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EXERCISE PROGRAM FOR CHRONIC LOW BACK PAIN BASED ON COMMON CLINICAL CHARACTERISTICS OF PATIENTS

Vjekoslav Grgić

Puni tekst: hrvatski, pdf (765 KB) str. 0-0 preuzimanja: 199* citiraj
APA 6th Edition
Grgić, V. (2014). PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI. Liječnički vjesnik, 136 (5-6), 0-0. Preuzeto s https://hrcak.srce.hr/172610
MLA 8th Edition
Grgić, Vjekoslav. "PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI." Liječnički vjesnik, vol. 136, br. 5-6, 2014, str. 0-0. https://hrcak.srce.hr/172610. Citirano 20.10.2019.
Chicago 17th Edition
Grgić, Vjekoslav. "PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI." Liječnički vjesnik 136, br. 5-6 (2014): 0-0. https://hrcak.srce.hr/172610
Harvard
Grgić, V. (2014). 'PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI', Liječnički vjesnik, 136(5-6), str. 0-0. Preuzeto s: https://hrcak.srce.hr/172610 (Datum pristupa: 20.10.2019.)
Vancouver
Grgić V. PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI. Liječnički vjesnik [Internet]. 2014 [pristupljeno 20.10.2019.];136(5-6):0-0. Dostupno na: https://hrcak.srce.hr/172610
IEEE
V. Grgić, "PROGRAM VJEŽBI ZA KRONIČNU KRIŽOBOLJU KOJI SE TEMELJI NA ZAJEDNIČKIM KLINIČKIM OBILJEŽJIMA BOLESNI", Liječnički vjesnik, vol.136, br. 5-6, str. 0-0, 2014. [Online]. Dostupno na: https://hrcak.srce.hr/172610. [Citirano: 20.10.2019.]

Sažetak
Aims. 1. To determine which clinical characteristics are common in patients with chronic low back pain (CLBP) and 2. To present an exercise program for CLBP composed on the basis of the common clinical characteristics of patients. The examinees and methods. In the prospective study, we have included 420 patients with nonspecific CLBP (group A), 420 patients with CLBP (with or without radicular pain) and degenerative changes of lumbosacral (LS) spine (group B) and 80 patients with CLBP after a lumbar disc herniation surgery (group C). The clinical characteristics of patients and especially the characteristics of the most important parameters for the selection of exercises have been evaluated by means of physiatric and manual functional examination. Results. The vast majority of patients had these common clinical characteristics:1. hypertonic/shortened lumbar extensors (A: 89,5%, B: 92%, C: 92,5%), 2. hypertonic/shortened psoas muscles (A: 83%, B: 90,5%, C: 92,5%), 3. restricted active (A: 71,4%, B: 89%, C: 94%) and passive (segmental) mobility (A: 86,4%, B: 92%, C: 95%) of LS spine, 4. painful active movements of LS spine (A: 44%, B: 88,6%, C: 95%), 5. scoliotic posture (more rarely scoliosis) usually in a combination with reduced/flattened lumbar lordosis (A: 87%, B: 89%, C: 90%), 6. hypotonic/weak gluteal (A: 51,2%, B: 68%, C: 82,5%) and abdominal muscles (A: 33,8%, B: 56,5%, C: 60%) and 7. shortened hamstrings (A: 70,7%; hamstrings flexibility testing in patients from groups B and C is unreliable because of a frequently positive Lasegue’s sign). In 6,7% of examinees from the group A, 4,8% examinees from the group B and 2,5% examinees from the group C, we have found LS spine hypermobility. Our exercise program for CLBP composed on the basis of the common clinical characteristics of the patients includes: 1. Stretching exercises for lumbar extensors, 2. Stretching exercises for psoas muscles, 3. Stretching exercises for hamstrings, 4. Strengthening exercises for abdominal muscles, 5. Strengthening exercises for gluteal muscles and 6. Flexion exercises for improvement of LS spine mobility. Conclusion. Our exercise program for CLBP comes unavoidably as a program of first choice in CLBP treatment. The main advantage of our program compared to standard programs is reflected in the targeted action on dysfunctional muscles and hypomobile facet joints. According to the results of our study, extension exercises for strengthening of lumbar extensors and hyperextension exercises for improvement of LS spine mobility are not appropriate for the majority of patients with CLBP

Ključne riječi
Low back pain – diagnosis, physiopathology, therapy; Exercise therapy – methods; Chronic disease

Hrčak ID: 172610

URI
https://hrcak.srce.hr/172610

[hrvatski]

Posjeta: 469 *