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Comparative effect of Sahrmann's exercises and core stabilization exercises on low back pain in individuals with lumbar lordosis
Low Back pain is the most usual cause of disability and is worsening on a global scale. The prevalence of Low back pain is reported to be about 80%. Lumbar lordosis has significance because of its distinctive position and its direct contact with the pelvis. Increased lordosis leads to excessive compression of apophyseal joint. Sahrmann's exercises refers to address the muscular component by shortening long muscles, reducing the load on weak or long muscles, supporting weakened using specific muscles to train the patient to activate specific muscles in a precise manner, and emphasize correct use of muscles in postural positioning activity and functional activity. The commonly used core stability training programs is the McGill Big 3 core stability exercise which was introduced by McGill and Karpowicz. Core stability has an impressive effect even on prevention of low back and lumbar lordosis. Core stability training has been widely used in physical therapy as treatment of low back pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sahrmann's Exercises | Experimental | Sahrmann's exercises refers to address the muscular component by shortening long muscles, reducing the load on weak or long muscles, supporting weakened using specific muscles to train the patient to activate specific muscles in a precise manner, and emphasize correct use of muscles in postural positioning activity and functional activity. Sahrmann's approach is based on biomechanical view and contains stretching and strengthening exercises. |
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| Core Stabilization Exercises | Active Comparator | The point of core stability exercises is to provide normal muscle function to increase spinal stability. The commonly used core stability training programs is the McGill Big 3 core stability exercise which was introduced by McGill and Karpowicz. Its main focus is on the influence of trunk stability on low back pain and lordosis. Core stability training re-educates the postural core muscles to stabilize the lumbopelvic region. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sahrmann's Exercises | Other | Sahrmann's Exercises include exercises like Pelvic Clock which strengthen transverse abdominis and improve pelvic alignment. Its positions includes; Pelvic tilt (12 o'clock), Lateral pelvic shift (3 o'clock and 9 o'clock), Posterior pelvic tilt (6 o'clock) with 3 sets of 10-15 repetitions. Lumbar Extensions which enhance lumbar lordosis and strengthen erector spinae. Bridging which strengthen gluteus maximus and improve hip-pelvic alignment. Knee to Chest stretch which improves lumbar flexibility, mobility, enhances strength of hip and pelvic muscles. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity | The intensity of pain was measured by a numerical pain rating scale is an accurate and reliable tool for measuring pain intensity. It is a scale rating from 0 to 10 (no pain to moderate pain and to severe pain). | Baseline and 4th week |
| Measure | Description | Time Frame |
|---|---|---|
| Disability | Disability was measured by Oswestry disability index is a questionnaire includes total 10 sections and each section has 5 further statements related daily routine activities e.g. lifting, washing, walking, traveling, sitting etc. The possible score is 5 for each section. The score ranges from 0 (minimum disability) to 50 (maximum disability) indicating disability index. | Baseline and 4th week |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arif Memorial Teaching Hospital | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | LAURIN, E., MINERBI, A., BESEMANN, L. M., COURCHESNE, C. I. & GUPTA, G. 2022. The McGill Approach to Core Stabilization in the Treatment of Chronic Low Back Pain: A Review. medRxiv, 2022.01. 21.22269311. | ||
| Background | NIROOMAND, T., RABIEI, M. & MOHAMMADI, B. 2023. Investigating the Effects Janda's and Sahrmann's Correcting Exercise Approaches on Trunk Muscles Function in Young Girls with Lower Crossed Syndrome. Journal of Advanced Sport Technology, 7, 48-58. |
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The data will be shared on request.
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D008141 | Lordosis |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Group A: Sahrmann's Exercies Patients received Sahrmann's exercises along with baseline treatment. Group B: Core Stabilization Exercises Patients received Core Stabilization Exercises along with baseline treatment.
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The assessor was kept blind and was not aware of any intervention group.
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| Core Stabilization Exercises | Other | Core Stabilization Exercises includes; Curl-Up which strengthen the rectus abdominis and transverse abdominis muscles with 3 sets of 10-15 repetitions. Bird Dog which strengthen the extensor muscles, including the erector spinae and latissimus dorsi. Side Plank (Modified Plank) which strengthen the transverse abdominis and oblique muscles. |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D013121 | Spinal Curvatures |
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |