Central European Journal of Sport Sciences and Medicine


ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2023.2-02
CC BY-SA   Open Access   DOAJ  DOAJ

Issue archive / Vol. 42, No. 2/2023
Press Up Exercises as an Alternative to Conventional Therapy of Radicular Symptoms in Patients with Low Back Pain

Authors: Jan Vagner ORCID
Rehabilitation Department, Středomoravská nemocniční a.s, Přerov Hospital, Czech Republic, ACT centrum s.r.o., postgraduate education centre, establishment accredited by the Ministry of Health of the Czech Republic, Praha, Čelákovice, Czech Republic

Ingrid Palascákova Springrova ORCID
ACT centrum s.r.o., postgraduate education centre, establishment accredited by the Ministry of Health of the Czech Republic, Praha, Čelákovice, Czech Republic

Eva Baranova ORCID
ACT centrum s.r.o., postgraduate education centre, establishment accredited by the Ministry of Health of the Czech Republic, Praha, Čelákovice, Czech Republic

Šárka Tomková ORCID
Department of Physiotherapy, Faculty of Healthcare based in B. Bystrica, Slovak Medical University, Slovakia

Elena Bendikova ORCID
Department of Physical Education and Sport, Faculty of Education CU, Ružomberok, Slovakia

Rita Firytova ORCID
Faculty of Mechanical Engineering, University of West Bohemia, Plzeň, Czech Republic
Keywords: ADL (activities of daily living) spinal disc herniation dural bag motor learning paresthesia
Data publikacji całości:2023
Page range:13 (17-29)
Cited-by (Crossref) ?:

Abstract

The study examines whether clinical and objective improvement can be achieved in patients with LBP (low back pain) with radicular symptoms using a 6-week exercise program based on press up exercises created from ADL (activities of daily living) movement patterns. This original study involved 10 men with acute L5 / S1 disc hernia. Before starting the exercise program, patients determined the intensity of pain VAS (Visual Analogue Scale), the intensity of paraesthesias (NSIP: numerical scale of paraesthesia intensity) and the location of paraesthesias. Magnetic resonance imaging (MRI) was used to objectify the extent of the disc hernia, spinal cord compression, and pressure acting on the dural sac. Patients completed -week exercise program consisting only of press up ADL movement patterns in a closed kinematic chain. At the end of the exercise program, patients determined the outcome values of clinical symptoms and underwent control MRI within 2 weeks at the latest. At the end of the study all patients showed a statistically significant reduction in pain intensity (p = 0.005), paraesthesia (p = 0.006). The pressure on the dural sac was reduced in all patients. One of the patients had a partial reduction of intervertebral disc hernia by 35.7 %. None of the patients had a change in spinal root compression. Conventional therapy should focus on influencing clinical symptoms that appear to correlate with dural sac compression. We dare to argue that reduction of hernia disc is not a sign of primary recovery in LBP patients with acute phase radicular symptoms.
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Bibliography

