alexa Flexion-and Extension-Provoked Low Back Pain

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Flexion-and Extension-Provoked Low Back Pain

Objectives: To evaluate therapeutic exercise-induced hemodynamic changes in patients with flexion- and extension-provoked low back pain (LBP). Methods: Men with LBP (n=106) were divided into 2 groups: flexion-provoked LBP (n=61) and extensionprovoked LBP (n=45). The Japanese Orthopaedic Association (JOA) score, Visual Analogue Scale (VAS), SF-36 and intramuscular oxygenation measured by near-infrared spectroscopy on the paraspinal muscle during lumbar extension and flexion were evaluated at 2 and 4 weeks. Results: Deoxygenated hemoglobin during lumbar flexion was significantly lower in flexion-provoked LBP than in extension-provoked LBP. VAS and the SF-36 domains of physical functioning, role physical, bodily pain were significantly improved in the flexion-provoked LBP group. Oxygenated hemoglobin during lumbar extension was increased significantly in the flexion-provoked LBP group. Flexion-provoked LBP patients who exhibited favorable effects from therapeutic exercise also showed better lumbar muscle oxygenation after exercise. Conclusions: A stretching mechanism in the posterior lumbar elements appeared to have a promising therapeutic effect on extension-provoked LBP. Although LBP attributed to hypoperfusion and oxygenation is involved in flexionprovoked LBP, therapeutic exercise was effective in only 50% of these patients. Evaluating muscle blood flow in flexion-provoked LBP patients is critical for improving the therapeutic effect in these subjects.

 

Citation: Sakai Y, Imagama S, Ito Z, Wakao N, Matsuyama Y (2012) Outcome of Back Exercise for Flexion-and Extension-Provoked Low Back Pain. Orthop Muscul Syst 2:119. doi: 10.4172/2161-0533.1000119

 
  • Share this page
  • Facebook
  • Twitter
  • LinkedIn
  • Google+
  • Pinterest
  • Blogger
 
adwords