Low Back Pain

Background : Chronic low back pain (LBP) is one of the most frequent causes of disability in women. Aim: The main purpose of the current study was to compare the effects of yoga, TRX, and exercise-related combination programs on pain and lordosis in women with increased lordosis and LBP. Materials and Methods: In this study, 40 women based on the study's criteria were included in the pre-intervention assessments and randomly divided into three experimental groups (yoga, TRX, and exercise-related combination programs) and control group. At this stage, the lordosis angle of participants was measured using a flexible ruler, and their pain was also measured via the Oswestry Disability Index. Furthermore, the experimental groups performed selected exercises for 60 min/session for three sessions/week for six weeks. Results : Our results demonstrated that there was a statistically significant difference between the yoga, TRX, and exercise-related combination programs in lumbar lordosis ( P = 0.003) and pain levels in women with LBP ( P = 0.007). Also, lumbar lordotic angle showed a significant reduction only in the combined groups subsequent to the period ( P = 0.003). Conclusion : In conclusion, the current findings illustrated that exercise-related combination program than other modalities could be used as an exercise-related treatment method to ameliorate lordosis angle and pain in women with LBP.

Background: Low back pain is a common musculoskeletal condition that can impact a person's ability to walk and move comfortably. Pronated foot posture has been suggested as a potential contributor to low back pain, and this study examines its impact on muscle activity during gait in individuals with low back pain. Aim: This study aimed to investigate whether pronated foot alters the activity timing of trunk and lower limb muscles during gait in low back pain patients. Materials and Methods: The sample of this study included 32 men with low back pain and pronated foot. Participants were divided into control (n=15, with foot pronated only) and experimental (n=17, with both low back pain and foot pronated) groups. The experimental group did resistance training with Thera-band for 12 weeks, 3 sessions per week. A wireless electromyography system with 9 pairs of bipolar surface electrodes was used to record the electromyography activity timing of back and lower limb muscles (sample rate: 2000 Hz). Two-way ANOVA was used for statistical analysis. Results: Significant between-group differences were found at baseline onset of EMG activity timing for gastrocnemious medialis ( P <0.001), gluteus medius ( P <0.001) and erector spinae at 3rd lumbar vertebral level ( P =0.001) muscles. Results indicated significant main effects of “Time” for erector spinae at 3rd lumbar vertebral level offset ( P =0.023), significant main effects of “group” for tibialis anterior offset ( P = 0.039) and for erector spinae at 3rd lumbar vertebral level offset ( P = 0.010). Conclusion: The selected training program changed the timing of erector spinae at 3rd lumbar vertebral level in older adults with both low back pain and pronated feet during walking.