Journal of Anesthesiology and Pain

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Aim and Background: The purpose of this study was to compare the effects of massage therapy, stability exercise and combination exercise on improvement of chronic low back pain Methods and Materials: In this study, 30 patients with chronic low back pain with an average age of 33.44±9.02 years participated. Patients were randomly divided into three groups: massage, stability and combination. The protocol consisted of training for 8 weeks, three days a week and each session was about an hour.Patients for 12 sessions (4 weeks, or every other day), protocols massage, stability exercises and combination with supervision therapists received. Findings:The results of this study showed that the studied methods significantly (P<0.05) decreased the pain and improved function compared to the pre-test. Also significant difference was observed between groups (P<0.05). Conclusions: the results showed that stabilization training combined with massage therapy is more effective than using each alone.

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Aims and Background: The purpose of this study was to investigate the short-term effects of massage, stability and combination exercise on dynamic stability in patients with chronic non-specific low back pain during the sitting to standing task. Materials and methods: In this study, 30 patients with chronic low back pain with an average age of 33.44±9.02 years participated. Patients were randomly divided into three groups of ten: massage, stability and combination exercises. Patients received protocols of massage, stability, and combination exercises for 12 sessions (4 weeks, on every other day) under supervision of therapists. Findings: The results of this study showed that after stabilization and combination exercises, there was significant difference between pre and post test in Rising Index and COG Sway Velocity variables. Conclusions: The results showed that combination of massage with stability exercise is more effective than using either one alone.

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 Aims and background: The purpose of this study was to investigate the effect of a session of suspended exercise using a tool designed for pain and characteristic of intervertebral disc of the lumbar vertebrae. Materials and methods: This is a quasi-experimental study with a pretest-posttest design. The subjects consisted of 12 men with chronic low back pain caused by lumbar disc herniation in L4-L5 and L5-S1 regions. After assessing the degree of pain using Visual Analog Scale and determining the structural characteristic of intervertebral by using magnetic imaging resonance, the subjects performed suspension exercises using the designed chair over a 30-min session. At the end of session, the pain and disc herniation of discs were re-assessed. For data analysis, the paired t-test and Wilcoxon tests were applied at a significant level of p≤0.05.  Findings: The results indicated significant changes in the degree of pain in the pre and post-test stages, so that a remarkable pain relief was observed in the post-test. In relation to the structural characteristics of the intervertebral disc, despite the apparent changes in the mean of collected data, the results did not reveal any significant change between pretest and posttest. Conclusion: Considering the beneficial effects of the designed device with respect to pain alleviation and thus reduced using of sedatives and anti-inflammatory drugs, this method can be helpful at the early treatment stages for chronic pains.

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Backgrund: Nowadays, core stability exercises are very important for performance enhancement, injury prevention and post-injury rehabilitation. The aim of this study was to investigate the effect of six weeks of selected core stability exercises on lumbar curvature and functional movement screening test of women with lower crossed syndrome in Covid Pandemic 19.
Methods: The present study is a quasi-experimental study with pretest-posttest design. The statistical population of the study was women aged 20 to 30 years (12 people) and 40 to 50 years (12 people) in Mashhad. The subjects' lordosis arch was examined with a flexible ruler and angles greater than 30 degrees were selected as hyperlordosis. Then FMS test was performed. Both groups performed selected core stability exercises for 6 weeks. Lumbar curvature and FMS test were measured at the end of 6 weeks of training intervention. Paired t-test was used to evaluate the effect of central stability exercises on two groups of 20-30 and 40-50 years. Also, analysis of covariance was used to compare the effect of central stability exercises between the two groups of 20-30 and 40-50 years.
Results: The results showed a significant reduction in the lordosis angle of women in both groups after six weeks of selected core stabilization exercises (P<0/05). Also, the results obtained from FMS test showed a significant improvement in this test in both groups after six weeks of training intervention (P<0/05). The effect of central stability exercises on both groups of 20-30 and 40-50 years of age was similar for both lordosis variables and FMS test.
Conclusion: According to the results of the present study, performing core stability exercises can play an important role in reducing lordosis angle and correcting dysfunctional movement patterns and improving performance. And because they do not require a long time in each training session, they can be used continuously throughout life, it can also be run at home due to the spread of the Corona virus. Therefore, this protocol can be used as an alternative to bulky and time-consuming exercises.
 

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Introduction: Back pain is one of the most important and common musculoskeletal problems, which has a high prevalence in different societies. And it is one of the main reasons for living with a general disability. The purpose of this review article was to investigate the validity of dynamic neuromuscular stability (DNS) exercises on non-specific chronic low back pain. Materials and methods: search with related keywords in all years and internet databases using search engines, PubMed, Google Scholar, Science Direct, and PEDRO with the keywords dynamic neuromuscular stability (DNS) exercise, non-specific chronic low back pain exercise was done. Abbreviations were also examined and researched in search databases. In addition to this list of sources, each article was identified and evaluated in order to identify additional information. Further, Studies investigating the effect of neuromuscular stability exercises were included in the study. The PEDro scale was used to check the quality of the articles entered. Results: A total of 35 studies were reviewed, of which four studies that met the inclusion criteria (score higher than 5 on the Pedro scale) were selected for review. There were many differences in the methodology, the main index to be evaluated, the number of samples, the implementation method, and the way to evaluate the variables, etc. in the studies. In people with chronic back pain, performing neuromuscular stability exercises has reduced pain and improved motor function. Conclusion: The present study showed that central neuromuscular dynamic stability exercises as a specific therapeutic exercise method can reduce pain, and disability, improve balance and improve muscle endurance and range of motion in patients with non-specific chronic low back pain.

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Background and objective: Low back pain is known as the main cause of disability worldwide. The purpose of this review article was to review the effects of Pain Neuroscience Education(PNE) along with core stability exercises on patients with chronic low back pain. Materials and Methods: In this narrative study, we reviewed randomized controlled trials (RCTs) that investigated the effects of PNE along with core stability exercises on chronic low back pain from 2000 to 2024. We searched six electronic databases, including Scopus, PubMed, Web of Science, Science Direct, Google Scholar, and PEDRO, to review the literature and background studies. The search terms included "low back pain", "Core stability", "Pain Neuroscience Education", Motor control. The PEDro scale was used to evaluate the methodological quality of the articles. Findings: 77 studies were reviewed, of which five studies that met the inclusion criteria were selected for review. RCTs showed that PNE along with core stability exercises reduces pain, increases functional ability, and improves psychological components, as well as improving other important factors, including improving strength and flexibility in people with low back pain. Conclusion: The results of this study show that the synergy between these two interventions may be associated with the simultaneous reduction of pain, improvement of functional capacity and reduction of psychological distress. However, research combining the effects of these interventions is limited and should be interpreted with caution due to methodological limitations.