Comparative analysis of lumbar stabilisation exercises Versus general spinal exercises in the rehabilitation of lumbar disc prolapse

Rejaneesh Kumar, S (2012) Comparative analysis of lumbar stabilisation exercises Versus general spinal exercises in the rehabilitation of lumbar disc prolapse. Masters thesis, RVS College of Physiotherapy, Coimbatore.


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INTRODUCTION : Disc prolapse is a medical condition affecting the spine due to trauma, lifting injuries or idiopathic, fibrous ring (annulus fibrosus) of an inter vertebral disc that allows the soft central portion (nucleus pulposus) to bulge out beyond the damaged outer rings. Tears are almost always posteriolateral in nature owing to the presence of the posterior longitudinal ligament in the spinal canal. The intensity may range from mild to severe and may fluctuate. The pain may radiate into one or both buttocks or even into the whole lower limb. Statement of problem : To find out the comparative analysis of lumbar stabilization exercises versus general spinal exercises in the rehabilitation of disc prolapsed. Need for the study : The most common work related injury in India every year is low back pain. At least 40 % of individuals experience a significant episode of disc prolapsed at some point in their lives. Hence this study was conducted to find out the optimal treatment strategy for lumbar disc prolapse. METHODS : Study design - Study design was pre test and post test Experimental study. Study setting - JJ Hospital, Kayamkulam, Kerala. Sampling - Based on the following criteria 20 patients who had lumbar disc prolapse for duration of up to 8weeks were selected for the study and they were randomly divided in to two treatment group. Inclusion criteria - Clinically Diagnosed as Acute disc prolapse (for up to 8 week duration), Age between 30 and 40 years, Both males and females. Exclusion criteria - Chronic disc prolapse (for more than 8 weeks of duration) Infections such as osteomylitis, TB, Spinal vertebral fracture, Cancer involving the spinal cord, Arthritic condition such as Osteo Arthritic and Rheumatoid arthritis. RESULTS : When comparing both group values of extension range by unpaired ‘t’ test the calculated t value is 3.12 and ‘t’ table value is 2.101 at 0.005 level. Here since the calculated ‘t’ value is more than ‘t’ table value, it is concluded that there is significant difference among lumbar stabilization exercises and general spinal exercises in lumbar disc prolapsed subjects. Hence the alternate hypothesis is accepted and null hypothesis is rejected. CONCLUSION : The study was conducted with the aim to compare the effectiveness of Lumbar stabilization exercise and general spinal exercise on patients with Lumbar disc prolapse. Participation between the age group of 30-40 years were selected and divided into two groups, one Group receiving Lumbar stabilization exercise and other Group receiving General spinal exercise. Based on the statistical analysis, both the groups relieve pain and increases lumbar flexion and extension range of motion but the Lumbar stabilization exercise is significantly more effective than General spinal exercise in categories such as pain relief and lumbar range of motion. Hence, we concluded that Lumbar stabilization exercise is effective in relieving pain and increases lumbar flexion and extension range of motion.

Item Type: Thesis (Masters)
Uncontrolled Keywords: lumbar stabilisation exercises ; general spinal exercises ; rehabilitation ; lumbar disc prolapsed ; Comparative analysis.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Subramani R
Date Deposited: 03 Sep 2017 02:37
Last Modified: 03 Sep 2017 02:41

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