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Articles de revues sur le sujet "Backache, Exercise therapy - Rwanda"
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Fang, Jianqi, Liying Zhang, Fangzhen Wu, Jiajia Ye, Shuhe Cai et Xiaowen Lian. « The Safety of Baduanjin Exercise : A Systematic Review ». Evidence-Based Complementary and Alternative Medicine 2021 (21 janvier 2021) : 1–11. http://dx.doi.org/10.1155/2021/8867098.
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Objectives. Baduanjin exercise is a form of Qigong exercise therapy that has become increasingly popular worldwide. The aims of the current systematic review were to summarize reported adverse events potentially associated with Baduanjin exercise based on currently available literature and to evaluate the quality of the methods used to monitor adverse events in the trials assessed. Methods. The English databases PubMed, Cochrane library, and EMbase were searched from inception to October 2020 using the keywords “Baduanjin” or “eight session brocade.” Only studies that included Baduanjin exercise therapy were included. Results. Forty-seven trials with a total of 3877 participants were included in this systematic review. Twenty-two studies reported protocols for monitoring adverse events, and two studies reported the occurrence of adverse events during training. The adverse events reported included palpitation, giddiness, knee pain, backache, fatigue, nervousness, dizziness, shoulder pain, chest tightness, shortness of breath, and muscle ache. Conclusions. Only two studies reported adverse events that were potentially caused by Baduanjin exercise. Adverse events related to Baduanjin exercise in patients with chronic fatigue syndrome may include muscle ache, palpitation, giddiness, knee pain, backache, fatigue, nervousness, dizziness, shoulder pain, chest tightness, and shortness of breath. Further studies conducted in accordance with the Consolidated Standards of Reporting Trials statement guideline incorporating monitoring of adverse events are recommended. Additional clinical trials in which Baduanjin exercise is used as a main intervention are needed, and further meta-analysis may be required to assess its safety and reach more informed conclusions in this regard in the future.
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Papavassiliou, I. K., P. K. Malliou, A. G. Beneka et A. F. Gioftsidou. « SPECIFIC TRUNK MUSCLE EXERCISE ON THE LOW BACK PAIN REDUCTION IN PATIENTS WITH BACKACHE ». Medicine & ; Science in Sports & ; Exercise 33, no 5 (mai 2001) : S197. http://dx.doi.org/10.1097/00005768-200105001-01106.
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Pereira, Ligia M., Karen Obara, Josilainne M. Dias, Maryela O. Menacho, Débora A. Guariglia, Durcelina Schiavoni, Hugo M. Pereira et Jefferson Rosa Cardoso. « Comparing the Pilates method with no exercise or lumbar stabilization for pain and functionality in patients with chronic low back pain : systematic review and meta-analysis ». Clinical Rehabilitation 26, no 1 (19 août 2011) : 10–20. http://dx.doi.org/10.1177/0269215511411113.
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Objective: To perform a systematic review with meta-analyses that evaluates the effectiveness of the Pilates method on the pain and functionality outcome in adults with non-specific chronic low back pain. Data sources: The search was performed in the following databases: Medline, Embase, AMED, Cinahl, Lilacs, Scielo, SportDiscus, ProQuest, Web of Science, PEDro, Academic Search Premier and the Cochrane Central Register of Controlled Trials from 1950 to 2011; the following keywords were used: ‘Pilates’, ‘Pilates-based’, ‘back exercises’, ‘exercise therapy’, ‘low back pain’, ‘back pain’ and ‘backache.’ Review methods: The inclusion criteria were studies that assessed the effects of the Pilates method on patients with chronic low back pain. Results: Five studies met the inclusion criteria. The total number of patients was 71 in the Pilates group and 68 in the control group. Pilates exercise did not improve functionality (standardized mean difference (SMD = –1.34; 95% confidence interval (CI) −2.80, 0.11; P = 0.07) or pain between Pilates and control groups (SMD = –1.99; 95% CI −4.35, 0.37; P = 0.10). Pilates and lumbar stabilization exercises presented no significant difference in functionality (mean difference (MD) = –0.31; 95% CI −1.02, 0.40; P = 0.39) or pain (MD = –0.31; 95% CI −1.02, 0.40; P = 0.39). Conclusion: The Pilates method did not improve functionality and pain in patients who have low back pain when compared with control and lumbar stabilization exercise groups.
