The problem of low back pain is visibly increasing. About 80% of the population suffers from low back pain. Recently, the factors that affect lumbar stability have been an area of extensive research. The purpose of this study is to assess the effects of lumbar stabilization exercises program for young women (19-20 years) with low back pain. The following objectives were put forward: to assess stability of lumbar spine of young women before applying exercises program and after 10 weeks of muscular strengthening exercises around the lumbar spine; to evaluate changes in the core muscles before and after specific stabilization exercises and pain assessment. The study included a group of 37 young women (19-20 years), who felt low back pain at least once in their life. All participants were randomly allocated to either training group, which consisted of 20 young women or control group, which consisted of 17 participants. The subjects in the training group attended two supervised 1 hour exercise sessions per week for 10 weeks. A program of special physical exercises to improve core musculature was created for them. The exercise training program required training of deep muscles. In order to retrain the deep muscles, specific and testing with the STABILIZER was required. The control subjects continued their usual physical activities during the week. Both groups were assessed similarly two times: before training began and after it ended.mekis.

SUMMARY The problem of low back pain has been visibly increasing nowadays. About 60 - 80% of population at least once has experienced the backache. Back pain is one of the most important reason of working days loosing though there isn’t any lack of different directories and other newest literature offering the support how to prevent low back pains. Consequently the aim of the study was to test how to handle and prevent effectively back pain applying kinesitherapy and the spine stability exercise programs. The tasks were: 1. To test trunk muscle (back extensors, flexors: right-side bridge and left-side bridge) endurance before different exercises programs; 2. To test trunk muscle after different exercises programs to the subjects of the study; 3. To evaluate the intensity of the back pain before the research and after it; 4. To asses and compare the effectiveness of traditional kinesitherapy and the spine stability exercises programs. These research methods were used: trunk muscle endurance test, back pain intensity estimation and statistics, questioning to determine back problems. The subjects of the study were 30 28-60 years old women who had experienced back pain. They accidentally were divided into 2 groups. The study lasted 13 weeks. During that period 3 times a week traditional kinesitherapy program was applied to the Ist group of the subjects and the spine stability exercise program-to the IInd group. After the analysis of the study material conclusions were made:... [to full text]

Many people all over the world suffer from back pain. It is unavoidable for pregnant women too. According to various authors, about 50 % of women suffer from this symptom. During pregnancy, high loads that are influenced by mechanical as well as hormonal factors affect the spine. The aim of the work was to evaluate effectiveness of the muscle flexion and strengthening program in the reduction of back pain in pregnancy. In the research, the state of muscles producing waste and pelvis movements was evaluated before and after kinesiotherapy application in pregnant women suffering from back pain, and an influence of flexion and strengthening for muscle condition was evaluated in pregnant women suffering from back pain. The research lasted 10 weeks and it was performed in the Kaunas Clinical Hospital II in 2004. In total, 56 pregnant women were surveyed. 12 women participated in the kinesiotherapy program (experimental group), 11 women who did not participate in the kinesiotherapy program due to various reasons were attributed to the control group. Remaining 33 women did not participate in the research due to earlier problems with spine, syndrome of pelvic ligament relaxation or other individual reasons. Results of these two groups were compared and analyzed. Tests that were performed before and after the research show that results of the experimental group have improved significantly, while women in the control group have reported pain and disturbed physical activity. Pain... [to full text]

Šio tyrimo tikslas yra atskleisti pardavėjų – konsultantų ergonominės aplinkos ir nugaros skausmo sąsajas. Darbo objektas - darbuotojų nugaros skausmo priežastys. Buvo kelti šia uždaviniai: atskleisti ergonomikos sampratą ir jos įtaką nugaros skausmo atsiradimui teorinius aspektus; įvertinti pardavėjų – konsultantų nugaros skausmo paplitimą; atskleisti darbuotojų nugaros skausmų priežastis, kurios iškyla dėl ergonominių sąlygų; išsiaiškinti, kokiomis priemonėmis malšinamas patiriamas nugaros skausmas. / Aim of this research is to reveal links between ergonomic environment and backache suffered by shop-assistants/ consultats. Object of the Paper: cause of backaches suffered by employees.The foolowing tasks have been set: to reveal theoretical aspects of the conception of ergonomics and the influence thereof on occurrence of backaches; to evaluate prevalence of backaches suffered by shop-assistants/ consultants; to reveal the cause of backaches in employes occurring as a result of ergonomic conditions; to find out what were the means to relieve the suffered backache.

