Comparison of Lumbar Stabilization Exercise and Flexibility Exercise on Lumbal Flexibility in Chronic Mechanical Lower Back Pain (Study on Online Motorcycle Drivers)
Main Article Content
Abstract
Background : Flexibility plays an important role in increasing a person's capacity to perform daily activities. Decreased lumbar spine flexibility is both a will cause and a consequence of low back pain. Lumbar stabilization exercise and flexibility exercise are options that can be given for chronic mechanical low back pain.
Objective: This study was knew the difference in the effect of lumbar stabilization exercise compared to flexibility exercise on lumbar flexibility in online motorcycle drivers with chronic mechanical low back pain.
Methods: 26 subjects who fullfill the inclusion and exclusion criteria were randomly divided into the lumbar stabilization exercise group (n=13) and the flexibility exercise group (n=13). Each group was exercised five times a week for six weeks at home. Measurement of lumbar flexibility was performed using the modified-modified schober test and sit and reach test at baseline before the intervention and 6 weeks after the intervention.
Results: Comparison of the delta value of the modified-modified schober test (p = 0.029) and the delta value of the sit and reach test (p = 0.025) between groups were showed significant differences in the lumbar stabilization exercise group compared to the flexibility exercise group.
Conclusion: Giving the intervention of lumbar stabilization exercise and flexibility exercise were increased lumbar flexibility. However, the lumbar stabilization exercise intervention was a better on increasing lumbar flexibility than flexibility exercise for online motorcycle drivers with chronic mechanical low back pain.
Objective: This study was knew the difference in the effect of lumbar stabilization exercise compared to flexibility exercise on lumbar flexibility in online motorcycle drivers with chronic mechanical low back pain.
Methods: 26 subjects who fullfill the inclusion and exclusion criteria were randomly divided into the lumbar stabilization exercise group (n=13) and the flexibility exercise group (n=13). Each group was exercised five times a week for six weeks at home. Measurement of lumbar flexibility was performed using the modified-modified schober test and sit and reach test at baseline before the intervention and 6 weeks after the intervention.
Results: Comparison of the delta value of the modified-modified schober test (p = 0.029) and the delta value of the sit and reach test (p = 0.025) between groups were showed significant differences in the lumbar stabilization exercise group compared to the flexibility exercise group.
Conclusion: Giving the intervention of lumbar stabilization exercise and flexibility exercise were increased lumbar flexibility. However, the lumbar stabilization exercise intervention was a better on increasing lumbar flexibility than flexibility exercise for online motorcycle drivers with chronic mechanical low back pain.
Article Details
How to Cite
Martin, Endang Ambarwati, & Rahmi Isma AP. (2024). Comparison of Lumbar Stabilization Exercise and Flexibility Exercise on Lumbal Flexibility in Chronic Mechanical Lower Back Pain (Study on Online Motorcycle Drivers). Indonesian Journal of Physical Medicine and Rehabilitation, 13(01), 1 - 9. https://doi.org/10.36803/indojpmr.v13i01.378
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Original Article
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References
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18. Nakamura K, Kodama T, Mukaino Y. Effects of active individual muscle stretching on muscle function. Soc Phys Ther Sci. 2014;26:341–4.
19. Mullane M, Turner A, Bishop C. Exercise technique : the dead bug. Strength Cond J. 2019;41(5):114–9.
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21. Akuthota V, Nadler S. Core strengthening. Arch Phys Med Rehabil. 2014;85(March):86–92.
22. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Am Coll Sport Med. 2018;7(1):39–44.
23. Nourbakhsh MR. Relationship between mechanical factors and incidence of low back pain. J Orthop Sport Phys Ther. 2012;32(9):447–60.
24. Ghorbanpour A, Azghani MR. Effects of mcgill stabilization exercises and conventional physiotherapy on pain , functional disability and active back range of motion in patients with chronic non-specific low back pain. J Phys Ther Sci. 2018;30:481–5.
25. Dunke CL, Riebe D, Ehrman JK, Gary L, Meir M. ACSM’s guidelines for excercise testing and prescription. Tenth ed. Riebe D, editor. Philadelphia: Wolters Kluwer; 2018. 105-9;211-15 p.
26. Zahratur A, Priatna H, Fisioterapi F, Unggul UE, Jeruk K. Perbedaan efektivitas antara william exercise dan core stability exercise dalam meningkatkan fleksibilitas lumbal dan menurunkan disabilitas pada kasus low back pain miogenik. J Fisioter. 2019;19(April):1–
2. Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, et al. Mechanisms of low back pain : a guide for diagnosis and therapy. F1000Research. 2016;5:1–11.
