Lbp Case Study

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COMPARE THE EFFECTIVENESS OF EMG BIOFEEDBACK ASSISSTED CORE STABILITY EXERCISES VERSUS CORE STABILITY EXERCISES ALONE ON PAIN AND DISABILITY IN PATIENTS WITH LOW BACK PAIN. Gurkirat Kaur, MPT Student, DAV Institute of Physiotherapy and Rehabilitation, Jalandhar. Pravin Kumar, MPT, Associate Professor, DAV Institute of Physiotherapy and Rehabilitation, Jalandhar. ABSTRACT BACKGROUND- Low Back Pain (lbp) is a health related problem than affects 80% of the population within the age limit of 15 to 45 years. The primary treatment used for patients with lbp includes muscle strengthening along with thermotherapeutic modalities. Thus the purpose of the study is to see the efficacy of EMG biofeedback assisted core stability exercises…show more content…
Group B patients were treated with EMG Biofeedback assisted core stability exercise, showed better recovery than Group A which is supported by the study conducted by Moritiani and Devries(1979) hypothesized that use of biofeedback in recognition of facilitation pattern is responsible for increasing the work of motor neurons that helps in improving strength and endurance.8 Radebold A (2000) stated that to maintain stability of lumbar spine, muscle recruitment and timing pattern play an important role. So in Group B exercises emphasizing on EMG biofeedback assissted lumbar multifidus contraction were preferred which proved to yield better results as compared to Group A.9 Basmajian (1983) has proposed that subjects can control the discharging and recruitment of motor units using auditory and visual cues.10 One may hypothesize that the visual cues from the biofeedback unit enabled the group B to consciously and precisely control the exercise at sub maximal threshold level. Therefore one can conclude from the work of Basmajian that greater gains in Group B were gained rather than Group A where biofeedback was not…show more content…
The possible explanation for this improvement is due to EMG biofeedback can make the patient feel more in control of the pain since there be a way to influence and thus reduce the pain levels. EMG biofeedback assisted core stability exercise programme strengthen the back muscles thus reducing the disability percentage. A similar study done by Ahmed H et al.(2013), on efficacy of electromyography biofeedback training on trunk stability in chronic low back pain also showed a significant improvement in endurance and pain. It thus provides visual feedback to the patient exercise performance in the form of maximal voluntary contraction of para vertebral muscles during exercises.11 On the other hand Group A also showed significant improvement in levels of pain and disability. Core stability exercise helped patients to reduce pain and disability. The mechanism behind decrease in % of disability was reduction of pain and improvement in the ADL component thus increases in activity. There was another similar study done to by Inani SB et al.(2013), on effect of core stabilization versus conventional exercises on pain and functional status in non-specific lbp patients explaining the same cause for

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