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Nikolovski, Kristijan, et Lence Nikolovska. « COMPARISON OF THE EFFECTIVENESS OF CONVENTIONAL WESTERN MEDICINE AND TRADITIONAL CHINESE MEDICINE METHODS IN THE TREATMENT OF LUMBAGO ». Knowledge International Journal 28, no 7 (10 décembre 2018) : 2557–63. http://dx.doi.org/10.35120/kij28072557k.
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The Statistical data regarding musculo-skeletal complaints, shows that lower back pain is the most common. By "lower" back pain is meant ache anywhere in the back region (including the buttocks) below the lower border of the rib cage. There are many types of lower back pain of which the most commonly mentioned in practice are: Acute lumbar sprain, Lumbago, Sciatica and Discus hernia.Lower backache and lumbago can be discussed together as they share similar etiology, pathology and treatment.In this study, a special attention will be devoted to lumbago as one of the most frequently reported complaints, which affects quality of life and reduces social and economic efficacy.Purpose of the research in this study is to compare the effects achieved with the conventional Western medicine methods and the traditional Chinese medicine methods in patients with lumbago.Meaning of the research is to assess and prove the benefits and advantage of acupuncture versus Conventional Western medicine in the treatment of lumbago.Material and MethodsResearch was conducted in the Republic of Macedonia, at the Public Institution "Center for Traditional Chinese Medicine" and in the Department of Applied Physical Medicine and Kinesitherapy at the University "Goce Delcev" in Stip.General dataThe study include 59 patients with diagnosed sciatica (35 men and 24 women), aged from 22 to 74 years.The mean age of patients is 54.6 years.Respondents are divided into two groups: Control Group - A and Experimental Group B;Participants in the control group was applied a conservative treatment Participants in the experimental group were treated with traditional Chinese medicine methods, including acupuncture, moxibustion, capping therapy and tuina massage.Special emphasis is placed on acupuncture treatment.Treatment MethodsConservative treatment include medication therapy, physical therapy and kinesitherapy.Traditional Chinese Medicine methods include acupuncture, moxibustion, capping therapy and tuina massage.ResultsThe Visual Analog Scale of pain in Table 1 shows that, patients in the control group at the end of the treatment achieved a 50% reduction in pain compared to the start of treatment at 80%. A pain relief has been achieved by 30%.From the Visual Analog Scale of pain presented in Table 2, it can be noticed that at the end of treatment in patients in the experimental group, pain relief was achieved at 30% compared to 80% at the start of treatment. A pain relief has been achieved by 50%.It can be concluded that the two groups of examinees achieved a significant reduction in pain, which is more pronounced in the experimental group.Conclusion: Western medical treatments for lumbago includes medications, physical therapy and exercise, which is a long-term process with short-term effects and often recurrence of symptoms.For these reasons, more and more patients are interested for alternative methods of treatment of lumbago pain, and the most attractive is TCM and acupuncture. Lumbago can be treated perfectly, adequately and successfully according to the Chinese diagnosis and treatment, without any reference to Western medicine.Acupuncture can be extremely effective in the treatment of both acute and chronic backache, more so than Western medical treatments. It produces extraordinary results when there are severe structural imbalances in the spine. Many cases of very chronic backache, over years' duration are cleared in a few sessions. Acute attacks from sprain or invasion of Damp-Cold can be cleared in a few treatments, sometimes even only one. If the acute attack is a recurrence of a chronic problem, the treatment will take longer, usually about 10-15 sessions
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Jayaseelan, Venkatachalam, Hitesh Das, S. Manikandanesan, Deep Sharma et Tanveer Rehman. « Effectiveness of multipurpose health-worker-led exercise therapy on pain reduction among patients with chronic nonspecific low backache in primary health-care setting : A randomized control trial ». Journal of Family Medicine and Primary Care 8, no 1 (2019) : 199. http://dx.doi.org/10.4103/jfmpc.jfmpc_252_18.
