The effects of walking on spinal mobility of the patient with lumbar syndrome
walking and LBP
Keywords:lower back pain, visual analogue scale, Schober test, kinesiotherapy, walking.
Introduction/Objective Lumbar syndrome often presents muscle imbalance of the lumbar and abdominal region, most often as a result of sedentary lifestyle and excessive nutrition. The aim of the study was to determine the effects of a separate and associated effect of kinesiotherapy and walking on the outcome of the rehabilitation of people with chronic lumbar syndrome and on the mobility of the lumbosacral part of the spinal column.
Methods Sixty persons of both sexes, aged between 45 and 65 years, with episodes of the lumbar syndrome, were included in a three-weeks study conducted at the Institute for Physical Medicine and Rehabilitation "Dr Miroslav Zotović" in Banja Luka - Department VII in Slatina. For the assessment of the subjective feeling of pain, the Visual Analog Scale (VAS) was applied, and for the mobility of the spinal column, the Schober test (SCH). During the rehabilitation treatment, both groups were subjected to standard kinesiotherapy treatment, and the experimental group to walking. Testing the effects of the applied treatments was done using the Repeated measure ANOVA analysis at the conclusion level p≤0.05.
Results The effects of the differences in the final measurement in both subsamples were high and statistically significant in both variables in favor of the experimental group: male subsample in the VAS variable -F1,28=30.1; p=.001 i SCH- F1,28=.27.9; p=.001; female subsample in the VAS variable - F1,28=75.2; p=.001 and variable SCH- F1,28=20.73; p=.001.
Conclusion The program of kinesiotherapy in conjunction with walking, significantly improves the final outcome of rehabilitation in people with chronic lumbar syndrome, both in the functional and the subjective domain.