significant change (p <0.05). Closed kinematic chain exercises are effective side torso muscles. Comparing the results of static equilibrium between the groups was not a statistically significant increase (p> 0.05). |