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Sharma, Urvashi, et Padmaja Gurprasad. « Immediate effects of Physiotherapy v/s Yoga therapy on Symptoms of Dysmenorrhea ». International Journal of Scientific Research in Science and Technology, 5 août 2019, 298–308. http://dx.doi.org/10.32628/ijsrst196440.
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Background Dysmenorrhea is defined as the cramping pain accompanying menstruation. It is further classified into two types based on pathophysiology write one line about the types Primary dysmennorhea is widely prevalent in the general population. More than 50% of teenagers and 30-50% of menstruating women suffer from varying symptoms, such as, uterine cramps, nausea,backache, diarrhoea, giddiness, syncope and fainting. (1). Apart from pharmacological treatment physical exercises have been suggested as non pharmacological treatment. It is seen that exercises have analgesic effect in a non specific way. Various forms of exercise (for.eg. Yoga and physiotherapy) have shown different results in pain relief and premenstrual syndrome. Exercise have been shown as preventive measures as well. K taping is considered as an adjunct to physiotherapy treatment. (1) OBJECTIVES: 1. To assess the effectiveness of yoga poses along with k-taping in primary dysmenorrhea. 2. To assess the effectiveness of physiotherapy exercises along with k-taping in primary dysmenorrhea. 3. To compare the effectiveness of yoga poses v/s physiotherapy exercises along with kinesio taping (KT) in primary dysmenorrhea MATERIALS AND METHODOLOGY: This was a quasi experimental study that included 30 female participants who were suffering from dysmenorrhea. The subjects were randomly divided in to 2 groups; subjects in group A were given physiotherapy exercises and Kinesiotaping and group B were given yoga postures. These interventions were given on the first and second day of menstruation. RESULT AND CONCLUSION: The study concludes that both yogic postures and physiotherapy exercises helped in immediate reduction of symptoms in primary dysmennorhea. However, none of the treatment was considered superior.
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Tumusiime, David K., Aimée Stewart, Francois W. D. Venter et Eustasius Musenge. « The effects of a physiotherapist-led exercise intervention on peripheral neuropathy among people living with HIV on antiretroviral therapy in Kigali, Rwanda ». South African Journal of Physiotherapy 75, no 1 (12 août 2019). http://dx.doi.org/10.4102/sajp.v75i1.1328.
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Mary Blossom CJ, Giby Thomas et Jyothi PK. « UNDERSTANDING FIBROIDS IN LIGHT OF AYURVEDA ». International Journal of Ayurveda and Pharma Research, 16 octobre 2020, 95–99. http://dx.doi.org/10.47070/ijapr.v8i10.1640.
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The changing lifestyle and dietary pattern has given way to many gynecological problems in females. Uterine fibroids are one of leading concerns for women in reproductive age. Though uterine fibroids are non- cancerous in character; they exhibit a wide range of symptoms like dysmenorrhea, menorrhagia, metrorrhagia, low backache etc. It significantly hampers the general health and quality of life in women causing great mental agony. Contemporary treatment protocols include hormonal therapy, hysterectomy, myomectomy and uterine artery embolization. Reluctance to undergo prolonged hormone therapy, the fear of surgery brings more and more patient to Ayurveda. Hence more systematic studies in conservative management in these areas of Stree Roga are need of the hour.
