Assessment of the strength and endurance of the trunk muscle in patients with low back pain

Journal Title: Rehabilitacja Medyczna - Year 2008, Vol 12, Issue 3

Abstract

Introduction: In this study, strength and endurance of the trunk muscles were assessed in patients with spondyloarthrosis of the lower spine. Material and methods: 52 women and 49 men with low back pain syndrome (LBPS) were enrolled into the study. The muscle strength of the flexors and extensors of the trunk was determined by calculation of the maximum (MT) and relative torque (RT) during an isometric contraction. Evaluation of endurance of the extensors used calculation of the regression coefficient of the strength reduction during the testing of maximum strength capability. The obtained results were compard to results obtained in healthy persons. Moreover, the relation of those parameters to age, body-mass index – BMI (describing somatic habitus) and the Oswestry Disability Index – ODI (describing pain intensity during activities of daily living) was assessed. Separate analyses were conducted for the groups of males and females.Results: Based on the conducted study and the performed analyses, it can be stated that in patients with chronic low back pain syndrome there is a marked reduction in trunk muscle strength as compared to healthy persons. For females, the reduction ranged from 45% (flexors) to 48% (extensors) for absolute maximum torque values, while for relative values (RT) – from 51% (flexors) to 56% (extensors). In men, the strength reduction of abdominal and back muscles was smaller and was approximately 40% (for MT and RT). Becasue of such differences in the strength of the back muscles and methodological reasons, endurance variables were not compared. Reduction in trunk muscle strength is primarily due to the pain syndrome and does not depend on patients’ age or habitus. Lower muscle strength can affect the intensity of spinal pain during every-day activities.Conclusions: Precise determination of strength and endurance of the trunk muscles and the appropriate selection of methods of their reinforcement should constitute one of the principal aims of rehabilitation treatment in patients with low back pain.

Authors and Affiliations

Jacek Głodzik, Wiesław Chwała, Anna Marchewka, Tadeusz Ruchlewicz, Antoni Skura

Keywords

Related Articles

Zaburzenia psychiczne po urazach czaszkowo-mózgowych – wybrane problemy rehabilitacji i orzecznictwa

Urazy czaszkowo-mózgowe są skomplikowanym i wielowymiarowym zagadnieniem obejmującym ostrą i przewlekłą terapię oraz różnorodne aspekty rehabilitacyjne. Prowadzenie pacjenta po urazie czaszkowo-mózgowym wymaga współdział...

Parametry stymulacji drganiami w łagodzeniu dolegliwości bólowych różnego pochodzenia i lokalizacji

Wykorzystanie stymulacji drganiami w łagodzeniu dolegliwości bólowych różnego pochodzenia i lokalizacji jest zagadnieniem pojawiającym się coraz częściej we współczesnej rehabilitacji.<br/><br/>Celem pracy było dokonanie...

Assessment of shoulder mobility in women over 60 years of age after one-sided mastectomy

The overall risk of contracting various diseases, including breast cancer, increases with age. An on-going process of population ageing challenges modern physiotherapy with the need to have functional capacity in older p...

Radial shockwave and ultrasound in the treatment of lateral epicondylitis – a preliminary report

Introduction: Lateral epicondylitis can be resistant to treatment that usually involves the use of conservative therapies, including physical modalities such as radial shockwave and ultrasound. Studies show that both mod...

Ukształtowanie stóp kobiet po 60 roku życia

Założenia: U osób w podeszłym wieku przyspieszeniu zmian inwolucyjnych w obrębie stóp sprzyja niedostateczna ilość ruchu wynikająca z braku zainteresowania aktywnością ruchową, częstych dolegliwości bólowych, spadku kond...

Download PDF file
  • EP ID EP82062
  • DOI -
  • Views 88
  • Downloads 0

How To Cite

Jacek Głodzik, Wiesław Chwała, Anna Marchewka, Tadeusz Ruchlewicz, Antoni Skura (2008). Assessment of the strength and endurance of the trunk muscle in patients with low back pain. Rehabilitacja Medyczna, 12(3), 15-23. https://europub.co.uk./articles/-A-82062