| Abstract [eng] |
The Effect of Core Stability Exercises on Functional Status and Quality of Life in Patients with Low Back Pain Work relevance: there are insufficient research studies, analysing the advantage of physiotherapy using Dr. Wolff trainers against the core stability exercises, applied in the cases of lower back pain. Therefore, it results in the issue to reveal, if exercises with Dr. Wolff trainers are more effective means than the core stability exercises. The aim of research work - to compare the effects of two different core stability exercises programs on the functional status and quality of life of working-age persons in the cases of lower back pain. Tasks of work: 1. To assess and compare the changes in functional status for patients suffering from lower back pain during the research. 2. To identify and compare the changes in the quality of life for patients suffering from lower back pain during the research. Materials and methods. The research was conducted at Physical and Sports Medicine Centre, Outpatient Rehabilitation Unit, Vilnius University Hospital Santariskes Clinics, between November, 2016 and April, 2017. The scope of the research was 53 patients suffering from lower back pain. The average age of research subjects was 34 ± 9.6 years. The research included 19 male and 34 female patients. The subjects were randomized into the following two groups: a test group (n=25) and a control group (n=28). The isometric trunk muscle strength of the subjects has been measured using a diagnostic equipment Back-Check created by Dr. Wolff, trunk mobility – using an inclinometer and Schober’s test, pain – using a Numeric Pain Rating Scale (NPRS). The functional status has been assessed using Oswestry and Roland – Morris questionnaires, and the quality of life – using the EQ – 5D and TAMPA questionnaires. Data analysis has been conducted using SPSS 23.0 for Windows and Microsoft Excel 2016 software. Results. A statistically significant increase (p<0.05) in all parameters analysed in the groups was determined. The assessment of the research results between the groups showed a statistically significant higher increase in trunk mobility by leaning forwards and returning to a straight position in the test group, which was applied physiotherapy using Dr. Wolff trainers (p=0.03 and p=0.019, respectively). Moreover, Schober’s test results showed a statistically significant higher increase in the test group in comparison with the check group (p=0.049). The analysis of kinetophobia dynamics between the groups showed a statistically significant decrease in the fear of movement in the test group (p=0.04). Conclusions: 1. Core stability exercises with Dr. Wolff trainers is more suitable for exercising trunk mobility by leaning forwards and returning to a straight position rather than the traditional core stability exercises (p<0.05). The lumbar stabilisation exercises and exercises with Dr. Wolff trainers have equal effect and increase human functional status (p>0.05). 2. Core stability exercises with Dr. Wolff trainers showed statistically significant results in reducing the fear of movement better than the traditional core stability exercises (p<0.05). |