Ayurveda classics mention various pathological conditions that have features similar to fibroids. Owing to its muscular origin, with slow growth may be better compared to Granthi in Garbhasya. In the modern era of busy lifestyle, intake of junk food, lack of exercise etc had lead to Agnivaishamya and Ama formation. This in turn vitiates Doshas like Kapha and Vata and Dushyas like Rasa, Raktha, Mamsa, Medas and Arthava resulting in Dhatwagnimandya leading to formation of Garbhasayagranthi. The treatment approach is directed towards reducing size of fibroids using Ushna, Tiskhna, Lekhana Dravyas along with management of symptoms. The inevitable roles of Vata in Yoniroga is also taken into account in its management. Combining different treatment aspects of Granthi and Yoni Roga Chitksa, a unique approach towards the management of its varied presentations added on with lifestyle modification can contribute to healthy social life. The current article focuses and explores potentials of Ayurveda in different aspects of uterine fibroid.
Thèses sur le sujet "Backache, Exercise therapy - Rwanda"
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Twagirayezu, Jacques. « Assessment and treatment choices of physiotherapists treating non-specific low back pain in Rwanda ». Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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The aim of this study was to determine assessment and treatment choices of physiotherapists treating non-specific low back pain in Rwanda. The main objectives were to identify the common types of low back pain treated by physiotherapists, to determine the
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Lela, Mukaruzima. « The relationship between physical activity and low back pain among nurses in Kanombe Military Hospital ». Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3554_1307534535.
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The aim of the current study was to determine the relationship between low back pain and physical activity levels among nurses in Kanombe Military Hospital (KMH), as well as other confounding factors leading to low back pain. A quantitative, cross-sectional and descriptive design was used to conduct the study. The study population and sample included all clinical nurses in all the departments/wards at KMH (excluding three nurses doing administrative work only and the four who participated in the pilot study). A total of 133 nurses participated in the study and data was collected using three self administered questionnaires. The first one requested socio-demographic data, followed by the International Physical Activity Questionnaire (IPAQ) which examined the physical activity levels of nurses, and lastly the Nordic Musculoskeletal Disorder Questionnaire which examined low back pain prevalence. A response rate of 122 (92%) was obtained.
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Cairns, Melinda Claire. « A pragmatic RCT comparing specific spinal stabilisation exercises and conventional physiotherapy in the management of recurrent low back pain ». Thesis, Coventry University, 2002. http://curve.coventry.ac.uk/open/items/11bbd169-8b0e-ab44-fc10-bfbf23e97b8b/1.
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Background: Altered muscular function of the deep abdominal and back muscles has been implicated as a factor in the development and continuation of low back pain (LBP) and small-scale studies, on specific subgroups of LBP patients, have reported favourable outcomes when these dysfunctions are addressed using specific exercise training. However, these techniques are increasingly being incorporated into treatment packages for non-specific LBP in the UK despite little evidence of their effectiveness in this patient group. A multi-centered, pragmatic, randomized clinical trial, with 12-month follow-up, was therefore designed to investigate the effectiveness of incorporating specific spinal stabilisation exercises within a physiotherapy treatment package in the management of recurrent LBP patients. Methods: Following ethical approval, consenting patients with recurrent LBP, without significant levels of distress (as measured by the distress risk assessment method {DRAM}), were randomized to two groups; 'conventional' physiotherapy and the provision of an advice booklet (Cl) and 'conventional' physiotherapy, the provision of an advice booklet with the addition of specific spinal stabilisation exercises (SSSE). Randomisation was stratified for laterality, duration of symptoms and initial functional disability level {Roland Morris Disability Questionnaire—RMDQ} using a minimization procedure. Functional disability (RMDQ) was the main outcome, and generic, disease-specific and psychological measures were also collected. The trial was powered to detect a 5-point difference between groups using 90% power. A total of 221 patients were screened for entry into the trial and 97 were recruited from three metropolitan physiotherapy departments within the UK between May 1999 and September 2000. Results: All patients were between the ages of 19 and 60 years (mean 38.6, SD: 10.5) and had an average duration of symptoms of 8.7 (8.1) months. Over 30% of the patients screened for entry to the trial were excluded as they showed evidence of psychological distress. Both groups demonstrated improved functioning, reduced