A comparison of the effects of high voltage pulsed current and lumbar stabilization exercises on physical performance

Abstract

Purpose: This study was performed to compare the effects of high voltage pulsed current and lumbar stabilization exercise on physical performance. Method: This study was included 30 healthy female subjects whose mean age was 20.4±0.9 years. The subjects were randomly divided into three groups. Lumbar stabilization exercises was applied to the first group (N=10), high voltage pulsed current with “abdominal hallowing” was applied to the second group (N=10), and the third group (N=10) was served as the control group. The physical performance level was assessed using repeated trunk flexion, repeated sit up, and 50 ft (15 m) walk before and after six weeks. Results: The physical performance level of group 1 and 2 improved significantly after six weeks (p<0.05), but a significant difference was not found between groups (p>0.05). Conclusion: Lumbar stabilization exercise programs and high voltage pulsed current can be used effectively to increase deep muscle function, and improve physical performance level. It is suggested that the lumbar stabilization exercises should be performed as long as three months to be more effective on physical performance level

Keywords

• Multifidus, Exercise, Electric stimulation

Yüksek voltaj kesikli akım ve lumbar stabilizasyon egzersizlerinin fiziksel performans üzerine etkilerinin karşılaştırılması

Abstract

Amaç: Bu çalışma, yüksek voltaj kesikli akım ve lumbar stabilizasyon egzersizlerinin fiziksel performans üzerine etkisini karşılaştırmak amacıyla yapıldı. Yöntem: Çalışmaya yaş ortalaması 20,4±0,9 yıl olan 30 sağlıklı kadın dahil edildi. Bireyler rastgele örneklem yöntemiyle 3 gruba ayrıldı. 1. gruba (N=10) lumbar stabilizasyon egzersizleri, 2. gruba (N=10) “abdominal hallowing” ile birlikte yüksek voltaj kesikli akım, 3.grup (N=10) ise kontrol grubu olarak alındı. Bireylerin uygulama öncesi ve 6 haftalık sürenin sonunda fiziksel performans seviyesi tekrarlı gövde fleksiyonu, tekrarlı oturup kalkma ve 50 adım (15 m) yürüme ile değerlendirildi. Bulgular: 6 haftalık uygulama sonunda 1. ve 2. gruptaki bireylerin fiziksel performans seviyeleri gelişme gösterirken (p0.05). Sonuç: Lumbar stabilizasyon egzersiz programları ve yüksek voltaj kesikli akım derin kas fonksiyonunun artırılmasında ve fiziksel performans düzeyinin geliştirilmesinde etkin bir şekilde kullanılabilir. Lumbar stabilizasyon egzersizlerinin fiziksel performans düzeyi üzerinde daha etkili olabilmesi için 3 ay gibi uzun sürelerde uygulanması gerektiği düşünülmektedir

Keywords

• Multifidus, Egzersiz, Elektrik stimulasyonu

References

1. Luo X, Pietrobon R, Sun SX, at al. Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine. 2004;29:79-86.
2. Jemmett RS. Rehabilitation of lumbar multifidus dysfunction in low back pain: strengthening versus a motor re-education model. Br J Sports Med. Feb 2003;37:91-94.
3. Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Archives of physical medicine and rehabilitation. 2000;81:1370-1379.
4. Arokoski JPA, Kankaanpaa M, Vatla T, et al. Back And Hip Extensor Muscle Function During Therapeutic Exercises. Arch Phys Med Rehabil. 1999;80:842-850.
5. Hides JA, Stanton WR, McMahon S, et al. Effect Of Stabilization Training On Multifidus Muscle Cross-Sectional Area Among Young Elite Cricketers With Low Back Pain. J Orthop Sports Phys Ther. March 2008;38:101-108.
6. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for firstepisode low back pain. Spine. June 2001;26:E243-248.
7. O'Sullivan PB, Phyty GD, Twomey LT, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine. 1997;22:2959-2967.
8. Baek SO, Ahn SH, Jones R, et al. Activations of deep lumbar stabilizing muscles by transcutaneous neuromuscular electrical stimulation of lumbar paraspinal regions. Ann Rehabil Med. 2014;38:506-513.

