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Effects of electrical stimulation program on trunk muscle strength, functional capacity, quality of life, and depression in the patients with low back pain: a randomized controlled trial

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Abstract

The aim of this clinical trial was to evaluate the effects of electrical stimulation (ES) program on trunk muscle strength, functional performance, quality of life (QOL) in the patients with chronic low back pain (CLBP). A total of 41 patients with definite CLBP were included in this study. These patients were randomized into two groups. Group 1 (n = 21) was given an ES program and exercises. Group 2 (n = 20) was accepted as the control group and given only exercises. Both the programs were performed 3 days a week, for 8 weeks in the out-patient department. The patients were evaluated according to pain, disability, functional performance, endurance, quality of life, depression. The muscle strengths were measured with a hand-held dynamometer. There were significant improvements for all the parameters in two groups after the treatment. Except depression and social function, the improvements for all the parameters were better in the ES group than in the control group. We observed that ES program was very effective in improving QOL, functional performance and isometric strength. In conclusion, we can say that ES therapy provides comfortable life functions by improving muscle strength, functional performance and QOL.

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References

  1. Uden A, Aström M, Bergenudd H (1988) Pain drawings in chronic back pain. Spine 13:389–392. doi:10.1097/00007632-198804000-00002

    Article  PubMed  CAS  Google Scholar 

  2. Nicolaisen T, Jorgensen K (1985) Trunk strength, back muscle endurance, and low-back trouble. Scand J Rehabil Med 17:121–127

    PubMed  CAS  Google Scholar 

  3. Smidt GL, Blanpied PR, Andersson MA et al (1987) Comparison of clinical and objective methods of assessing trunk muscle strength: an experimental approach. Spine 12:1020–1024. doi:10.1097/00007632-198712000-00013

    Article  PubMed  CAS  Google Scholar 

  4. Beimborn DS, Morrissey MC (1988) A review of the literature related to trunk muscle performance. Spine 13:655–660

    Article  PubMed  CAS  Google Scholar 

  5. Addison R, Schultz A (1980) Trunk strengths in patients seeking hospitalization for chronic low-back disorders. Spine 5:539–544. doi:10.1097/00007632-198011000-00009

    Article  PubMed  CAS  Google Scholar 

  6. Mayer TG, Smith SS, Keeley J et al (1985) Quantification of lumbar function. Part 2. Sagittal plane trunk strength in chronic low-back pain patients. Spine 10:765–772. doi:10.1097/00007632-198510000-00012

    Article  PubMed  CAS  Google Scholar 

  7. Shirado O, Ito T, Kaneda K et al (1995) Concentric and eccentric strength of trunk muscles: influence of test postures on strength and characteristics of patients with chronic low-back pain. Arch Phys Med Rehabil 76:604–611. doi:10.1016/S0003-9993(95)80628-8

    Article  PubMed  CAS  Google Scholar 

  8. Petrella RJ (2000) Is exercise effective treatment of osteoarthritis of the knee? Br J Sports Med 34:326–331. doi:10.1136/bjsm.34.5.326

    Article  PubMed  CAS  Google Scholar 

  9. Baker K, McAlindon T (2000) Exercise for knee osteoarthritis. Curr Opin Rheumatol 12:456–463. doi:10.1097/00002281-200009000-00020

    Article  PubMed  CAS  Google Scholar 

  10. Liberson WT (1984) Electrotherapy. In: Asa PR (ed) Current therapy. Physiatry. W.B. Saunders Company, Philadelphia, pp 161–191

    Google Scholar 

  11. Melzack R, Vetere P, Finch L (1983) Transcutaneous electrical nerve stimulation for low back pain: a comparison of TENS and massage for pain and range of motion. Phys Ther 63:489–493

    PubMed  CAS  Google Scholar 

  12. Rutkowski B, Neidzialkowska T, Otto J (1977) Electrical stimulation in chronic low back pain. Br J Anaesth 49:629–632. doi:10.1093/bja/49.6.629

    Article  PubMed  CAS  Google Scholar 

  13. Durmus D, Alayli G, Canturk F (2007) Effects of quadriceps electrical stimulation program on clinical parameters in the patients with knee osteoarthritis. Clin Rheumatol 26:674–678. doi:10.1007/s10067-006-0358-3

    Article  PubMed  Google Scholar 

  14. Kahanovitz N, Nordin M, Verderame R et al (1987) Normal trunk muscle strength and endurance in women and the effects of exercises and electrical stimulation. Spine 12:112–118. doi:10.1097/00007632-198703000-00006

