Backache, Low Clinical Trial
Official title:
Effects of Core Stability Exercises on Lower Back Pain and Quality of Life in Post-menopausal Women.
Low back pain, postural dysfunction, loss of balance control and stability are musculoskeletal changes that occur over life span due to aging process and are inevitable. Core stability exercises are an effective means to counteract these changes.The study was executed with initially n=35 subjects selected as per proposal, but only n=24 subjects completed the study with n=14 in experimental group and n=10 in control group. Experimental group received core stability exercises and control group received conventional physical therapy treatment for 12 weeks. Baseline assessment was done, then at 6 week and again at end of intervention.Following outcome measures were used in study Numeric pain rating scale (NPRS), Utain quality of life (UQOL), Oswestry disability index (ODI), manual muscle testing (MMT) flexion and extension. Data was analysed using Statistical package for social sciences SPSS- 21.
About total of 80% of population once in their life have gone through Low back pain that
cause significant loss of productive working hours along with disability. People suffering
from chronic low back pain and impaired function, often experience anxiety, depression, as
well as effects on work and social life. Low back pain largely effects the women population,
aged 45-60 years, accounting for distress on a social as well as economic level.
Age predicted incidence of low back pain (LBP) was also found to be higher in post-menopausal
women. (90% between 40 and 60, mean age 50.1 years). Decline in psychological and cognitive
function along with other health related conditions like heart disease, mood swings, risk of
cancer are of particular importance in post-menopausal women affecting their quality of life.
The hormonal changes occurring in women during and after menopause, may also have an impact
on health-related quality of life (HRQoL) particularly at the physical, psychological, and
sexual spheres. Physical therapy remains the most advanced conservative option for the
treatment of LBP Core stability or core strengthening exercises are increasingly becoming an
important element of the sports world of therapeutics as it provides distal mobility with
proximal stability(9). Core stability and strengthening exercises are supported strongly by
theoretical principles for the treatment of spinal disorders that helps in decreasing pain
and improving function in people suffering from LBP.
Core strengthening has attracted limited research attention so far yet it has been promoted
as a mode of rehabilitation, for performance enhancement and as preventive measure of
injuries related to the musculoskeletal and lumbar spine. The significance of core stability
exercises in postmenopausal women with backache has been overlooked so far. The proposed
study focused on Core stability exercises in Postmenopausal woman with Lower back pain to
investigate the effects of core strength training on lower back pain, disability, strength
and the quality of life in postmenopausal woman.
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