Influencia de un protocolo específico de potenciación de la musculatura lumbar y accesoria con equipamiento MEDX sobre pacientes con dolor lumbar crónico

  1. Binder Micó, Carlos
  2. Villarón Casales, Carlos
Revista:
Therapeía: estudios y propuestas en ciencias de la salud

ISSN: 1889-6111 2660-4264

Any de publicació: 2013

Número: 5

Pàgines: 29-46

Tipus: Article

Altres publicacions en: Therapeía: estudios y propuestas en ciencias de la salud

Resum

Chronic low back pain represents one of the most common and expensive health problems in adult western society. Between 70% and 85% of the population has experienced an episode of back pain at least once in some point of their life. Several studies agree that in more than 80% of the cases of back pain, the problem is due to a weakness of the lumbar extensor and stabilizer muscles rather than to structural injuries. The present study aims to analyze and implement a specific muscle strengthening protocol for the lower back muscles in order to establish possible relationships with the symptomatology, the range of motion (ROM) and the isometric lumbar muscular strength. The equipment used for this protocol was the MedX Lumbar Extension machine, other MedX Exercise Equipment and a visual analogic scale (VAS). The outcome of this study with 26 subjects (15 men and 11 women) resulted in an 15% increase of the ROM, a decrease of the VAS by 81% and a growth of the lumbar strength of 130%.

Referències bibliogràfiques

  • Pengel L, Herbert RD, Maher CG, Refshauge KM. Acute low back pain: systematic review of its prognosis. BMJ. 2003: 323-5.
  • Andersson, GB. Epidemiological features of chronic low-back pain. Lancet. 1999 Aug 14; 354(9178): 581-5.
  • Refshauge, KM, Maher, CG. Low back pain investigations and prognosis: a review. Br J Sports Med. 2006. Jun; 40(6): 494-8.
  • Borenstein, DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatol. 2001 Mar; 13(2): 128-34.
  • Hildebrandt, J, Müller, G, Pfingsten, M. Lendenwirbelsäule: Ursachen, Diagnostik und Therapie von Rückenschmerzen. Elsevier. 2005.
  • Hoffman, MD, Shepanski, MA, MacKenzie, SP, Clifford PS. Experimentally induced pain perception is acutely reduced by aerobic exercise in people with chronic low back pain. J Rehabil Res Dev. 2005 Mar-Apr; 42(2): 183-190.
  • Fordyce, WE. Back Pain in the Workplace: Management of Disability in Nonspecífic Conditions. Task Force on Pain in the Workplace. CMAJ. 1996 May 15; 154(10): 1530-1.
  • Panjabi, M.M. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992 Dec; 5(4): 383-9.
  • White AA, Gordon SL. Synopsis: workshop on idiopathic low-back pain. Spine (Phila Pa 1976) 1982 Mar-Apr; 7(2): 141–149.
  • Cavanaugh JM. Neural mechanisms of lumbar pain. Spine. 1995; 20: 1804-1909.
  • Freemont AJ, Peacock TE, Goupille P, et al.: Nerve ingrowth into diseased intervertebral disc in chronic back pain. Lancet. 1997; 350: 178-181.
  • Freemont AJ, Jeziorska M, Hoyland JA, et al.: Mast cells in the pathogenesis of chronic back pain: a hypothesis. J Pathol. 2002a; 197: 281-285.
  • Freemont AJ, Watkins A, Maitre CL, et al.: Nerve growth factor expression and innervation of the painful intervertebral disc. J Pathol. 2002b; 197: 286-292.
  • Melleby, A. The Y’s Way to a Healthy Back. Piscataway, NJ, New Century Publishers, 1982.
  • Kader, D, Wardlaw, F, Smith, W. Correlation Between the MRI Changes in the Lumbar Multifidus Muscles and Leg Pain. Clin Radiol. 2000 Feb; 55(2): 145-9.
  • MedX Corporation, Lumbar Extension Machine Instruction Manual, version 1.4. 2004,1.
  • Fulton M, Pollock M, Leggett S, et al.: Effect of upper body mass on the measurement of isometric lumbar extension strength. Orthopaedic Rehabilitation Association Conference, San Antonio; Texas, 1990.
  • Graves JE, Fix CK, Pollock ML, Leggett SH, Forster DN, Carpenter DM: Comparison of two restraint Systems for pelvic Stabilisation during isometric lumbar extension strength testing. J Orthop Sports Phys Ther. 1992; 15(1): 37-42
  • Farfan, H. Muscular mechanism of the lumbar spine and the position of power and efficiency. Orthop Clin North Am; 1975 Jan; 6(1): 135-144.
  • Jones A, Pollock ML, Graves JE, et al.: The lumbar spine. Santa Barbara, California , Sequoia Communications. 1988.
  • Graves JE et al.: Quantitative assessment of full range of motion isometric lumbar extension strength. Spine 1990 Apr; 15(4): 289-94.
  • Tucci JT, Carpenter DM, Pollock ML, Graves JE, Leggett SH. Effect of reduced frequency of training and detraining on lumbar extension strength. Spine. 1992 Dec; 17(12): 1497-501.
  • Biggoer R. et al.: Kräftigere Rückenmuskeln bedeuten weniger Schmerzen. Dtsch Z Sportmed. 1999; 48: 73.
  • Leggett S et al. Restorative Exercise for Clinical Low Back Pain. A Prospective TwoCenter Study With 1-Year Follow Up. Spine. 1999 May 1; 24(9): 889-98.
  • Friebe H, Becker S, Schramm S, Steinmetz F, Hanstein K. Das Aukammtal-Rückenprogramm (ARP) – ein das MedX-System implementierendes multimodales Therapiekonzept bei Patienten mit chronischem Rückenschmerz. Orthopädische Praxis 2003; 39(6): 354-9.