1.Adams, M. A., May, S., Freeman, B. J., Morrison, H. P., & Dolan, P. (2000). Effects of Backward Bending on Lumbar Intervertebral Discs: Relevance to Physical Therapy Treatments for Low Back Pain. Spine, 25(4), 431–437. https://doi.org/10.1097/00007632-200002150-00007
2.Adams, M. A. (2004). Biomechanics of back pain. Acupuncture in Medicine, 22(4), 178–188. https://doi.org/10.1136/aim.22.4.178
3.Adams, M. A., & Roughley, P. J. (2006). What is intervertebral disc degeneration, and what causes it? Spine, 31(18), 2151–2161. https://doi.org/10.1097/01.brs.0000231761.73859.2c
4.Adams, M. A., Stefanakis, M., & Dolan, P. (2010). Healing of a painful intervertebral disc should not be confused with reversing disc degeneration: Implications for physical therapies for discogenic back pain. Clinical biomechanics (Bristol, Avon), 25(10), 961–971. https://doi.org/10.1016/j.clinbiomech.2010.07.016
5.Bendíková, E. (2020). Diversification of the physical and sport education syllabi and its effects on the musculoskeletal system in young female students. Trends in Sport Science, 27(3), 149–155. https://doi.org/10.23829/TSS.2020.27.3-5
6.Bendíková, E., & Balkó, I. (2022). Acral coactivation therapy method in terms of improving the musculoskeletal system in pupils in physical and sport education. Trends in Sport Sciences, 29(3), 107-114. https://doi.org/10.23829/TSS.2022.29.3-4
7.Bigos, S. J., Holland, J., Holland, C., Webster, J. S., Battie, M., & Malmgren, J. A. (2009). High-quality controlled trials on preventing episodes of back problems: systematic literature review in working-age adults. Spine, 9(2), 147–168. https://doi.org/10.1016/j.spinee.2008.11.001
8.Burgetová, A., Seidl, Z., Mašek, M., Dušek, P., Hostaša, P., Němcová, J., & Vaněčková, M. (2010). Spontaneous sequestration regression in lumbar disc herniation-a collection of three case reports. Česká a slovenská neurologie a neurochirurgie, 73/106(6), 721–724.
9.Cavalcanti, I. F., Antonino, G. B., Monte-Silva, K. K., Guerino, M. R, Ferreira, A. P., & das Graças Rodrigues de Araújo, M. (2020). Global postural re-education in non-specific neck and low back pain treatment: A pilot study. Journal of Back and Musculoskeletal Rehabilitation, 33(5), 823–828. https://doi.org/10.3390%2Fijerph18020713
10.Çitişli, V., & İbrahimoğlu, M. (2015). Spontaneous remission of a big subligamentous extruded disc herniation: case report and review of the literature. Korean Journal of Spine, 12(1), 19–25. https://doi.org/10.14245%2Fkjs.2015.12.1.19
11.Choi, B. K., Verbeek, J. H., Tam, W. W., & Jiang, J. Y. (2010). Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev, 20(1), CD006555. https://doi.org/10.1002/14651858.cd006555.pub2
12.Chou, R. (2011). Low back pain (chronic). American family physician, 84(4), 437–8. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3217809/
13.Doubková, L., Andel, R., Palaščáková-Špringrová, I., Kolář, P., Kříž, J., & Kobesová, A. (2018). Select this result for bulk action. Journal of Back and Musculoskeletal Rehabilitation, 31(1), 107–112. https://doi.org/10.3233/bmr-169687
14.Dvořák, R. (2005a). Some theoretical notes on the issue of open and closed biomechanical chains. Rehabilitace a fyzikální lékařství, 12(1), 12–17. https://www.prolekare.cz/casopisy/rehabilitace-fyzikalni-lekarstvi
15.Dvořák, R. (2005b). Open and closed biomechanical chains in kinesiotherapy practice. Rehabilitace a fyzikální lékařství,12(1), 18–22. https://www.prolekare.cz/casopisy/rehabilitace-fyzikalni-lekarstvi
16.Ganesan, S., Acharya, A. S., Chauhan, R., & Acharya, S. (2017). Prevalence and risk factors for low back pain in 1,355 young adults: A cross-sectional study. Asian Spine J, 11(4), 610–617. https://doi.org/10.4184/asj.2017.11.4.610
17.Hahne, A., Ford, J. J., & McMeeken, J. M. (2010). Conservative management of lumbar disc herniation with associated radiculopathy: A systematic review. Spine, 35(11), 488–504. https://doi.org/10.1097/brs.0b013e3181cc3f56
18.Hayden, J. A., Dunn, K. M., Van Der Windt, D. A., & Shaw, W. S. (2010). What is the prognosis of back pain? Best Pract Res Clin Rheumatol, 24(2), 167–179. https://doi.org/10.1016/j.berh.2009.12.005
19.Huijnen Ivan, P. J., Schasfoort, F. C., Smeets, R. J., Sneekes E, Verbunt, J. A., & Bussmann, J. B. J. (2020). Subgrouping patients with chronic low back pain: What are the differences in actual daily life behavior between patients classified as avoider or persister? Journal of Back and Musculoskeletal Rehabilitation, 33(3), 303–311. https://doi.org/10.3233/bmr-171048
20.Kamanli, A., Karaca-Acet, G., Kaya, A., Koc, M. & Yildirim, H. (2010). Conventional physical therapy with lumbar traction; clinical evaluation and magnetic resonance imaging for lumbar disc herniation. Bratisl Med J, 111(10), 541–544. https://www.researchgate.net/journal/Bratislavske-Lekarske-Listy-0006-9248
21.Kerr, M. S., Frank, J. W., Shannon, H. S., Norman, R. W., Wells, R. P, Neumann, W. P., & Bombardier, C. (2001). Biomechanical and psychosocial risk factors for low back pain at work. American Journal of Public Health, 91(7), 1069–1075. https://doi.org/10.2105%2Fajph.91.7.1069