    Article  PubMed  CAS  Google Scholar 

  15. Duruöz MT, Ozcan E, Ketenci A et al (1999) Cross cultural validation of the revised Oswestry pain questionnaire (ROPQ) in a Turkish population. Arthritis Rheum 42:1200

    Google Scholar 

  16. Grönblad M, Hupli M, Wennerstrand P et al (1993) Intercorrelation and test–retest reliability of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 9:189–195

    Article  PubMed  Google Scholar 

  17. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE (1996) Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Arch Phys Med Rehabil 77:75–79. doi:10.1016/S0003-9993(96)90224-5

    Article  PubMed  CAS  Google Scholar 

  18. McGill SM, Childs A, Liebenson C (1999) Endurance times for low back stabilization exercises clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 80:941–944. doi:10.1016/S0003-9993(99)90087-4

    Article  PubMed  CAS  Google Scholar 

  19. Kvien TK, Kaasa S, Smedstad LM (1998) Performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures. J Clin Epidemiol 51:1077–1086. doi:10.1016/S0895-4356(98)00099-7

    Article  PubMed  CAS  Google Scholar 

  20. Beck AT, Ward CH, Mendelson M et al (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    PubMed  CAS  Google Scholar 

  21. Cailliet R (1981) Low back pain syndrome. FA Davis, Philadelphia, pp 206–225

    Google Scholar 

  22. Bayramoğlu M, Akman MN, Kilinç S et al (2001) Isokinetic measurement of trunk muscle strength in women with chronic low-back pain. Am J Phys Med Rehabil 80:650–655. doi:10.1097/00002060-200109000-00004

    Article  PubMed  Google Scholar 

  23. Kofotolis ND, Vlachopoulos SP, Kellis E (2001) Sequentially allocated clinical trial of rhythmic stabilization exercises and TENS in women with chronic low back pain. Clin Rehabil 22(2):99–111

    Article  Google Scholar 

  24. Selkowitz DM, Kulig K, Poppert EM et al (2006) The immediate and long-term effects of exercise and patient education on physical, functional, and quality-of-life outcome measures after single-level lumbar microdiscectomy: a randomized controlled trial protocol. BMC Musculoskelet Disord 7:70

    Article  PubMed  Google Scholar 

  25. Pekindil Y, Sarıkaya A, Birtane M et al (2001) 99mTc- sestamibi muscle scintigraphy to assess the response to neuromuscular electrical stimulation of normal quadriceps femoris muscle. Ann Nucl Med 15:397–401. doi:10.1007/BF02988252

    Article  PubMed  CAS  Google Scholar 

  26. Selkowitz DM (1985) Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation. Phys Ther 65:186–195

    PubMed  CAS  Google Scholar 

  27. Gaines JM, Metter EJ, Talbot LA (2004) The effect of neuromuscular electrical stimulation on arthritis knee pain in older adults with osteoarthritis of the knee. Appl Nurs Res 17:201–206. doi:10.1016/j.apnr.2004.06.004

    Article  PubMed  Google Scholar 

  28. Mysiw WJ, Jackson RD (2000) Electrical stimulation. In: Braddom RL (ed) Physical medicine and rehabilitation, 2nd edn. W.B. Saunders Company, Philadelphia, pp 459–487

    Google Scholar 

  29. Horng YS, Hwang YH, Wu HC et al (2005) Predicting health-related quality of life in patients with low back pain. Spine 30:551–555. doi:10.1097/01.brs.0000154623.20778.f0

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey

    Dilek Durmus, Yesim Akyol, Gamze Alayli, Berna Tander, Yeliz Zahiroglu & Ferhan Canturk

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  1. Dilek Durmus
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  2. Yesim Akyol
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  3. Gamze Alayli
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  4. Berna Tander
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  5. Yeliz Zahiroglu
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  6. Ferhan Canturk
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Correspondence to Dilek Durmus.

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Durmus, D., Akyol, Y., Alayli, G. et al. Effects of electrical stimulation program on trunk muscle strength, functional capacity, quality of life, and depression in the patients with low back pain: a randomized controlled trial. Rheumatol Int 29, 947–954 (2009). https://doi.org/10.1007/s00296-008-0819-x

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  • DOI: https://doi.org/10.1007/s00296-008-0819-x

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