This study aims to verify the effects of a segmental stabilization exercise program on the anticipatory postural adjustment of subjects with chronic lumbar pain. The effects will be assessed by means of superficial electromyography focused on the registry of the onset of multifidius and deltoid (anterior and posterior) activity during a repetitive shoulder flexion/extension.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
The stabilization program focuses on the reestablishment of motor control and coordination between deep and superficial trunk muscles. The exercise program is based on the following criteria progression: 1) Precise contraction of the transverse abdominal and multifidus muscles, keeping the lumbar spine in a neutral position (as the middle way between maximum flexion and extension, repeated three times); 2) Keep the neutral position for 10 repetitions of 10 seconds; 3) Perform exercises with lower limbs in different postures.
Home exercises include passive stretching and active mobilization of the spine.
Federal University of Health Sciences of Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil
Anticipatory Postural Adjustment by means of Electromyography
Assessed by means of superficial electromyography
Time frame: change from pre to post-treatment (8 weeks)
Disability level via the Oswestry Low Back Pain Questionnaire
Time frame: change from pre to post-treatment (8 weeks)
Fear of pain and avoidance of physical activity via the Fear-avoidance beliefs Questionnaire
Time frame: change from pre to post-treatment (8 weeks)
Prognosis or risk of poor clinical outcome via the STarT Back Screening Tool
Time frame: change from pre to post-treatment (8 weeks)
Pain level via visual analogue scale
Time frame: change from pre to post-treatment (8 weeks)
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