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Volume 3
Journal of Physiotherapy & Physical Rehabilitation
Physicians 2018
August 15-16, 2018
August 15-16, 2018 Tokyo, Japan
8
th
World Physiotherapists and Physicians Summit
Effect of stability exercise in comparison with routine physiotherapy exercises on the pain, disability
and transverse abdominis muscle thickness during voluntary and functional tasks in patients after
lumbar decompression surgery
Seyedeh Hedieh Hosseini Makrani and Fatemeh Ehsani
Semnan University of Medical Sciences and Health Services, Iran
Introduction & Aim:
There is evidence that changes in the function of deep trunk muscles remain in patients with low back
pain after lumbar decompression surgery. The purpose of this study was to investigate the effectiveness of Stability Exercise (SE)
on the pain, disability and Transverse Abdominal (TrA) muscle thickness during voluntary and functional tasks in patients
with low back pain after lumbar decompression surgery.
Materials&Methods:
This randomized clinical trial studywas conducted on 40 patients who underwent lumbar decompression
surgery over the past two to three months. The intervention group underwent 8 weeks of treatment consisting of SE and the
control group received only General Exercise (GE) in the same period. The TrA muscle thickness was measured using the HS-
2100V ultrasonography apparatus with a 7.5 MHz B-type linear probe. A Roland-Maurice questionnaire was used to assess
the patients’ disability due to Low Back Pain (LBP) and the Visual Analog Scale (VAS) questionnaire was used to measure the
severity of the pain.
Results:
The results showed that the percentage of changes in the TrA muscle thickness during the Abdominal Hollowing
(AH) maneuver and standing, significantly increased in the SE group and also the pain and disability decreased significantly
(P<0.05). In addition, the results demonstrated that pain and disability decreased significantly in the GE group (P<0.05);
however, the percentage changes in the muscle thickness in the AHmaneuvers and standing were not significant (P>0.05). The
independent T-test indicated that changes in the level of the TrA muscle function during standing (muscle functionality status)
as well as the changes in the level of disability were significantly higher in the SE group than the GE group (P<0.05).
Conclusion:
SE is more effective than GE in increasing the performance of deep abdominal muscle during functional tasks and
contributes in reducing the level of disability. Therefore, this intervention can help to improve the functional activity of deep
abdominal muscle, especially in standing tasks in people who have undergone lumbar decompression surgery.
hedie.hoseini68@gmail.comPhysiother Rehabil 2018, Volume 3
DOI: 10.4172/2573-0312-C2-006