Darbo tikslas: Įvertinti specializuotos treniruočių programos poveikį darbingo amžiaus žmonių, jautusių NAD skausmą, taisyklingo judesio atlikimo rodiklių pokyčiams.Uždaviniai: 1. Įvertinti specializuotų ir bendrojo lavinimo treniruočių ciklų poveikį juosmens – dubens srities stabilumui ir judesių valdymui bei liemens raumenų ištvermei. 2. Palyginti specializuotos ir bendro lavinimo treniruočių programų poveikio rezultatus juosmens – dubens srities stabilumui ir judesių valdymui bei liemens raumenų ištvermei. Tyrimui buvo pakviesta 60 asmenų jautusių NAD skausmą. Visiems buvo pateiktas NAD skausmo trukmės ir fizinio aktyvumo vertinimo klausimynai, atliktas pirminis diagnostinis testavimas. Juosmens – dubens stabilumas vertintas statinės atlikties testais, naudojant slėgio matavimo prietaisą su grįžtamuoju ryšiu ,,Stabilizer‘‘. Juosmens – dubens srities judesių valdymas vertintas 6 judesių valdymo testais (,,Movement control tests’’). Liemens raumenų jėgos ištvermė vertinta statinės atlikties testais. Duomenų vertinimui buvo naudojama video kameros medžiagos ekspertinė analizė. Pagal atsakymus į klausimynus ir atlikus pirminį tyrimą, atrinkta 30 asmenų, kurių juosmens - dubens srities judesių valdymas įvertintas kaip nepakankamas. Tiriamųjų amžiaus vidurkis – 21,37 ± 0,2 metai (±SEM, standartinė vidurkio įverčio paklaida). Kūno masės indeksas – 21,7 ± 0,5 kg/m². Atsitiktine tvarka tiriamieji suskirstyti į tiriamąją (n=15) ir kontrolinę (n=15) grupes. Taikytos... [toliau žr. visą tekstą] / The aim of the study: To evaluate the effect of a specialized training program to the changes in indicators of the lumbarpelvic region motion performance of the employble age persons with low back pain. Tasks: 1. Evaluate the effect of the specialized training program cycle and general training program cycle for the lumbar-pelvic region stability, motions control and trunk muscle strength endurance.2. Compare the results between a specialized training program and the results of the general training program to the the lumbar-pelvic stability, motions control and trunk muscle strength endurance. The study involved 60 subjects with low back pain. All were submitted to the low back pain duration and physical activity assessment questionnaires, performed the primary diagnostic testing. Lumbar - pelvic stability was evaluated with static tests carried out by using a pressure measuring device with feedback,'' Stabilizer”. Lumbar - pelvic motion control was evaluated by 6 motion control tests ("Movement control tests'') by Hannu Luomajoki. Back and abdominal muscle endurance rated static tests carried out. For evaluation of the study data was used video materials expert analysis. According to the answers to the questionnaires and the primary investigation, 30 people with inadequate lumbar - pelvic motion control were selected for further research. Average age - 21.37 ± 0.2 years (± SEM, standard error of the mean estimate. Body mass index - 21. 7 ± 0.5 kg / m². Patients were... [to full text]

Darbo tikslas – ištirti slaugytojų darbo aplinką ir su darbu susijusį nugaros skausmą. Darbo uždaviniai. 1. Ištirti slaugytojų darbo aplinką, susijusią su nugaros skausmo rizika; 2. Įvertinti slaugytojų patiriamą, su darbu susijusį, nugaros skausmą; 3. Nustatyti sąsajas tarp slaugytojų darbo aplinkos ir patiriamo nugaros skausmo; Tyrimo metodika. 2013m. rugsėjo – lapkričio mėn. Lietuvos sveikatos mokslų universiteto Kauno klinikose, apklausta 384 slaugytojos, dirbančios 13 konservatyvios medicinos (KMP) ir 16 operacinės medicinos (OMP) profilio skyriuose. Į anketos klausimus atsakė 320 slaugytojų, atsako dažnis – 83,3 proc. / Aim of the research – to assess working environment and work-related back pain in nursing personnel Goals of the research. 1. To assess work environment of nurses associated with the risk of back pain; 2. To evaluate work-related back pain; 3. To identify relationship between working environment and experienced back pain in nursing personnel; Methodology. Research was performed in 13 conservative (CMP) and 16 surgery (SMP) medicine departments of Lithuanian University of Health Sciences Hospital Kauno klinikos in September – November 2014. 384 nurses were involved in the research, 320 of them answered the questionnaire (response rate - 83,3%).

