| Abstract [eng] |
The Effects of Sensorimotor Training on Pain, Proprioception, Balance and Functional Stability in Chronic Low Back Pain Adolescents. The aim of research work: The aim of this study was to evaluate the effects of sensorimotor training on pain, balance, proprioception ant functional trunk stability. Tasks of work: 1. To assess the measures of proprioception with dynamometre Biodex Pro 4 before and after rehabilitation. 2. To assess the measures of pain, balance, trunk stability and static trunk endurance before and after rehabilitation 3. To assess the disability index before and after rehabilitation 4. To analyze and compare the effectivness of two different physiotherapy programms. Methods: The research was set in Children‘s Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos from November 2016 till April 2017. 34 adolescents with chronic low back pain were involved in this study. They were divided in two groups: experimental, n=18 (standard physiotherapy + sensorimotor exercises) and control group, n=16 (standard physiotherapy). All participating patients will atend 16 procedures of 30 minutes duration rehabilitative treatment. The main outcomes are self-reported pain (Visual Analogue Scale), „Flamingo“ balance test, evaluation of proprioception using Biodex 4 PRO isokinetic dynamometer, Mathiass functional stability test, trunk extensor, flexor and side flexor muscle endurance according to S.McGill methodology and functional status (OswestryDisability Index). Data analysis was performed using „Microsoft Excel 2016“ and IBM SPSS Statistics 23. Results and conclusions. Proprioception of adolescents (30 degree forward and 30 degree backward) was significantly improved after both treatments, sensorimotor training (p=0,000, p=0,001) and standard physiotherapy (p=0,003, p=0,005) After sensorimotor training it was improved by 1,68 and 0,32 degree more, but it wasn‘t statistically significant (p=0,608, p=0,742). The measurements of balance, functional trunk stability, static trunk endurance also were improved after both programs statistically significant (p<0,05), except for functional trunk stability after standard physiotherapy program (p>0,05). Sensorimotor training was more effective to reduce pain (p=0,046) and to improve balance measurements (p=0,010) than standard physiotherapy. Also both programs were effective to improve functional status (p<0,05) but after sensorimotor training it was improved significantly more (p=0,000). Sensorimotor training seems to have more effects on pain, balance and functional status than standard physiotherapy.  . |
