جستجوی مقالات مرتبط با کلیدواژه « therapeutic exercise » در نشریات گروه « پزشکی »

The quadratus lumborum muscle is a key contributor to chronic back pain. This muscle typically causes a dull and vague pain in the lower back. The aim of this systematic review was to evaluate the effectiveness of exercise programs targeting the quadratus lumborum muscle in patients with chronic non-specific low back pain.

A systematic search was conducted for English-language papers published between 2010 and 2023 in databases such as PubMed, Scopus, and Web of Science using keywords like "quadratus lumborum," "chronic low back pain," and "therapy." The methodological quality of the studies was assessed using the Physiotherapy Evidence Database (PEDro) Scale.

Out of 372 retrieved studies, 275 were excluded based on title and abstract screening, 58 were excluded after full-text review, and 28 were excluded for not meeting inclusion criteria. Ultimately, 10 studies were included. The results indicated a significant difference in pain intensity, active lateral bending, trigger points of the quadratus lumborum muscle, and disability index among participants engaging in therapeutic exercises (P<0.05).

Myofascial release, stretching techniques, flexibility exercises, pilates exercises, and central stability exercises targeting the quadratus lumborum muscle can alleviate pain and improve functional disability in patients with non-specific chronic back pain. These interventions can also enhance posture, sleeping positions, ergonomics during daily activities like bending, lifting, and turning, ultimately reducing pain levels in affected individuals.

Altered scapular posture and alteration of cervicobrachial muscle recruitment patterns are reported as potential risk factors for neck pain. Changes in scapular and clavicle during scapular disorders can potentially affect cervical spine biomechanics by altering axillary scapular muscle tension. Therefore, this study aimed to investigate the effect of active scapular training on pain, disability, neck range of motion and the scapular alignment in people with chronic neck pain.

In this clinical trial study, 24 eligible patients were selected and randomly divided into two equal groups of 12, active scapular training and control groups. Pain, disability, neck range of motion, and scapular rotation indices were measured before and after the same procedure by visual analogue scale, Neck Disability Index Questionnaire, MyoMotion 3D, and Caliper, respectively. Data were analyzed using Repeated Measures ANOVA and paired t-test in SPSS version 19, at a significance level of 0.05.

Significant decrease in pain (P=0.001) and disability (P=0.001) and significant increase in neck range of motion (P=0.001) and scapular downward rotation index (P=0.027) were observed in the intervention group compared to the control group.

The findings of this study support the hypothesis that returning the scapular to normal and focusing exercise on it may reduce pain and disability and increase range of motion in people with chronic neck pain.

Knee osteoarthritis is one of the most common musculo-skeletal problems and can effect on patient's daily activity and produce dependency in their daily activity and functional disability such as including the balance of these patients. Therefore, the aim of this research is to investigate the effect of a period of therapeutic exercise and detraining after that on balance in the women with knee OA.
This research was a semi-empirical and applied on 24 inactive female patients with osteoarthritis of the knee with a physician's diagnosis and entering in Research. Subjects randomly classified into two groups, the therapeutic exercise and control. The Biodex Balance machine was used to determine static and dynamic balance in patients with pre-test and post-test in order to stabilize the situation and jeopardize. After pre-test in order to evaluate the durability of training, the tests were repeated after one months of detraining experimental group subjects. The therapeutic exercise protocols executed on subjects over 20 sessions (4 weeks and duration of each session about 60 minutes). During this time, the control group did not do any practice. The raw data was analyzed by SPSS version19. Friedman test and wilcoxon were used.
Application of one course of treatment on the static balance: the overall stability and also dynamic balance of women with knee OA was significantly affected of (P ≤ 0/05). Also, one month detraining after of the training period showed lasting improvement of balance (static-dynamic).
Based on the results of the present research, execution of period of 4 weeks in therapeutic exercise can significantly effect on balance improvement in women with knee OA. This change will be stable after one month of detraining. Therefore, therapeutic exercise even in a short period of 4 weeks can be advised to be effective way to cure and improve balance in patients.