pain intensity and an improvement in the physical component of quality of life. Mean change (95% Cl) for RMDQ scores between baseline to 12-month follow-up were —4.5 (-6.2 to —3.6) for the SSSE group and -5.2 (-6.7 to —3.6) for the CT group. No statistically significant differences between the two groups were demonstrated for any of the outcome variables. Patients in the spinal stabilisation group received a slightly greater mean number of treatment sessions over a longer period than the conventional physiotherapy treatment group (7.5 (2.5) over 11 weeks compared to 5.9 (2.3) over 8 weeks respectively). Exploration of the content of each treatment package revealed a combination of treatments was used, most frequently active exercise and manual therapy, with little use of electrotherapy or mechanical lumbar traction. Discussion and Conclusion: This trial represents the largest to date investigating the effects of specific spinal stabilisation exercises, and the first examining their use in a recurrent LBP population. Results indicate that physiotherapy is effective in reducing functional disability and to a lesser extent pain intensity, with improvements maintained at one year following completion of treatment, but that the addition of spinal stabilisation exercises to conventional physiotherapy and an advice booklet, does not provide any obvious additional benefit in terms of functional disability or pain intensity. These findings are of importance as they support the ongoing use of physiotherapy treatment packages in the management of recurrent LBP patients, without significant levels of distress, but challenge the assumption that stabilisation training provides an additional benefit in this particular group of LBP patients.
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Kamau, Peter Waweru. « Patient satisfaction with physiotherapy services for low back pain at selected hospitals in Kenya ». Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Patient satisfaction is one of the indicators of the quality of care being given to the users of a service. It can also be used as benchmarks for ensuring the delivery of quality physiotherapy services in health facilities. Physiotherapists have been involved in treatment of persons suffering from low back pain for decades. Treatment approaches are varied, but all have the common goals of pain relief, rehabilitation, and prevention of recurrence of low back pain. The purpose of this study was to investigate the satisfaction of low back pain sufferers with the physiotherapy services they receive. The study was carried out in selected public hospitals in Nairobi and the Central Province in Kenya.
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林德 et Tak Lam. « An evidence-based guideline on yoga in reducing pain among adult patients with chronic low back pain ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193028.
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Low back pain (LBP) is a common complaint and health problem in Hong Kong, particularly among middle-aged individuals. LBP is the main cause of chronic disability which significantly affects the daily life activities of patients. Pain might result in repeated hospital admissions and subsequently increase the burden on health care providers in Hong Kong. LBP has an enormous effect on quality of life and therefore deserves research attention.
Growing evidence shows that yoga may help reduce the level of chronic LBP in adult patients. However, no systematic review has been conducted to support the translation of this theory into practice. Therefore, this thesis aims to evaluate the current evidence on the efficacy of yoga in reducing chronic LBP among adult patients to achieve the following objectives: formulate an evidence-based protocol on yoga practice, assess the implementation potential of the formulated protocol, and develop implementation strategies and evaluation plan for the use of this protocol in a local public hospital in Hong Kong.
Five databases were used for the systemic review of relevant studies. These databases were those of Cochrane Library, CINAHL Plus, PudMed, British Nursing Index and Medline (Ovid). A total of eight papers (randomized controlled trials) fulfilled the inclusion criteria of this study. The Scottish Intercollegiate Guidelines Network (SIGN) was used to extract the data and evaluate the paper quality. The findings of the selected papers indicated that yoga practice has a significant effect on reducing pain among adult patients with chronic LBP.
The innovation is proposed to be conducted in an adult orthopedic and traumatoloy (O&T) ward. Evidence-based yoga guideline is developed to guide nurses in the effective implementation of the protocol. The SIGN grading system is chosen to grade the recommendations in the guideline. Adult patients with persistent LBP longer than three months are the target population. All study participants practice specific yoga postures under the supervision of yoga instructors and trained nurses in the outpatient clinic. These patients continue home practice for 30 minutes daily or at least twice a week. Based on the findings of the reviewed literatures and the adaptation of these findings into the proposed innovation, the feasibility of implementing evidence-based yoga guideline in the local clinical setting in Hong Kong is demonstrated.