INTRODUCTION Low back pain have become an urgent problem recently. Four out of five people already have or will experience backaches during their life span, for 10% of them this pain will become chronic. Due to its great spread and treatment, health institutions experience dramatic losses for backache diagnostics and morbidity. Together with financial losses related to patient incapacity to work, his/her care, sickness benefits, etc. the expenditure becomes enormous. Thus back pain are no longer considered a medical or a social problem, but it is regarded a complex bio- psycho-social issue in today’s community. The medical part of this issue remains very important. Solving the back pain problem, significant is the knowledge of fundamental neuro- and skeleton anatomy, pain neurophysiology and neurochemistry; in the clinical practice closely related are the basics of neurology, pain medicine, orthopedics, rehabilitation and other disciplines. Consequently, it is not simple for a medicine practitioner to find the right diagnostic direction or to choose the right treatment. The most complicated issues in the back pain clinical practice are neurological syndromes (neuropathic, neurogenic). These are related with nerve structure back radicular, dorsal ganglion or the damage of nerve branches. These syndromes make up to 10% of all backaches and are generally called radicular pain syndromes. There often emerges hyper-diagnostics or sometimes the syndromes are ignored completely... [to full text]

The purpose of the study was to find out the importance of exercise individualization treating chronic low back pain. Methods: 32 chronic low back pain pacients, 32.12±4.83 years of age, were divided into two groups under research. The first group took part in 14 weeks general trunk muscles strengthening program. The second group patients obtained individual 14 weeks trunk muscles strengthening programs. Individual programs were made by physiotherapist in accordance with trunk muscles static and dynamic endurance characteristics which were measured and evaluated with trunk muscles capability tests. The capability of trunk muscles of all patients were measured and evaluated before and after exercise program using tests suggested by D. J Magee in year 2000. At the same time the intensity of experienced pain was evaluated using Phoenix recommendations (1999). Results: Both exercise programs significantly reduced chronic low back pain and also amplified trunk muscles static and dynamic endurance. The effect of individualized exercise treatment programs for reducing pain was significantly higher. The average intensity of pain dropped from 5.69 to 2.25 in the general exercise group, and from 5.63 to 0.94 in the individualized exercise programs group. The improvement in the individualized group was significantly higher than that in the general group, i.e. 4.69 ± 1.78 and 3.44±1.71 respectively. Other significant difference between two exercise groups was different distribution of... [to full text]

XXI amžiuje skausmas yra rimta problema. Vis daugiau jaunų žmonių skundžiasi nugaros skausmais. Nugaros skausmai dėl mažo fizinio aktyvumo, netaisyklingos laikysenos yra viena labiausiai paplitusių ligų. Iškėlėm hipotezę, kad pratimai vandenyje pagerins vaikų stuburo paslankumą ir laikyseną. Tyrimas buvo atliktas LKKA baseine. Tyrime dalyvavo 12 vaikų, iš jų 10 berniukų ir 2 mergaitės. Tiriamųjų amžiaus vidurkis buvo 10,88 ± 2,10 metų, svorio - 46,2 ± 1,54 kg, ūgio vidurkis 156,9 ± 2,04 cm. Tiriamiesiems 8 mėnesius 2 kartus per savaitę po 1 valandą buvo taikoma KT vandenyje. KT pagrindą sudarė tempimo, atsipalaidavimo, liemens raumenų pratimai bei pratimai laikysenai gerinti. Buvo vertinama tiriamųjų laikysena, stuburo paslankumas, liemens raumenų statinė ištvermė bei gyvensenos ypatumai. Visi minėti rodikliai registruoti 3 kartus ( KT pradžioje, KT viduryje ir KT pabaigoje). Darbo tikslas – nustatyti vaikų, kuriems buvo taikyta KT vandenyje, stuburo paslankumo, raumenų ištvermės ir laikysenos pokyčius. Iškelti uždaviniai: nustatyti ir palyginti vaikų liemens raumenų ištvermę, stuburo paslankumą, laikyseną prieš ir po kineziterapijos vandenyje, bei nustatyti ir įvertinti vaikų gyvensenos ypatumus. Tyrimo rezultatai parodė, kad pratimai vandenyje patikimai (p<0,05) padidino liemens raumenų (pilvo, nugaros, kairės bei dešinės pusės) ištvermę, stuburo paslankumą, pagerino pečių, liemens ir pilvo laikyseną. Taip pat nustatėme, jog vaikų fizinis aktyvumas nėra pakankamas, nes... [toliau žr. visą tekstą] / Pain is a very serious problem in the 21st century. More and more young people complain of backache. Because of reducing amount of physical activities, incorrect posture, backache is one of the most common diseases. A hipothesy is that exercises in water will improve spine flexibility and children posture will improve as well. A research was made in LKKA swimming pool. 12 children – 10 boys and 2 girls – took part in this research. The average age of those who were researched was 10,88 ± 2,10 years, the average weight 46,2 ± 1,54 kg and height 156,9 ± 2,04 cm. They were in physiotherapy in water for 8 months 1 hour twise a week. Aquatic therapy consisted of posture, stretch, relaxing exercises and exercises for waist muscles. Posture, spine flexibility, waist muscles static endurance and particularities of lifestyle of the researched people was evaluated. All indicators are mentioned three times (in the beginning, in the middle and at the end of physiotherapy in water). The purpose is to find spine flexibility, muscle endurance and posture changes of kids who were in physiotherapy in water. Targets: to measure and assess children‘s trunk muscle endurance, back mobility and posture before and after aquatic therapy; to assess the lifestyle of the participants. The research results showed that exercises in the water increased waist muscles (stomach, back, left and right side) endurance, spine flexibility, improved shoulder, waist and stomach posture. Moreover, we realised that... [to full text]