Knee Osteoarthritis (OA) as one of the most prevalent musculoskeletal disorders, leads to joint degeneration and consequent deterioration of function and proprioception. The aim of this study was to investigate the effects of Pilates exercise on knee OA. Forty-one male individuals were randomly categorized into three groups, including Pilates, conventional exercise therapy, and control. Proprioception, objective assessment of functional performance, and patients’ pain and disability were examined using Biodex system, aggregate time of four activities of daily living, and Lequesne Index. Descriptive statistical, One-Way ANOVA, and Scheffe test were utilized to analyze the data (P<0.05). The result of descriptive analysis of demographic data was as follow: (Mean±SD: Age 52.1±8.9 years, Time of knee OA involvement 23.3±11.2 months). While there was no significant (P>0.05) difference between the experimental groups in improving of functional status and angle reproduction error, they both resulted in more significant (P<0.001) influence than the control. However, significant improvement (P<0.001) in Lequesne Index was gained by participants who followed the exercise protocols, but the Pilates technique had more significant (P<0.05) effects. Pilates training can improve functional ability and proprioception in patients with knee OA. Further studies are required to find out the mechanism.

Chronic low back pain due to disc herniation is one of the common diseases in the community. In addition to the pain caused by this problem, which is a major complication, decreased and defective physical performance in daily living are other major concerns. To investigate the effect of combined therapeutic protocol (therapeutic exercises and massage) on the pain and physical performance in the patients with chronic low back pain due to the lumbar disc herniation. We conducted a quasi experimental study in two experimental and control groups, each composed of 15 male patients with chronic low back pain. Experimental group were undergone the combined protocol for eight weeks. Control group received no therapeutic protocol during the study period. Subjects’ physical performance was assessed through measuring the duration of five tests which have been modeled based on patients’ daily activities. Visual Analog Scale (VAS) was used to measure pain score. Wilcoxon and t student tests were used for data analysis. The mean score of age, weight, height and Body Mass Index of the subjects were 41.61±4.99 years, 78.55±11.3 kg, 175.81±5.98 cm and 25.36±2.97 kg/m2, respectively. The experimental group showed a significant difference in terms of physical performance (31/41 ± 3/14, p=0/002) and pain score (2/85 ± 1/83, p=0/003). Based on the results, combined therapeutic protocol can be used to improve physical performance and to reduce pain in patients suffering from chronic low back pain due to disc herniation.

Delayed Onset Muscle Soreness (DOMS) is a common strain resulting during therapeutic exercise with eccentric contractions. This pain can result in loss of interest by the patient and eventually in cancellation of the routine. The purpose of the present study was to determine whether vibration could have an affect on delayed onset muscle soreness. We hypothesized that the vibration training would decrease DOMS. Subjects comprised of 30 male athletes aged 18-26 years. The athletes were involved in regular sports activities since at least three years. Subjects were assigned randomly into two VT (n=15) and Non-VT (n=15) groups. The measurements included the flexed knee angle (FANG), pressure pain threshold (PPT), muscle soreness (SOR) of right quadriceps muscle and maximal isometric force (MIF) of both quadriceps muscles together (Base-line). A vibrator was used to apply 50 Hz vibration on the left and right quadriceps muscles for 1 min in the VT group. Then both groups trained eccentric exercise. All parameters were determined again 24 hours post-exercise (After- activity). All subjects showed a loss in MIF, decrease in PPT, FANG and increase in SOR 24h after eccentric exercise (p=0/000). But the parameters were statistically significantly different in the VT and Non-VT groups [MIF (p=0/000), PPT (p=0/001), FANG (p=0/02), SOR (p=0/003)]. Therapeutic exercise with eccentric contractions results in DOMS, but vibration training before exercise is effective and beneficial in decreasing DOMS.