The topic of this work – „The physical therapy management of a patient with low back pain in sanatorium „Lietuva“. The study was caried out in sanatorium „Lietuva“ Druskininkai from 2003 to 2004. 60 participants took part in the study. The age of participants from 18 to 74. First group (9 men and 21 women) with low back pain to continue exercing after treatment at home and second control group (5 men and 25 women) noexercing at home. The course of treatment consisted 14 day 30 – 45 min two time by day 6 day by weak. The purpose of study carried out by us was determine the change of the pain and the functioal state of the back muscles in the course of these procedures. Pain intensity (visual analog skale) in the active rehabilitation group (p<0,05) than in the passive control treatmen group after treatment was 3,07 ± 0,14 points. The abdominal muscle strangeht and abdominal and lumbar muscle endurance change the exercise time in both groups but in the active exercise group significanty more (p<0,05) after 14 day treatment. The spine muscle flexibility was still greater in both groups after programmed exercise. The study show that the patient must to do actine exercise at home because the pain did not disappear after therapy.

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]

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]

Women in Benin commonly participate in physically demanding activities that involve the carriage of heavy loads on the head and back. These strenuous tasks combined with pregnancy can result in back pain that may persist after delivery in some cases. The objective of this study was to examine how the trunk postures of pregnant women in Benin were affected by their occupational activities. This study also examined trunk postures, as well as postures of the head relative to the trunk, in the specific task of carrying loads on the head. Finally, the instrument used in this study to measure trunk postures, the Virtual CorsetTM (VC) (Microstrain, Williston, VT, USA), was validated against a system of potentiometers. Questionnaires completed by 26 pregnant and 25 non-pregnant subjects revealed that 58% of pregnant women suffered from back pain since the start of pregnancy. An average of 328 instances of trunk flexion at angles larger than 60° were recorded during the workdays of 17 pregnant women, while 66 of those flexions events were held for more than four seconds. Furthermore, an average of 36% of the recorded workday was spent in trunk flexion at angles exceeding 20°. Trunk postural data, at C7 and S1, as well as sagittal positions of the head relative to the trunk were compared between pregnant and non-pregnant subjects and between unloaded and loaded walking conditions for the specific task of head load carriage. These comparisons showed that load on the head significantly increased upper trunk extension and lateral bending of the upper trunk towards the left during walking. Motion of the head relative to the trunk and motion of the upper trunk significantly decreased in the loaded condition and was compensated by increased motion at the sacrum level. In the validation study, the VC was moved at different speeds to observe the effects of accelerations on the angle measurements. Root mean square difference between the angles measured by the VC and the potentiometers were all below 5° and 6° for flexion-extension and lateral bending, respectively, with the exception of rapid movements where errors were slightly larger. / Thesis (Master, Mechanical and Materials Engineering) -- Queen's University, 2010-07-07 16:23:53.56

The purpose of this research is twofold: 1) to apply a user-centred approach to examine the usability and acceptability of an on-body ergonomic aid called the Personal Lift Assistive Device (PLAD) in a variety of industrial work environments and 2) to utilize subjective user acceptability data on discomfort, pain and overall PLAD assessment by participants to identify design features that need improvement in the next PLAD iteration. Case studies took place in four different industrial work environments: two distribution centre environments, one retail store environment and one automotive assembly plant environment. These environments were selected to represent different industrial work environments. In total, 20 industrial workers were selected to wear the PLAD and provide their feedback. Results were obtained using subjective questionnaires through verbal and written comments as well as through direct observation of the participants. Three major design changes occurred to the original PLAD iteration tested at the first industrial location. These included: 1) using different stiffness levels of springs for different sizes of individuals in an attempt to decrease discomfort and optimize the effectiveness of the PLAD, 2) an increase in pelvic spacer size and surface area contacting the user’s body to reduce discomfort and 3) modification to the shoulder harness including; shape, dimensions and amount of cushioning to reduce discomfort. Currently, three major design changes were identified and still need to be addressed. These include: 1) reduction of thermal discomfort caused by wearing the PLAD, 2) validation of selecting the appropriate spring stiffness for small, medium and large users of the PLAD (male and female) under various working postures and 3) simplification of the donning and doffing process. Additionally, a simple PLAD spring stiffness sizing chart was created to aid potential manufacturers of the PLAD to select the appropriate spring stiffness for various users of the PLAD. This sizing chart was designed to maintain an average lumbar moment reduction of 15%, while taking discomfort of the shoulders caused by the spring stiffness and overall cost into consideration. / Thesis (Master, Kinesiology & Health Studies) -- Queen's University, 2011-09-28 09:03:01.463

No description available.

