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Trunk Balance Exercises and Strength Training Exercises in the Management of Pain and Disability Among the Chronic Low Back Pa in Individuals

Abstract

Bhojan Kannabiran, Sweshadev Nayak and Ramasamy Nagarani

LBP has been described as twentieth century health care disaster. Eighty percent (80%) of all adults have significant low back pain in their life time. The incidence of low back disability appears to have dramatically increased in Western society since about 1970. This is not indicative of an increase in prevalence of LBP but rather of an increase in work loss, sick certification, compensation, and a long-term disability awards. Almost anyone born today in Europe and North America has a great chance of suffering disabling back injury regardless of occupation. In the United States, LBP is the most common reason for activity limitation under the age of 45, and approximately 2% of the work force receives compensation for LBP annually. An estimated 1.3 billion days a year are lost from work because of LBP. Question and objective: To assess the role of exercises in chronic low back pain individuals. The purpose of this study: The purpose of this study is to validate and compare the effects of trunk balance exercises along with flexibility exercises and Strength training exercises along with flexibility exercises on pain and disability among chronic low back pain (CLBP) subjects. Design: Pre-test and post-test experimental study design. Participants: Chronic low back pain patients in the age group between 30-40 years, both males and females were included in the study predominantly White collar occupation. Intervention: Trunk balance exercises along with flexibility exercises for experimental group I and Strength training exercises along with flexibility exercises for experimental group II. Outcome measures: Pain was measured using visual analogue scale and Disability using Roland Morris Low Back Pain and Disability Questionnaire (RMQ). Results and Conclusion: Strength training exercises of the trunk and limbs along with flexibility exercises and Trunk balance exercises along with Flexibility exercises were effective in reducing pain and improving disability among CLBP subjects. When compared between groups between interventions there is no significant difference in reducing pain among chronic low back pain subjects (group A-trunk balance exercises along with flexibility exercises and group B-strengthening along with flexibility exercises) whereas there is significant difference between the groups in decreasing disability and so the trunk balance exercise with flexibility exercises is a superior choice in management of chronic low back pain.