3. Elias J, Longen W. Classification of low back pain into subgroups for diagnostic and therapeutic clarity. Columna. 2020;19(1):34–9.
4. Lizier DT, Perez MV, Sakata RK. Exercises for treatment of nonspecific low back pain. Rev Bras Anestesio. 2012;62(6):838–46.
5. Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019;39(4):619–26.
6. Statistik BP. Perkembangan jumlah kendaraan bermotor menurut jenis [Internet]. BPS. 2018. Available from: https://www.bps.go.id/linkTableDinamis/view/id/1133
7. Wojcik R, Trybulec B. Occurrence and intensity of spinal pain in motorcyclists. Cent Eur J Sport Sci Med. 2017;20(4):81–91.
8. Ramasamy S, Adalarasu K, Patel TN. Evaluation of driving-related musculoskeletal disorders in motorbike riders using quick exposure check. Biomed Res. 2017;28(5):1962–8.
9. Ojo OA, Oluwaseun O, Rufus A, Adaobi O. Assessment of work related musculoskeletal pain among professional drivers in the service of a tertiary institution. Am J Heal Res. 2016;2(5):56–60.
10. Ogundele AO, Egwu MO, Mbada CE. Influence of selected pain characteristics on segmental spine range of influence of selected pain characteristics on segmental spine range of motion in patients with low-back pain. J Ergon. 2016;5(2):138.
11. Cho H-Y, Kim E-H, Kim J. Effects of the core exercise program on pain and active range of motion in patients with chronic. Soc Phys Ther Sci. 2016;26:1237–40.
12. Standaert CJ, Weinstein SM, Rumpeltes J. Evidence-informed management of chronic low back pain with lumbar stabilization exercises. Spine J. 2018;8:114–20.
13. Sousa C, Oliveira V, Araujo A, Luciano F. Physical therapy in sport stabilization exercise compared to general exercises or manual therapy for the management of low back pain : a systematic review and meta-analysis. Phys Ther Sport. 2017;23:136–42.
14. Suh JH, Kim H, Jung GP, Ko JY, Ryu JS. The effect of lumbar stabilization and walking exercises on chronic low back pain: a randomized controlled trial. Medicine (Baltimore). 2019;98(26):16173–82.
15. Ko K-J, Ha G-C, Yook Y-S, Kang S-J. Effects of 12-week lumbar stabilization exercise and sling exercise on lumbosacral region angle , lumbar muscle strength , and pain scale of patients with chronic low back pain. J Phys Ther Sci. 2018;30:18–22.
16. Gordon R, Bloxham S. A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. MDPI. 2016;4(22):1–19.
17. Masharawi, Y.; Nadaf N. The effect of non-weight bearing group-exercising on females with non-specific chronic low back pain: a randomized single blind controlled pilot study. J Back Musculoskelet Rehabil. 2016;26:353–9.
18. Nakamura K, Kodama T, Mukaino Y. Effects of active individual muscle stretching on muscle function. Soc Phys Ther Sci. 2014;26:341–4.
19. Mullane M, Turner A, Bishop C. Exercise technique : the dead bug. Strength Cond J. 2019;41(5):114–9.
20. S.Lippert L. Clinical kinesiology and anatomy. 5th ed. Philadelphia; 2011. 211–29 p.
21. Akuthota V, Nadler S. Core strengthening. Arch Phys Med Rehabil. 2014;85(March):86–92.
22. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Am Coll Sport Med. 2018;7(1):39–44.
23. Nourbakhsh MR. Relationship between mechanical factors and incidence of low back pain. J Orthop Sport Phys Ther. 2012;32(9):447–60.
24. Ghorbanpour A, Azghani MR. Effects of mcgill stabilization exercises and conventional physiotherapy on pain , functional disability and active back range of motion in patients with chronic non-specific low back pain. J Phys Ther Sci. 2018;30:481–5.
25. Dunke CL, Riebe D, Ehrman JK, Gary L, Meir M. ACSM’s guidelines for excercise testing and prescription. Tenth ed. Riebe D, editor. Philadelphia: Wolters Kluwer; 2018. 105-9;211-15 p.
26. Zahratur A, Priatna H, Fisioterapi F, Unggul UE, Jeruk K. Perbedaan efektivitas antara william exercise dan core stability exercise dalam meningkatkan fleksibilitas lumbal dan menurunkan disabilitas pada kasus low back pain miogenik. J Fisioter. 2019;19(April):1–