Tikhile Priya, Patil Deepali S, Jaiswal Pratik R
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Apr 20;16(4):e58632. doi: 10.7759/cureus.58632. eCollection 2024 Apr.
Chronic low back pain (CLBP) is a prevalent musculoskeletal condition characterized by persistent discomfort in the lumbosacral region lasting beyond 12 weeks. Individuals with CLBP often experience limitations in range of motion and compromised performance of affected body parts. Core muscle weakness/delayed activation and impaired lumbar proprioception are established contributors to CLBP. And influence balance dysfunction in CLBP patients. Exercise therapy is a cornerstone in the management of CLBP, aimed at enhancing muscular endurance, strength, and flexibility of the back muscles and soft tissues. However, the efficacy of exercise interventions depends on various factors including the type, intensity, frequency, and duration of exercises. This case report presents the rehabilitation of a corporate employee with a non-specific CLBP. The rehabilitation goals focused on improving balance, reducing disability, and alleviating pain. An integrated approach combining proprioceptive neuromuscular facilitation (PNF) with Consecutive Loop TheraBand (CLX) (The Hygenic Corporation, Akron, USA) along with traditional physical therapy techniques was implemented. PNF, a well-established technique, was chosen for its effectiveness in reducing disability and LBP while enhancing balance. The integration of PNF alongside conventional physiotherapy resulted in notable improvements, including increased lumbar flexion range following the rehabilitation period. This case underscores the importance of early initiation of comprehensive rehabilitation in CLBP patients to preserve strength, alleviate pain, reduce functional disability, and enhance balance. By addressing both the muscular and proprioceptive aspects of CLBP, this integrated approach aims to optimize outcomes in CLBP management.
慢性下腰痛(CLBP)是一种常见的肌肉骨骼疾病,其特征是腰骶部持续不适,持续时间超过12周。患有CLBP的个体通常会经历运动范围受限以及受影响身体部位的功能受损。核心肌肉无力/激活延迟和腰椎本体感觉受损是CLBP的既定促成因素,并会影响CLBP患者的平衡功能障碍。运动疗法是CLBP管理的基石,旨在增强背部肌肉和软组织的肌肉耐力、力量和柔韧性。然而,运动干预的效果取决于多种因素,包括运动的类型、强度、频率和持续时间。本病例报告介绍了一名患有非特异性CLBP的公司员工的康复情况。康复目标集中在改善平衡、减少残疾和减轻疼痛。实施了一种综合方法,将本体感觉神经肌肉促进法(PNF)与连续环形弹力带(CLX)(美国俄亥俄州阿克伦市的The Hygenic Corporation公司)以及传统物理治疗技术相结合。PNF是一种成熟的技术,因其在减少残疾和下腰痛同时增强平衡方面的有效性而被选用。PNF与传统物理治疗相结合带来了显著改善,包括康复期后腰椎前屈范围增加。本病例强调了CLBP患者早期开始全面康复以保持力量、减轻疼痛、减少功能残疾和增强平衡的重要性。通过解决CLBP的肌肉和本体感觉方面的问题,这种综合方法旨在优化CLBP管理的结果。