An effective communication plan is developed to gain support from stakeholders and efficiently implement the innovation. A two-month pilot study is designed to test the feasibility of the guideline. Pain level, which is the primary outcome of the study, is measured by using Pain Numerical Pain Scale (NRS). Evaluation will be completed after the pilot test and at the end of the whole programme and refinement of the protocol will be accomplished according if necessary. Protocol effectiveness will be determined by a decrease in back pain level after practicing yoga. Other outcomes include the knowledge and satisfactory level of the staff with regards to the protocol, as well as and the costs and benefits of program implementation.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Lienesch, Jane M. « Corning Corporation back injury prevention project : the effects of an exercise program on self-reported back discomfort ». Thesis, This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06112009-064013/.
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Boden, Langley Nicholas. « The effectiveness of spinal manipulation versus spinal manipulation in conjunction with core stabilisation exercises in the treatment of mechanical low back pain ». Thesis, 2002. http://hdl.handle.net/10321/2103.
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A dissertation presented in partial compliance with the requirements for the Master's Degree technology: Chiropractic, Durban Institute of Technology, 2002.Low back pain is estimated to effect 60-90% of the world's population sometime during their lives while 20-30% of people suffer from low back pain at any given time (Cassidy and Burton, 1992:3). Locally, epidemiological studies into low back pain have revealed incidence rates of 57.6% amongst black South Africans (Van der Meulen, 1997) and between 70 and 80% amongst Indians and Coloureds (Docrat, 1999). The use of spinal manipulation with the emphasis on restoring joint mobility, has been proven to be one of the most effective and cost effective approaches in the management low back pain of a mechanical origin (Di Fabio, 1992). McMorland (2000), showed in a study of 199 patients, that spinal manipulation resulted in an average of 52.5% and 52.9% reduction in low back pain and disability respectively. Panjabi (1992:1) has postulated a theory of a 'neutral zone' around which the passive lumbar spine operates. He describes the neutral zone as a region of intervertebral motion around the neutral posture where little resistance is offered by the passive spinal column. It is, according to Panjabi (1992:1), possible for this neutral zone to increase with injury to the spinal column or with weakness of stabilising muscles, which could result in low back pain. The trunk muscles therefore have to be able to co-contract isometrically to control the neutral zone and protect the spinal tissue from excessive motion (Richardson et aI.1990). The transversus abdominis muscle and multifidus muscle have been identified as playing an important role in the complex synergistic interaction of the trunk (Norris, 1995). The above concept involving muscles attempting to maintain a neutral zone is commonly referred to as 'core stabilisation' (Norris, 1995).
M
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Stewart, Duane Edward. « The effectiveness of chiropractic adjustive therapy in conjunction with a rehabilitation exercise program in the management of lower back pain in athletes presenting with lower-crossed syndrome ». Thesis, 2012. http://hdl.handle.net/10210/5236.
