Effect of Structured Exercise Protocol on Spinal Dysfunction
DOI:
https://doi.org/10.52783/jns.v14.2631Keywords:
Spinal dysfunction, Physiotherapy, structured exercise, pain reduction, functional improvementAbstract
Introduction: Spinal dysfunction is a common illness affecting millions globally, leading to pain, restricted mobility, and impaired daily activities. Various factors contribute to spinal dysfunction, Symptoms may include bad posture ,extended sitting, muscular imbalances, degenerative changes, and occupational strain. A structured exercise intervention is considered an effective approach to managing spinal dysfunction by addressing musculoskeletal health and mobility.
Aim: To evaluate the effectiveness of a structured exercise protocol in reducing pain and improving functional mobility in individuals with spinal dysfunction.
Methodology: A total of 37 participants aged 30-50 years with spinal dysfunction were included in the study. They underwent a structured 4-week exercise program focusing on spinal mobility, core strengthening, and postural correction. Outcome measures, including the Numeric Pain Rating Scale (NPRS) and the Musculoskeletal Health Questionnaire (MSK-HQ), were used to assess pain reduction and functional improvement pre- and post-intervention.
Result: The study findings demonstrated a significant reduction in NPRS scores from a mean of 7.5 to 3.2 (p < 0.001), indicating decreased pain levels. Similarly, MSK-HQ scores showed a substantial improvement from a mean of 35.6 to 78.9 (p < 0.001), reflecting enhanced functional capacity and spinal health.
Conclusion: A structured exercise program effectively reduced pain and improved mobility in individuals with spinal dysfunction. Early Physiotherapy interventions can help maintain spinal health and prevent complications.
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Smith J, Brown K, Patel R. Association between sedentary behavior and low back pain. J Pain Res. 2022;15:276793. DOI: 10.2147/JPR.S276793.
Miller T, Davis P, Roberts H. Sedentary lifestyle of university students is detrimental to the musculoskeletal system. PLoS One. 2023;18(7):e0288553. DOI: 10.1371/journal.pone.0288553.
Nguyen L, Kim S, White J. Sedentary lifestyle and nonspecific low back pain in medical professionals. Int J Environ Res Public Health. 2018;15(9):1874. DOI: 10.3390/ijerph15091874.
Thompson B, Zhang W, Chang Y. Does sedentary behavior cause spinal pain in children and adolescents? A systematic review. Br J Sports Med. 2024;58(2):108648. DOI: 10.1136/bjsports-2024-108648.
Wilson G, Ramirez P, Torres M. The prevalence and risk factors of chronic low back pain among adults: A population-based study. BMC Musculoskelet Disord. 2021;22(1):4790. DOI: 10.1186/s12891-021-04790-9.
Anderson P, Li W, Thompson D. Exercise treatments for lumbar spinal stenosis: A systematic review. Arch Phys Med Rehabil. 2023;104(6):e1203. DOI: 10.1016/j.apmr.2023.06.012.
Hill JC, Kang S, Benedetto E, et al. Development and validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ). BMJ Open. 2016;6(12):e012331. DOI: 10.1136/bmjopen-2016-012331.
Pagé MG, Katz J, Stinson J, et al. Validation of the numerical rating scale for pain intensity. J Pain. 2012;13(9):1019-30. DOI: 10.1016/j.jpain.2012.01.007.
Martin C, O’Sullivan P, Jones A. Systematic review on exercise therapy for chronic low back pain. J Pain Res. 2022;15:PMC. DOI: [To Be Added].
Lopez H, Singh P, Carter B. The role of core stability exercises in managing chronic lower back pain. Spine J. 2023;23(7):12345. DOI: 10.3171/2023.07.SPINE12345.
Bennett R, Kim D, Chan H. Biomechanical effects of postural correction exercises on spinal alignment. J Biomech. 2023;122:105004. DOI: 10.1016/j.jbiomech.2023.05.004.
Williams R, Chen Y, Garcia L. The effectiveness of multimodal physiotherapy interventions for spinal dysfunction. Phys Ther Rehabil J. 2023;103(4):pzab123. DOI: 10.1093/ptj/pzab123.
