Comparison of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade-I spondylolisthesis patients: A double-blind randomized controlled trial.


Journal

Physiotherapy research international : the journal for researchers and clinicians in physical therapy
ISSN: 1471-2865
Titre abrégé: Physiother Res Int
Pays: United States
ID NLM: 9612022

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 17 09 2019
revised: 04 02 2020
accepted: 23 03 2020
pubmed: 29 4 2020
medline: 2 3 2021
entrez: 29 4 2020
Statut: ppublish

Résumé

The effects of different physiotherapy protocols on patients suffering from grade-I spondylolisthesis have been thus far examined in a limited number of clinical trials. Therefore, the main purpose of this study was to compare the effects of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade-I spondylolisthesis patients. This study was a double-blind randomized controlled trial (RCT) with a test-retest design and parallel groups. A total of 26 patients with grade-I spondylolisthesis were thus randomly assigned to experimental group (13 patients, lumbar segmental stabilization exercises) and control group (13 patients, general exercises). Subsequently, pain, functional disability, kinesiophobia, translational motion, angular motion and slip percentage of the vertebra were investigated. Of the 120 people recruited in this study, only 26 patients were eligible. According to pre/post-intervention comparison, a statistically significant decrease was observed in the experimental group in terms of pain (p = 0.000), functional disability (p = 0.004), kinesiophobia (p = 0.002), translational motion (p = 0.043) and angular motion (p = 0.011), but not for slip percentage (p = 0.122). Considering the control group, a statistically significant decline was reported for pain (p = 0.043) and functional disability (p = 0.002). However, no significant differences were found for other variables in the control group. With regard to inter-group comparison, there was no statistically significant difference between the two groups regarding the given variables except for kinesiophobia (p = 0.040). Both lumbar segmental stabilization and general exercises led to reduction in pain and functional disability of patients with grade-I spondylolisthesis. Therefore, lumbar segmental stabilization exercises seemed to be better than general ones with reference to improving kinesiophobia and intervertebral movements.

Identifiants

pubmed: 32343035
doi: 10.1002/pri.1843
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1843

Subventions

Organisme : Tabriz University of Medical Sciences

Informations de copyright

© 2020 John Wiley & Sons, Ltd.

Références

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Auteurs

Elaheh Mohammadimajd (E)

Department of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran.

Iraj Lotfinia (I)

Department of Neurosurgery, Medical Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.

Zahra Salahzadeh (Z)

Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran.

Nasser Aghazadeh (N)

Image Processing Laboratory, Department of Applied Mathematics, Azarbaijan Shahid Madani University, Tabriz, Iran.

Parisa Noras (P)

Image Processing Laboratory, Department of Applied Mathematics, Azarbaijan Shahid Madani University, Tabriz, Iran.

Fariba Ghaderi (F)

Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran.

Masoud Poureisa (M)

Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran.

Parvin Sarbakhsh (P)

School of Public Health, Department of Statistic and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.

Rasool Choopani (R)

Department of Physiotherapy, Faculty of Rehabilitation, Tabriz University of Medical Sciences, Tabriz, Iran.

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