Syed Yadulla, Hassan Mohamed Abubakr, Kalayil Rashmi Muthira, Othman Othman Ahmad, Mekkodathil Ahammed, El-Menyar Ayman
Department of Physiotherapy, Hamad Medical Corporation, Doha 3050, Qatar.
Department of Surgery, Hamad Medical Corporation, Doha 3050, Qatar.
World J Orthop. 2025 May 18;16(5):104425. doi: 10.5312/wjo.v16.i5.104425.
Low back pain (LPB) is a common and impactful health concern globally, affecting individuals across various demographics and imposing a significant burden on the health care system. Nonspecific chronic LBP (NCLBP), characterized as pain lasting over 12 weeks without an identifiable cause, leads to notable functional limitations and reduced quality of life. Traditional rehabilitation programs, often focusing on dynamic exercises for lumbar strengthening, typically do not target the deep stabilizing muscles crucial for lumbar support and effective recovery. Multi-angular isometric lumbar exercise (MAILE) offers a low-impact method for strengthening lumbar stabilizers through multi-angular isometric contractions, reducing risks from dynamic movements. This article examines MAILE's potential in addressing motor control dysfunctions in NCLBP, highlighting studies on lumbar muscle activation, core stability, and isometric exercises. The article explores the prevalence and socioeconomic impact of NCLBP in the Middle East, highlighting the need for affordable treatment options in areas like Qatar and Saudi Arabia. This article aims to validate the efficacy of MAILE in reducing pain, enhancing mobility, and improving lumbar stability, offering a valuable option for NCLBP management. Future research should focus on large-scale clinical trials to substantiate these findings and guide clinical practice.
下腰痛(LPB)是全球常见且影响重大的健康问题,影响着不同人口统计学特征的个体,并给医疗保健系统带来巨大负担。非特异性慢性下腰痛(NCLBP)的特征是疼痛持续超过12周且无明确病因,会导致明显的功能受限和生活质量下降。传统的康复计划通常侧重于进行动态锻炼以增强腰椎力量,但通常并未针对对腰椎支撑和有效恢复至关重要的深层稳定肌肉。多角度等长腰椎锻炼(MAILE)提供了一种低冲击力的方法,通过多角度等长收缩来增强腰椎稳定肌,降低动态运动带来的风险。本文探讨了MAILE在解决NCLBP运动控制功能障碍方面的潜力,重点介绍了关于腰椎肌肉激活、核心稳定性和等长锻炼的研究。本文还探讨了中东地区NCLBP的患病率及其社会经济影响,强调了卡塔尔和沙特阿拉伯等地区对经济实惠的治疗选择的需求。本文旨在验证MAILE在减轻疼痛、增强活动能力和改善腰椎稳定性方面的疗效,为NCLBP的管理提供一个有价值的选择。未来的研究应侧重于大规模临床试验,以证实这些发现并指导临床实践。