Darbo tikslas: nustatyti stuburą stabilizuojančios kineziterapijos veiksmingumą gydant apatinės nugaros dalies skausmą. Pasirinktam darbo tikslui įgyvendinti buvo iškelti šie uždaviniai: 1. Išanalizuoti naujausią mokslinę literatūrą apie apatinės nugaros dalies skausmą, juosmeninį stabilumą bei segmentinės stuburą stabilizuojančios kineziterapijos efektyvumą. 2. Įvertinti sveikų asmenų nugaros raumenų tonusą ir palyginti su besiskundžiančių apatinės nugaros dalies skausmais asmenų raumenų tonusu. 3. Įvertinti besiskundžiančių apatinės nugaros dalies skausmais asmenų nugaros raumenų tonuso pokyčius prieš ir po stuburą stabilizuojančios kineziterapijos. 4. Įvertinti besiskundžiančių apatinės nugaros dalies skausmais asmenų dauginio ir skersinio pilvo raumenų funkciją prieš ir po segmentinės stuburą stabilizuojančios kineziterapijos. 5. Įvertinti besiskundžiančių apatinės nugaros dalies skausmais asmenų juosmeninės stuburo dalies skausmo pokyčius prieš ir po segmentinės stuburą stabilizuojančios kineziterapijos. 6. Įvertinti besiskundžiančių apatinės nugaros dalies skausmais asmenų funkcinės negalios pokyčius prieš ir po segmentinės stuburą stabilizuojančios kineziterapijos. Tyrimo metodai. Keturiolika asmenų, besiskundžiančių apatinės nugaros dalies skausmais, sudarė tiriamąją grupę, kuriai buvo taikyta segmentinė stuburą stabilizuojanti kineziterapija. Kontrolinę grupę sudarė 12 asmenų nejaučiančių apatinės nugaros skausmų. Tiriamajai grupei prieš atliekant kineziterapiją ir... [toliau žr. visą tekstą] / Purpose: to define effectiveness of the spinal segmental stabilizing physiotherapy curing the low back pain. To achieve the goal several tasks were raised: 1. To analyse recent literature about low back pain, lumbar stability and the local spinal segmental stabilizing physiotherapy. 2. Evaluate the muscle tone of healthy patients' and compare to the muscle tone of patients' complaining of the low back pain. 3. Evaluate the muscle tone of patients' complaining of the low back pain before and after the local spinal segment stabilizing physiotherapy. 4. Evaluate the muscle function for multifidus and transversus abdominis muscles for patients' complaining of the low back pain before and after the local spinal segmental stabilizing phsysiotherapy. 5. Evaluate the changes of pain in patients'complaining of the low back pain before and after the local spinal segmental stabilizing phsysiotherapy. 6. Evaluate the changes of functional disability before and after the local spinal segmental stabilizing physiotherapy in patients' complaining of the low back pain. Methods of the research. Fourteen people complaining of the low back pain made a research group using the spinal segmental stabilizing physiotherapy. There was also a control group of 12 patients without the low back pain. The research group before and after the spinal segmental stabilizing physiotherapy had evaluation of the low back pain's intensivity (VAS), functional ability of low back ( Roland-Morris... [to full text]