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M.Tech.OBJECTIVE: To determine the most effective treatment protocol in the treatment of Lower-Crossed Syndrome by comparing objective results gained from a Rehabilitation program (group one), Spinal Manipulative Therapy (group two) and a combination of these therapies (group three) directed at the sacroiliac joints and lumbar spine. DESIGN: The study was a clinical trial in which three experimental groups of sixteen participants each were compared to each other. These participants were recruited from the local general population and were selected on the basis of inclusion and exclusion criteria, presenting with Lower-Crossed Syndrome and demonstrating unremarkable clinical and radiological findings. INTERVENTION AND DURATION: After randomisation, group one received a Rehabilitation program which consisted of a stretching and strengthening program only, group two received Spinal Manipulative Therapy only whereas group three received a combination of Spinal Manipulative Therapy and a Rehabilitation program. The frequency of the follow up consultations for this study was two consultations over the first two weeks of the trial and once a week for the following four weeks of the trial. MEASUREMENTS: Objective measurements included lumbar spine flexion and extension ranges of motion, hip flexor flexibility (hip extension), active and passive hamstring flexibility, gluteus maximus and abdominal strength tests and Sorenson’s Test (static back extensor strength test). Subjective measurements were the Oswestry Low Back Pain and Disability Index and McGill’s Questionnaire. Measurements were taken before (pre-) and after (post-) the first (initial), third, fifth and eighth (last) consultations. CONCLUSIONS: The aim of the study was to determine the most effective treatment protocol in the management of Lower Back Pain in athletes presenting with Lower-Crossed Syndrome. Although the combined group (group three) showed the greatest improvement these findings were statistically no greater than the statistical findings in group one and group two. All groups showed a statistically significant improvement over the trial period. This illustrates that both Spinal Manipulative Therapy and a Rehabilitation program (including stretching and strengthening) was effective in the management of Lower-Crossed Syndrome. From this study it can therefore be concluded that one treatment protocol did not prove to be more effective than that of the others.
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Clarke, Lloyed. « A comparison study between core stability and trunk extensor endurance training in the management of acute low back pain in field hockey players ». Thesis, 2009. http://hdl.handle.net/10321/412.
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Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic at the Durban University of Technology, 2009Objectives: When we consider the body position of a field hockey player, the lumbar spine is always in a flexed position, which combined with rotational movements during various hitting and pushing techniques, increases the strain upon the spine and surrounding muscles, thus leading to low back pain. To determine the relationship between core strength and trunk extensor endurance relating to the incidence of acute low back pain in field hockey players. Project Design: The research project was in the form of a quantitative cross-sectional study, using human subjects. Setting: The research project occurred during the field hockey season (2008) with players who had acute low back pain. The players were clinically assessed and subdivided into necessary groups at the Chiropractic Day Clinic at the Durban Institute of Technology. Subjects: Adult, male patients, aged between 18 and 30 years of age, playing premier field hockey. Out of the thirty players, 12 players have played in the National u/21 squad, 7 players have played in a Junior National team and 11 players have played senior provincial field hockey. Outcome measure: This included three tests. Firstly, the absolute difference of pressure from the reference value of 70mmHg (prone) and 40mmHg (supine) was used as the outcome measure on a Pressure Biofeedback Unit and length of time (in seconds), a correct contraction of the core stability muscles was maintained. Secondly, the length of time (in seconds) for Trunk Extensor Endurance. Thirdly, repeated measures for NRS-101 and Quebec Back Pain Disability Scale for the duration of the research period. v Results: It was found that there was no statistical evidence or convincing trend to show that the training programmes (core stability and trunk extensor endurance) increased the subjects’ core strength or trunk extensor endurance in the time allocated, although there seemed to be a placebo effect in the Trunk Extensor Group, which showed improvement in some of the core stability outcomes. There was statistical evidence that the intervention (training programmes) reduced pain, according to the Quebec Back Pain Disability Scale (Quebec) score over time, and a non-significant trend suggested this according to the Numerical Rating Scale-101 (NRS). Since both groups’ NRS and Quebec scores were not significantly different at baseline, the difference can be attributed to the effect of the intervention. Conclusions: The results of this study found that the Trunk Extensor Endurance Group, that performed the trunk extensor endurance training programme, yielded better results in core stability and trunk extensor endurance. However, the Core Stability Group, that performed the core stability training programme, showed a quicker reduction in pain levels during the three week intervention period. Therefore, by combining both training programmes, future rehabilitation of athletes suffering from acute low back pain will be more successful. Sport performance of the athletes (field hockey players), through the proponents of swiss ball training, will also improve.