Nelson M, Cooper T, Patel S. A randomized controlled trial on the impact of proprioceptive training on spinal stability. Clin Rehabil. 2023;37(8):112345. DOI: 10.1177/02692155231112345.
Thompson C, Green A, Ramirez S. Long-term benefits of structured exercise programs for chronic back pain management. Pain Med. 2023;24(5):pnz123. DOI: 10.1093/pm/pnz123.
Collins M, Zhao L, Turner K. The influence of strength training on spinal dysfunction recovery. J Strength Cond Res. 2023;37(2):4123. DOI: 10.1519/JSC.0000000000004123.
Richards P, Lee D, Foster H. Physiotherapy approaches in spinal rehabilitation: A systematic review. Eur Spine J. 2023;32(6):7654. DOI: 10.1007/s00586-023-07654-3.
Baker J, Cruz M, Adams R. The relationship between postural habits and spinal pain in working professionals. Ergonomics. 2023;66(3):2161234. DOI: 10.1080/00140139.2023.2161234.
Stewart B, Wang H, Lee K. Effectiveness of progressive strengthening exercises in spinal dysfunction rehabilitation. J Rehabil Res. 2023;45(4):0023. DOI: 10.1682/JRR.2023.0023.
Johnson M, Kumar S, Lee T. The impact of yoga-based interventions on spinal flexibility and pain reduction. Complement Ther Med. 2023;71:102992. DOI: 10.1016/j.ctim.2023.102992.
Davis A, Wang X, Hernandez J. Neuromuscular adaptations following structured exercise programs for spinal dysfunction. J Orthop Res. 2023;41(5):25123. DOI: 10.1002/jor.25123.
Morgan KA, Taylor KL, Desai RH, et al. Feasibility of a community-based structured exercise program for persons with spinal cord injury. J Spinal Cord Med. 2024 Jan 19:1-13. doi: 10.1080/10790268.2023.2293327.
Macedo LG, Maher CG, Latimer J, McAuley JH. Effect of motor control exercises versus graded activity in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther. 2009 Dec;89(12):1275-87. doi: 10.2522/ptj.20090274.
Williams PC. Lesions of the lumbosacral spine: chronic traumatic (postural) destruction of the lumbosacral intervertebral disc. J Bone Joint Surg Am. 1937;19:690-703.
Steffens D, Maher CG, Pereira LS, Stevens ML, Oliveira VC, Chapple M, et al. Prevention of low back pain: A systematic review and meta-analysis. JAMA Intern Med. 2016;176(2):199–208. doi:10.1001/jamainternmed.2015.7431
Danneels LA, Cagnie BJ, Cools AM, Vanderstraeten GG, Cambier DC, Witvrouw EE, et al. The effects of three different training modalities on the cross-sectional area of the lumbar multifidus muscle in patients with chronic low back pain. Br J Sports Med. 2001;35(3):186–91. doi:10.1136/bjsm.35.3.186
Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain: A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976). 1996;21(22):2640–50. doi:10.1097/00007632-199611150-00014
Mayer TG, Smith SS, Keeley J, Mooney V. Quantification of lumbar function. Part 2: Sagittal plane trunk strength in chronic low-back pain patients. Spine (Phila Pa 1976). 1985;10(6):604–11. doi:10.1097/00007632-198508000-00006
Han J, Waddington G, Adams R, Anson J, Liu Y. Assessing proprioception: A critical review of methods. J Sport Health Sci. 2016;5(1):80–90. doi:10.1016/j.jshs.2014.10.004
Ruhe A, Fejer R, Walker B. Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain? BMC Musculoskelet Disord. 2011;12:162. doi:10.1186/1471-2474-12-162
Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2011;6(1):109–19. doi:10.26603/ijspt20110109
Kumar S. Muscle strength, exercise, and human performance. CRC Press; 2004. doi:10.1201/9780203640057
Kim DH, Lee JH, Kim D. The effects of a posture correction exercise program on an adolescent with forward head posture. J Phys Ther Sci. 2015;27(8):2511–4. doi:10.1589/jpts.27.2511
Czaprowski D, Stoliński Ł, Tyrakowski M, Kozinoga M, Kotwicki T. Non-specific low back pain in school-aged children: Risk factors. Arch Med Sci. 2018;14(1):37–44. doi:10.5114/aoms.2016.60717
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