The study was conducted to compare the effect of thoracolumbar stabilization exercises versus spinal decompression exercises on pain, range of motion, disability and posture in patients with maigne's syndrome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
26
Each exercise session was performed for 30 minutes, with 3 sessions per week. 1. st Week, Isolated contraction of transverse abdominis and lumbar multifidus training was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min. 2. nd week, co-contraction of transverse abdominis and multifidus in sitting and lying position was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min. 3. rd week, co-contraction of transverse abdominis and multifidus in quadruped and standing position was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min.
The exercise session was performed for 30 minutes, with 3 sessions per week In 1st week , patient performed pelvic tilt (lying), cat-cow stretch, thoracic extension on folded towel, child pose and plank . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec In 2nd week, patient performed pelvic tilt (sitting) , cat cow stretch, thoracic extension on foam roller, child pose with side stretch and plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec. In 3rd week, patient performed pelvic tilt ( standing ), cat cow stretch, thoracic extension on gym ball, child pose with passive stretch and side plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec.
Bahria nasheman medical center
Lahore, Punjab Province, Pakistan
Revised Oswestry Low Back Pain Disability Questionnaire
The Revised Oswestry Low Back Pain Disability Questionnaire (ODI) is a commonly used self-reported measure consisting of 10 sections that evaluate the impact of low back pain on everyday activities. It assesses areas such as pain severity, personal care, lifting, walking, sitting, standing, sleep, social activities, travel, and sexual function. The resulting score reflects the level of disability from minimal to severe and helps guide management of individuals with low back pain. In the current study it is used to measure the disability caused by thoracolumbar syndrome (Maigne's syndrome)
Time frame: From enrollment to the end of 3 week treatment
Numeric pain rating scale
Numeric pain rating scale is used to evaluate pain. It consists of 11 points, having an overall score ranging from 0 and 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain and 7-10 represents severe pain.
Time frame: From enrollment to the end of 3 week treatment
Thoracolumbar extension
Changes in thoracolumbar extension ROM at baseline and 3rd week of intervention were measured using bubble inclinometer
Time frame: From enrollment to the end of 3 week treatment
Thoracolumbar rotation
Changes in thoracolumbar rotation ROM at baseline and 3rd week of intervention were measured using bubble inclinometer
Time frame: From enrollment to the end of 3 week treatment
Thoracic Cobb's angle
Thoracic Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray
Time frame: From enrollment to the end of 3 week treatment
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Electric hot pack for 7 minutes. TENS 120 Hz at low intensity and 50-200μs pulse duration with electrodes placed in a crisscross pattern at T9 - L1 for 10 min Grade I \& II Maitland posteroanterior central (PAC) glide and unilateral posterior anterior glide (UPA) in 3 sets of 1 minute each with 1 minute interval at T9-L2
Lumbar Cobb's angle
Lumbar Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray
Time frame: From enrollment to the end of 3 week treatment