<p>Low back pain (LBP) is a growing health and socio-economic problem worldwide, affecting humans from adolescent to adult age. In developed countries, more than 80% of adults are at risk of suffering a disabling episode of LBP at one point during their life time. In developing countries, particularly in Africa, the life time prevalence of LBP varies in population groups, but the disability due to LBP is increasing. The aetiology of LBP is multifactorial, and there is still no consensus on the exact cause and contributing factors to LBP. In addition, little is known about patients&rsquo / knowledge and beliefs on the contributing factors to their LBP. The current study therefore, aimed to identify patients&rsquo / knowledge, attitudes and beliefs on the contributing factors to LBP, among patients attending physiotherapy outpatient departments in Malawi.</p>

Temos aktualumas: Nugaros skausmas – dažna vidutinio amžiaus žmonių problema, kuri pastebimai didėja. Pagrindinis gydymo tikslas – stiprinti liemens raumenis. Tyrimo objektas: 22 – 45 metų amžiaus moterų bei vyrų nugaros skausmas. Tyrimo tikslas: Nustatyti kineziterapijos poveikį suaugusiųjų nugaros skausmui. Tyrimo uždaviniai: 1. Nustatyti tiriamųjų nugaros skausmo intensyvumą prieš kineziterapiją ir po jos. 2. Palyginti tiriamųjų vyrų bei moterų nugaros skausmą prieš ir po kineziterapijos užsiėmimų. 3. Įvertinti tiriamųjų gyvenseną. Tyrime dalyvavo 10 tiriamųjų, iš jų 5 vyrai ir 5 moterys. Tris mėnesius keturis kartus per savaitę buvo pravedami kineziterapijos užsiėmimai žmonėms, jaučiantiems nugaros skausmą. Taikant specialias skausmo vertinimo skales buvo vertintas tiriamųjų nugaros skausmas prieš ir po kineziterapijos užsiėmimų. Išvados: 1. Po kineziterapijos užsiėmimų tiriamųjų nugaros skausmas reikšmingai sumažėjo (p<0,05). 2. Prieš ir po kineziterapijos užsiėmimų nugaros skausmas tarp vyrų ir moterų nereikšmingai skyrėsi. 3. Visi tiriamieji (100%) dirbo sėdimą darbą, laisvalaikį pasyviai leido 50% tiriamųjų, 70% tiriamųjų manė, kad per pastaruosius metus patiria streso daugiau nei kiti, 60% tiriamųjų miegui skyrė pakankamai laiko, tiek pat tiriamųjų ryte atsikeldavo nežvalūs. / Problem: Back pain – is the most popular problem in the middle age people, which is growing significantly. The main goal of treatment – to strengthen the trunk muscles. Research object: Low back pain in 22 − 45 years of age men and women. Aim: to evaluate the impact of physical therapy on back pain in adults. Tasks: 1. To evaluate intensity of back pain before and after physical therapy. 2. To compare intensity of back pain between men and women before and after physical therapy. 3. To evaluate life style of subjects. The study involved 10 subjects, including 5 men and 5 women. Physical therapy was applied for three months, four times a week for people experiencing back pain. Back pain intensity was evaluated by specific pain scales before and after the physical therapy sessions. Conclusions: 1. Intensity of back pain decreased significantly after physical therapy. 2. Before and after physical therapy intensity of back pain differed insignificantly between men and women. 3. All subjects (100%) worked a sedentary job, leisure time spent passively 50% of subjects, 70% of them felt that over the past year they experienced stress more than others, 60% of subjects had enough time to sleep, and the same amount of subjects woke up in the mornings feeling not well.

Temos aktualumas: 95% žmonių, kurių amžius 25–55 metai turi juosmeninės stuburo dalies tarpslankstelinę disko išvaržą L4–L5 arba L5–S1 segmentuose (Jordon et al., 2009). McKenzie tiesimo judesiai padeda daugumai pacientų, kurie skundžiasi juosmeninės stuburo dalies skausmais (Richmond, 2012). Tai saugus, nebrangus ir patikimas metodas, kuris naudojamas, kai norima išspręsti juosmeninės stuburo dalies skausmus su skausmo plitimu į koją (McKenzie, 2011). Darbo objektas: kineziterapijos ir McKenzie pratimų poveikis skausmui ir stuburo paslankumui esant juosmeninės stuburo dalies išvaržai. Tikslas: nustatyti McKenzie pratimų poveikį skausmui bei stuburo paslankumui esant juosmeninės stuburo dalies išvaržai. Uždaviniai: 1.Įvertinti ir palyginti juosmeninės stuburo dalies skausmo pokyčius taikant kineziterapiją ir McKenzie pratimus. 2.Įvertinti ir palyginti stuburo dalies paslankumą taikant kineziterapiją ir McKenzie pratimus. 3.Įvertinti ir palyginti funkcinę negalią klausimynais taikant kineziterapiją ir McKenzie pratimus. Hipotezė: manome, kad taikant McKenzie pratimus kartu su tradicine kineziterapija labiau sumažės skausmas, pagerės stuburo paslankumas juosmeninėje stuburo dalyje bei pagerės funkcinė būklė. Išvados: 1.McKenzie pratimai labiau sumažino juosmeninės stuburo dalies skausmą nei tradicinė kineziterapija. 2.McKnezie pratimai ir tradicinė kineziterapija pagerino juosmeninės stuburo dalies paslankumą. 3.McKenzie pratimai ir tradicinė kineziterapija sumažino... [toliau žr. visą tekstą] / Importance of the study: relevance of the topic: 95% of people, whos age is 25–55 years, have lumbar spine disc herniation in L4–L5 or L5–S1 segments (Jordon et al., 2009). McKenzie laying movements help for the most of the patients, who are complaining about lumbar spine part pains (Richmond, 2012). It is a safe, cheap and reliable method, which is used to solve lumbar spine part pains with pain spreading to the leg (McKenzie, 2011). Object of the research: effect of physical therapy and McKenzie exercises on pain and spine mobility in the lumbar spine hernia. The aim of the research: to determine the effect of McKenzie exercises regarding pain and mobility of spine in lumbar herniated disc. The task of the research: 1.To evaluate and compare the changes in pain of lumbar spine through physical therapy and McKenzie exercises. 2.To evaluate and compare changes in the mobility of lumbar spine through physical therapy and McKenzie exercises. 3.To evaluate and compare the functional disability after using physical therapy and McKenzie exercises. Hypothesis: the expected outcome is that physical therapy along with McKenzie exercises will reduce the pain, improve spinal mobility in the lumbar spine part and improves functional status Conclusions: 1.McKenzie exercises greater reduced the pain in lower back than conventional physical therapy. 2.McKnezie exercises and conventional physiotherapy improved the mobility of the lumbar spine. 3.McKenzie exercises and... [to full text]

