Şahin KARPUZ, Umut BAHÇACI, Seval KUTLUTÜRK, Tuğba KURU ÇOLAK

Effectiveness of Balance Exercises on Postural Control and Quality of Life in Patients with Lumbar Discopathy

Objective: Lumbar discopathy is a common problem that effects musculoskeletal system. Many treatment modalities are in use for patients with lumbar discopathy. Balance exercises could be important for the lumbar discopathy due to the effected musculoskeletal system. This study was planned to investigate the effect of balance exercises on postural control and quality of life for lumbar discopathy. Methods: A total of 81 patients were divided into two groups as interventional and control group. Therapeutic ultrasound, transcutaneous electrical nerve stimulation (TENS), hotpack and therapeutic exercises applied to all patients 5 times in a week during thirty sessions. Additionally, the interventional groups received balance exercises. Pain (Visual Analog Scale), disability (Oswestry Disability Index), quality of life (Short Form-36) and postural control (Libra®) have been evaluated by same physiotherapist before and after the treatment. Results: Statistically significant differences were found between the groups comparing pain, disability and postural control parameters (p<0.05). In the between group comparisons of the mean changes of the ‘Quality of Life’ assessment parameters, no significant differences were obtained between the interventional and control group (p>0.05), except ‘physical role’ parameter in favor of the control group (p=0.04). Conclusion: This study demonstrated that physiotherapy modalities improve pain, disabiliy, quality of life and postural control parameters in patients with lumbar discopathy but adding classic balance exercises in physiotherapy treatment, do not have a remarkable effect in patients with lumbar discopathy.

Keywords:

Lumbar discopathy postural control, balance exercise, quality of life, physiotherapy,

PDF

___

Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best practice & research Clinical rheumatology 2010; 24(6):769-781.
Geurts JW, Willems PC, Kallewaard JW, van Kleef M, Dirksen C. . The impact of chronic discogenic low back pain: costs and patients’ burden. Pain Res and Manag 2018; 2018:4696180
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet 2017; 389(10070):736-747.
Meng K, Peters S, Faller H. Effectiveness of a standardized back school program for patients with chronic low back pain after implementation in routine rehabilitation care. Patient education and counseling 2017; 100(6):1161-1168.
Traeger AC, Huebscher M, Henschke N, Moseley GL, Lee H, McAuley JH. Effect of primary care–based education on reassurance in patients with acute low back pain: systematic review and meta-analysis. JAMA internal medicine 2015; 175(5):733-743.
Schelldorfer S, Ernst MJ, Rast FM, Bauer CM, Meichtry A, Kool J. Low back pain and postural control, effects of task difficulty on centre of pressure and spinal kinematics. Gait & posture 2015; 41(1):112-118.
Karimi N, Ebrahimi I, Kahrizi S. Evaluation of postural balance using the biodex balance systems in subjects with and without low back pain. Pak J Med Sci 2008; 24(3):372-377.
Takla MK. Alterations of static and dynamic balance in patients with lumbar radiculopathy. Bulletin of Faculty of Physical Therapy 2019; 24(1):49.
Pincus T, Bergman M, Sokka T, Roth J, Swearingen C, Yazici Y. Visual analog scales in formats other than a 10-centimeter horizontal line to assess pain and other clinical data. J Rheumatol 2008; 35(8):1550–1558.
Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000 Nov 15; 25(22):2940-52; discussion 2952.
Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the turkish version of the oswestry disability index for patients with low back pain. Spine 2004; 29(5):581-5.
Ware JE, Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30(6):473-83.
Koçyigit H, Aydemir Ö, Fisek G, Ölmez N, Memis A. Kısa Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirligi ve geçerliligi. Ilaç ve Tedavi Dergisi 1999; 12(2):102-6.
Boccolini G, Brazzit A, Bonfanti L. Using balance training to improve the performance of youth basketball players. Sport Sci Health 2013; 9:37–42.
Lukowicz M, Zalewski P, Bulatowicz I. The impact of laser irradiation on global stability in patients with vertebrobasilar insufficiency: A clinical report. Med Sci Monit 2011; 17(9):517-522
Gatti R, Faccendini S, Tettamanti A. Efficacy of trunk balance exercises for individuals with chronic low back pain: A randomized clinical trial. J Orthop Sports Phys Ther 2011; 41(8):542-552.
Phadke S, Yadav P. Efficacy of balance exercises in chronic low back pain. International Journal of Advanced Research 2016; 4(7):2066-2068.
Truszczynska A, Dobrzynska M, Trzaskoma Z. Assessment of postural stability in patients with lumbar spine chronic disc disease. Acta of Bioengineering and Biomechanics 2016; 18(4):71-77.
Boskovic K, Todorovic-Tomasevic S, Naumovic N. The quality of life of lumbar radiculopathy patients under conservative treatment. Vojnosanit Pregl 2009; 66(10):807–812.
Aydoğdu O, Demiray N, Sarı Z. Subakromiyal sıkışma sendromlu hastalarda üst ekstremite fonksiyonelliği ve ağrı düzeyinin postürel denge üzerine etkisi. Acta Orthopaedica et Traumatologica Turcica 2014; 48:344.
Tari A, Kumar S. The effect of postural stability exercises in benign paroxysmal positional vertigo: Pre-post experimental study. Physiother - J Indian Assoc Physiother 2017; 11(2):66-70.
Omokhodion F, Sanya A. Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occupational Medicine 2003; 53:287–289.