9. Baek SO, Cho HK, Jung GS, et al. Verification of an optimized stimulation point on the abdominal wall for transcutaneous neuromuscular electrical stimulation for activation of deep lumbar stabilizing muscles. Spine J. 2014;14:2178-2183.
10. Balogun JA, Onilari OO, Akeju OA, et al. High voltage electrical stimulation in the augementation of muscle strength: effects of pulse frequency. Arch Phys Med Rehabil. 1993;74:910-916.
11. Yakut E, Yakut Y, Kırdı N. Elektrik stimülasyon yöntemlerinin quadriceps femoris kasının kuvvetlendirilmesine etkisi. Fizyoter Rehabil. 1999;10:63-64.
12. Shrode LW. Treatment of facial muscle affected by Bell’s palsy with high-voltage electrical muscle stimulation. J Manipulative Physiol Ther. 1993;16:347-352.
13. Kırdı N, Baltacıoğlu S. Yüksek voltaj kesikli galvanik stimülasyon. Fizyoter Rehabil. 1998;5:504-513.
14. Smeets RJ, Hijdra HJ, Kester AD, Hitters MW, et al. The usability of six physical performance tasks in a rehabilitation population with chronic low back pain. Clin Rehabil. 2006;20:989-997.
15. Simmonds MJ, Olson SL, Jones S, Hussein T, et al. Psychometric characteristics and clinical usefulness of physical performance tests in patients with low back pain. Spine. 1998;23:2412-2421.
16. Richardson C, Jull G, Hodges P, et al. The Clinical Approach, “Therapeutic Exercise For Spinal Segmental Stabilization İn Low Back Pain. I. Baskı, Churchill Livingstone. 1999;105107.
17. Danneels LA, Vanderstraeten GG, Cambier DC, et al. 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;35:186-191.
18. Koumantakis GA, Oldham JA, Winstanley J. Intermittent isometric fatigue study of the lumbar multifidus muscle in four-point kneeling: an intra-rater reliability investigation. Man Ther. 2001;6:97-105.
19. Filiz M, Çakmak A, Özcan E. The effectiveness of exercise programmes after lumbar disc surgery: a randomized controlled study. Clin Rehabil. 2005;19:4-11.
20. Teixeira da Cunha-Filho I, Lima FC, Guimarães FR, et al. Use of physical performance tests in a group of Brazilian Portuguese-speaking individuals with low back pain. Physiother Theory Pract. 2010;26:49-55.
21. Magnussen LH, Strand LI, Eriksen HR. Physical and mental functioning in disability pensioners with back pain. J Musculoskelet Pain. 2009;17:37-47.
22. Moon HJ, Choi KH, Kim DH, et al. Effect of lumbar stabilization and dynamic lumbar strengthening exercises in patients with chronic low back pain. Ann Rehabil Med. 2013;37:110117.
23. Xueqiang W, Jiejiao Z, Xia B, et al. Effect of core stability training on patients with chronic low back pain. HealthMED. 2012;6:754-759.
24. Coghlan S, Crowe L, McCarthypersson U, et al. Neuromuscular electrical stimulation training results in enhanced activation of spinal stabilizing muscles during spinal loading and improvements in pain ratings. Conf Proc IEEE Eng Med Biol Soc. 2011;2011:7622-7625.
25. Aggarwal A, Kumar S, Kalpana Z, et al. The relationship between core stability performance and the lower extremities static balance performance in recreationally active individuals. Nigerian Journal of Medical Rehabilitation. 2012;15:11-16.
26. Willson JD, Dougherty CP, Ireland ML, et al. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13:316-325.
27. Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. J Strength Cond Res. 2011;25:252-261.
28. Yakut E, Yağlı VN, Akdoğan A, et al. Diz osteoartriti olan hastalarda Pilates egzersizlerinin rolü: bir pilot çalışma. Fizyoter Rehabil. 2006;17:51-60.
29. Erdoğanoğlu Y, Günel MK, Çetin A. Kronik bel ağrısı olan kadınlarda farklı egzersiz programlarının etkinliğinin araştırılması. Fizyoter Rehabil. 2012;23:125-136.
30. Kumar S, Sharma VP, Negi MP. Efficacy of dynamic muscular stabilization techniques (DMST) over conventional techniques in rehabilitation of chronic low back pain. J Strength Cond Res. 2009;23:2651-2659.