Efficacy of Dynamic Muscular Stabilization Techniques in the Management of Lumbar Disc Disorders

SURAJ KUMAR, Vijai P Sharma, Rakesh Shukla, Ravi Dev, Anoop Aggarwal

Abstract


Background: Lumbar disk disorders (LDD) are common in low back pain (LBP). Stabilization techniques are effective in the management of LDD. But their effectiveness in different disc levels is not well documented.

Objective: This study determines the efficacy of Dynamic muscular stabilization technique (DMST) in different disc involved in patients with LBP retrospectively.

Methods: Total 76 patients were categorized in 5 groups on the basis of number of discs involved. The identification of LDD was done by MRI. All subjects were treated with DMST, an active approach of stabilizing training. Pain was the primary outcome measure while physical ability (walking, stair climbing, stand ups), physical strength (back pressure change: BPC, abdominal pressure changes: APC) and quality of life (QOL) were the secondary. Variables were assessed at baseline (day 0) and at the end of the follow up (day 180).

Results: Results showed that the pre treatment severity differed between the groups but their mean difference were found not significantly different (P>0.05). The DMST improved all the groups (disc involved) significantly (P<0.01).

Conclusions: This study conclude that pain, walking, stair climbing and BPC improved maximally in the subject involving lesser number of discs whereas the quality of life improved more in the subjects with higher number of discs involved.

Keywords


Low Back pain, Physiotherapy, Rehabilitation, Segmental, Stabilization, Strengthening Exercises

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