Vis dažniau yra diskutuojama apie minkštojo įtvaro poveikį nėščiųjų juosmeninės stuburo dalies skausmo mažinimui. Yra skausmo sindromų, būdingų tik moterims. Vienas jų – nėščiųjų juosmens skausmas. Apie 50–80 proc. nėščiųjų vargina juosmens skausmai, kurie dažniausiai prasideda 5–7 nėštumo mėnesį, tačiau skausmai gali prasidėti 8—12 nėštumo savaitę (Samėnienė, 2005). Tikslas. Nustatyti minkštojo įtvaro poveikį nėščiosioms mažinant juosmeninės stuburo dalies skausmą. Objektas. Minkštojo įtvaro poveikis mažinant nėščiųjų juosmeninės stuburo dalies skausmui. Hipotezė. Manome, kad minkštasis įtvaras turės teigiamą poveikį nėščiosioms mažinant juosmeninės stuburo dalies skausmą, kadangi minkštojo įtvaro dėka yra suteikiama atrama ir stabilumas sąnariams ir raumenims netrikdant jų kraujotakos ir nevaržant judesių. Tyrimo metu buvo spėjama, kad minkštasis įtvaras turės teigiamą poveikį nėščiosioms mažinant juosmeninės stuburo dalies skausmą Tyrimo uždaviniai: 1. Įvertinti nėščiųjų juosmeninės stuburo dalies skausmą ir negalią prieš minkštojo įtvaro taikymą ir po. 2. Įvertinti kaip minkštojo įtvaro poveikis turi įtakos gyvenimo kokybei prieš ir po minkštojo įtvaro taikymo. 3. Įvertinti nėščiųjų judesių baimę (kinezifobiją) prieš ir po minkštojo įtvaro taikymo. Tyrimas buvo atliekamas Lietuvos Sporto Universiteto kineziterapijos salytėje. Tyrime iš viso dalyvavo septynios niekada stuburo skausmų neturėjusios nėščiosios. Atliekant tyrimą buvo vertinama nėščiųjų nugaros skausmas... [toliau žr. visą tekstą] / Increasingly there are arguable about kinesiotaping influence pregnant women low back pain reduction. There are pain syndromes appropriate just for women. First – pregnant low back pain. About 50—80  pregnant women suffers from low back pain, which normally begins in the 5-7 pregnancy month, however it can start and 8-12 week of pregnant (Samėnienė, 2005). That study main aim was to determine kinesiotaping influence for pregnant women low back pain reduction. Study object was kinesiotaping influence for pregnant women low back pain. Stydy hypothesis: kinesiotaping will have positive effect for preganant women low back pain reduction. Study tasks were: 1. To assess pregnant women low back pain and disability before and after kinesiotaping. 2. To assess pregnant women low back pain influence for living quality before and after kinesiotaping. 3. To assess pregnant women fear of movements (kinesiophobia) before and after kinesiotaping. Study was performed in Lithunians Sports University‘s physical therapy room. In the study participated seven pregnant women who have never suffered from low back pain. In the study were assessed pregnant women low back pain, influence for quality of living, fear of movements. After kinesiotaping investigative‘s pain decreased significantly (p<0,05). Pain influence for quality of living statsitically reliable diffrence were not found (p>0,05). Fear of movements statistically signficant improve (p<0,05). Kinesiotaping the biggest influence had for... [to full text]