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Waters, Tyron. « The effect of Bruegger’s exercise on chronic low back pain in association with lower crossed syndrome ». Thesis, 2014. http://hdl.handle.net/10210/8772.
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M.Tech. (Chiropractic)Purpose: This study aims to determine the effect of Bruegger’s exercise on chronic low back pain in association with lower crossed syndrome and compare it to spinal manipulation alone or a combination of Bruegger’s exercise and spinal manipulation with regards to pain and disability, hip and lumbar range of motion as well as degree of lumbar lordosis. Method: Thirty participants who met the inclusion criteria were randomly allocated to one of three different groups of ten participants each. Group one was only instructed on how to perform Bruegger’s exercise. Group two only received a spinal manipulation/s over the restricted joint/s in the lumbar spine. Group three received a spinal manipulation/s over the restricted joint/s in the lumbar spine in conjunction to being instructed on how to perform Bruegger’s exercise. All participants were assessed over a four week period. All groups attended six treatment sessions over three weeks of which Bruegger’s exercise and/or spinal manipulation were performed. The participants who needed to perform Bruegger’s exercise were also advised to continue doing the exercise out of the treatment session where applicable. In the fourth week only measurements were taken and no treatment was administered. Procedure: Subjective data was collected at the first and fourth consultations prior to treatment, as well as on the seventh consultation by means of a Numerical Pain Rating Scale and Oswestry Low Back Pain Disability Questionnaire to assess pain and disability. Objective data was collected at the first and fourth consultations prior to treatment, as well as on the seventh consultation by means of a universal goniometer for assessing passive hip flexion and extension, a digital inclinometer for assessing active lumbar range of motion and a flexible ruler for measuring the degree of lumbar lordosis. Analysis of collected data was performed by a statician. Results: Clinically significant improvements in group 1, group 2 and group 3 were noted over the duration of the study with regards to pain, disability, hip and lumbar range of motion as well as degree of lumbar lordosis. Statistically significant changes were noted in group 1 and group 2 with regards to pain, disability, hip and lumbar range of motion as well as degree of lumbar lordosis, and in group 3 with regards to hip and lumbar range of motion as well as degree of lumbar lordosis. Conclusion: The results show that Bruegger’s exercise, spinal manipulation and the combination of Bruegger’s exercise and spinal manipulation are effective treatment protocols both clinically and significantly in decreasing pain and disability (not statistically for the combination of Bruegger’s exercise and spinal manipulation), increasing hip and lumbar range of motion as well as decreasing the degree of lumbar lordosis. However, there was no treatment protocol that proved to be preferential over the other. Because spinal manipulation alone showed the greatest overall clinical improvements, it may be suggested that spinal manipulation alone is the most effective in the treatment of chronic low back pain associated with lower crossed syndrome with regards to pain and disability, hip and lumbar range of motion as well as degree of lumbar lordosis. Also, the addition of Bruegger’s exercise may help in some instances to further assist in treatment once the full effects of the spinal manipulation has occurred and allowed for the muscles to be in their optimum state for exercise.
Livres sur le sujet "Backache, Exercise therapy - Rwanda"
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C, Klein Arthur, dir. Backache : What exercises work. New York : St. Martin's Press, 1994.
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C, Klein Arthur, dir. Backache : What exercises work. New York : St. Martin's Griffin, 1996.
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4
The guide to a better back : A back pain sufferer's handbook for exercise and daily living. Atlanta, Ga : S. Hunter, 1987.
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Swezey, Robert L. Good news for bad backs. Santa Monica, Calif : Cequal Pub. Co., 1994.
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Wei, Nathan. Low back pain : What you need to know and what you can do about it. Frederick, Md : N. Wei, 1995.
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Swezey, Robert L. Good news for bad backs. Santa Monica, Calif : Cequal Pub. Co., 1994.
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Scott, Judith. Good-bye to bad backs : Stretching and strengthening exercises for alignment and freedom from lower back pain. 2e éd. Pennington, NJ : Princeton Book Co., 1993.
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