درخت حوزه‌های تخصصی

Background: Community-based rehabilitation is a multi-dimensional approach to improve the function and quality of life to mentally ill people. Aim: This study examined the effect of rehabilitation protocol that were the spine strengthening exercises on adult mentally disabled men with upper body anomalies. Materials and Methods: This study was performed on 28 educable mentally disabled with the age range of 30-45. These subjects had positional hyperkyphosis angle, more than 45° and FHP more than 46°. They were randomly divided into two groups of experimental (n=16) and control (n=12). Experimental group followed the three-step training protocol for two months. A spinal mouse and a digital camera were used to measure the deviation of thoracic area’s hyperkyphosis and the FHP angle respectively. The dependent and independent t-tests were applied for within and between groups’ comparisons respectively. The significance level was considered at 0.05, all analysis of study was done by SPSS<sub>23 . Results: The mean of hyperkyphosis and FHP angles in experimental group, significantly decreased ( P = 0.008, 0.003), respectively. But there was no significant change in control group ( P = 0.101, 0.122). The independent t-test results for both variables indicated a significant difference between control and experimental subjects after the protocol ( P = 0.001). Conclusion: The combined corrective exercises caused a reduction in head, neck and trunk disorders of study subjects.

Purpose: Low back pain (LBP) frequently occurs in daily life. Chronic low back pain (CLBP) is defined as pain in the lumbosacral area of the spine, of more than 12 weeks' duration. The aim of this study was to compare the effect of high-power therapy (HPL) with core stabilization exercise (CSE), in the treatment of CLBP. Method: A total of 30 female patients participated in this study, with a mean (SD) age of 32.23 (7.85) years. Patients were randomly assigned into two groups and treated with HPL (HPL group, n=15), and core stabilization exercise (EXS group, n=15). ROM of lumbar spine was measured by an inclinometer. The outcomes measured pain and functional disability using visual analog scale (VAS), Roland Disability Questionnaire (RDQ), and Modified Oswestry Disability Questionnaire (MODQ). Statistical analyses were performed to compare within and between group differences. Results: ROM, VAS, RDQ and MODQ showed significantly improve after 4-week treatment in both groups (P<0.05). However, there was no significant between-group differences in any variables (P>0.05). Conclusions: Both treatments were effective in the treatment of CLBP in female athletes.

Background : Low back pain (LBP) can cause changes in muscle activity in affected individuals, making it difficult for them to contract their muscles effectively and engage in physical activities. Manual chiropractic techniques have been proposed as a potential solution to improve muscle orientation and function in individuals with LBP. Aim: The purpose of this study was to investigate the effect of manual techniques on maximum muscle activity electromyography, functional disability, and pain in women with non-specific chronic low back pain. Materials and Methods: Twenty women between the ages of 30 and 50, who had been experiencing NSCLBP for over three months with no history of spinal surgery or postural abnormalities, and were able to perform daily activities after providing consent, were recruited from a sports medicine clinic to participate in the study. In the pre-test, the Oswestry Disability Index (ODI) was used to assess functional disability, and the Visual Analogue Scale (VAS) was used to assess pain levels. Additionally, the maximum muscle activity of the multifidus and lumbar quadratus lumborum (QL) was measured using EMG. Chiropractic manipulation techniques were then implemented in the experimental group, with three sessions per week for six weeks, within the clinic. The same tests were repeated in the post-test. The ANOVA test was used to compare the chiropractic and control groups, with a significance level of α ≤ 0.05. Results : The study results indicate that chiropractic manual techniques were effective in reducing lumbar EMG activity ( P = 0.0001), reducing pain index ( P = 0.002), and improving functional disability ( P = 0.001) significantly. Conclusion : The study findings suggest that six weeks of chiropractic manipulation techniques can induce a feeling of relaxation, reduce pain, and passively strengthen the lumbar muscles. These improvements in muscle condition and functional disability may lead to a reduction in pain experienced by individuals with NSCLBP.