22.Komori, H., Shinomiya, K., Nakai, O., Yamaura, I., Takeda, S., & Furuya, S. (1996). The natural history of herniated nucleus pulposus with radiculopathy. Spine, 21(2), 225–229. https://doi.org/10.1097/00007632-199601150-00013
23.Latash, M. (1993). Control of human movement. Champaign; Human Kinetics Publisher 392 pp. ISBN 978-0873224550.
24.Luire, J. D., Berven, S. H, Gibson-Chambers, J., Tosteson, T., Tosteson, A., Hu, S. S, & Weinstein, J. N. (2008). Patient preferences and expectations for care. Spine, 33(24), 2663–2668. https://doi.org/10.1097%2FBRS.0b013e31818cb0db
25.Maniadakis, N., & Gray, A. (2000). The economic burned of back pain in the UK. Pain, 84(1), 95–103. https://doi.org/10.1016/s0304-3959(99)00187-6
26.Matveeva, N., Zivadinovik, J., Zdravkovska, M., Jovevska, S., & Bojadzieva, B. (2012). Histological composition of lumbar disc herniations related to the type of herniation and to the age. Bratisl Med J, 113(12), 712–717. https://doi.org/10.4149/bll_2012_161
27.Mayer, J. M., Haldeman, S., Tricco, A. C, & Dagenais, S. (2010). Management of chronic low back pain in active individuals. Curr Sports Med Rep, 9(1), 60–66. https://doi.org/10.1249/jsr.0b013e3181caa9b6
28.Mcgregor, A. H., Anderton, L., Gedroyc, W. M., Johnson, J., & Hughes, S .P. (2002). The use of interventional open MRI to assess the kinematics of the lumbar spine in patients with spondylolisthesis. Spine, 27(14), 1582–1586. https://doi.org/10.1097/00007632-200207150-00019
29.Nemček, D. (2016). Life satisfaction of people with disabilities: a comparison between active and sedentary individuals. Journal of Physical Education and Sport, 16 (Suppl. 2) 1084–1088. http://dx.doi.org/10.7752/jpes.2016.s2173
30.Ozcamdalli, M., Misir, A., Oguzkaya, S., Kizkapan, T. B., Turk, O. I, & Uzun, E. (2020). The effect of lumbar facet joint injection levels on spinopelvic parameters and functional outcome. Journal of Back and Musculoskeletal Rehabilitation, Pre-press (Pre-press): 1–7. https://doi.org/10.3233/bmr-200067
31.Ozturk, B., Gunduz, O. H., Ozoran, K., & Bostanoglu, S. (2006). Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation. Rheumatology International, 26(7), 622–626. https://doi.org/10.1007/s00296-005-0035-x
32.Palaščáková Špringrová, I. (2011). The acral coactivation therapy (ACT). Čelákovice: Rehaspring 2011; 142 pp. ISBN 978-80-260-0912-2.
33.Palaščáková Špringrová, I. (2016) Straight back in athletes with acral dynamic-support excercises. Čelákovice: ACT centrum s.r.o., 110 pp. ISBN 978-80-906440-2-1.
34.Palaščáková Špringrová, I., Krejčová, A., Bendíková, E., Tomková, Š., Lubkowska, W., & Mroczek, B. (2020). Comparison of the impact of two physiotherapeutic methods on pain and disability in patients with non-specific low back pain: a controlled clinical pilot study. Family Medicine and Primary Care Review, 22(2), 146–151. https://doi.org/10.5114/fmpcr.2020.95323
35.Poková, P., Firýtová, R., & Šafrhansová, M. (2018). Use of Acral Coactivation Therapy elements for back pain. Zdravotnícke štúdie, 10(1), 46–49.
36.Samiei, S., Alefi, M., Alaei, Z., & Pourbabaki, R. (2019). Risk factors of low back pain using adaptive nero-fuzzy. AOH, 3(2), 339–345. http://dx.doi.org/10.18502/aoh.v3i2.672
37.Stefanakis, M., Key, S., & Adams, M. A. (2012). Healing of painful intervertebral discs: implications for physiotherapy. Physical Therapy Reviews, 17(1), 234–240. http://dx.doi.org/10.1179/1743288X12Y.0000000015
38.Steven, J. A., Tosteson, T. D., Blood, E. A., Skinner, J. S., Pransky, G. S., & Weinstein, J. N. (2009). The impact of workers' compensation on outcomes of surgical and nonoperative therapy for patients with a lumbar disc herniation (SPORT). Spine 35(1), 89–97. https://doi.org/10.1097%2FBRS.0b013e3181c68047
39.Tosteson, A. N. A., Skinner, J. S., Tosteson, T. D., Lurie, J. D., Andersson, G., Berven, S., Grove, M. R., Hanscom, B., & Weinstein, J. N. (2008). The cost effectiveness of surgical versus non-operative treatment for lumbar disc herniation over two years: Evidence from the spine patient outcomes research trial (SPORT). Spine, 33(19), 2108–2115. https://doi.org/10.1097/brs.0b013e318182e390
40.Turk, O., Antar, V., & Yaldiz, C. (2019). Spontaneous regression of herniated nucleus pulposus: The clinical findings of 76 patients. Medicine (Baltimore), 98(8), e14677. https://doi.org/10.1097/md.0000000000014667
41.Vagner, J., Palaščáková Špringrová, I., & Přikryl, P. (2017). Press-up movement patterns and their effect on pain in patients after implantation of total hip arthroplasty. Rehabilitace a fyzikální lékařství, 24(1), 4–10. http://dx.doi.org/10.5772/intechopen.76756
42.Vagner, J., Palaščáková Špringrová, I., Přikryl, P., Tomková, Š., & Rafi, M. (2018). Physical Therapy Based on Closed Kinematic Chain Patterns for Patients after Total Hip Replacement. Total Hip Replacement. London: IntechOpen, 161–181 pp. ISBN 978-1-78984-381-1. http://dx.doi.org/10.5772/intechopen.76756