The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial
Background: Chronic low back pain (LBP) has been stated as one of the main health concerns in the XXI century due to its high incidence. Objective: The objective of this study was to determine the effects of an 8-week program of hypopressive abdominal gymnastics (HAG) on inspiratory muscle strength,...
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MDPI AG
2021
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oai:doaj.org-article:0ac4a46a97954b3ea3fa6e13703412082021-11-11T17:36:47ZThe Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial10.3390/jcm102149832077-0383https://doaj.org/article/0ac4a46a97954b3ea3fa6e13703412082021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4983https://doaj.org/toc/2077-0383Background: Chronic low back pain (LBP) has been stated as one of the main health concerns in the XXI century due to its high incidence. Objective: The objective of this study was to determine the effects of an 8-week program of hypopressive abdominal gymnastics (HAG) on inspiratory muscle strength, diaphragm thickness, disability and pain in patients suffering from non-specific chronic LBP. Methods: A total of 40 patients with chronic LBP were randomly divided into two groups. The experimental group carried out an 8-week supervised program of HAG (two sessions/week), whereas the control group did not receive any treatment. Outcomes were measured before and after the intervention, comprising diaphragm thickness during relaxed respiratory activity, maximal inspiratory pressure (PI<sub>max</sub>), pain intensity (NRS), pressure pain threshold and responses to four questionnaires: Physical Activity Questionnaire (PAQ), Roland–Morris Disability Questionnaire (RMQ), Central Sensitization Inventory (CSI) and Tampa Scale of Kinesiophobia-11 Items (TSK-11). Results: Statistically significant differences (<i>p</i> < 0.05) were observed for greater thickness of the left and right hemi-diaphragms at inspiration, as well as higher PI<sub>max</sub> and decreased NRS, CSI and RMQ scores in the intervention group. After treatment, the increases in the thickness of the left and right hemi-diaphragms at inspiration and PI<sub>max</sub>, as well as the decrease in the NRS and RMQ scores, were only predicted by the proposed intervention (<i>R</i><sup>2</sup> = 0.118–0.552). Conclusions: An 8-week HAG intervention seemed to show beneficial effects and predicted an increase in diaphragm thickness and strength during inspiration, as well as a reduction in pain intensity, central sensitization and disability, in patients suffering from chronic non-specific LBP with respect to non-intervention.Davinia Vicente-CamposSandra Sanchez-JorgePablo Terrón-ManriqueMarion GuisardMarion CollinBorja CastañoDavid Rodríguez-SanzRicardo Becerro-de-Bengoa-VallejoJosé López ChicharroCésar Calvo-LoboMDPI AGarticleback painhypopressive exercisesdiaphragm thicknessdiaphragm strengthRUSIMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4983, p 4983 (2021) |
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back pain hypopressive exercises diaphragm thickness diaphragm strength RUSI Medicine R |
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back pain hypopressive exercises diaphragm thickness diaphragm strength RUSI Medicine R Davinia Vicente-Campos Sandra Sanchez-Jorge Pablo Terrón-Manrique Marion Guisard Marion Collin Borja Castaño David Rodríguez-Sanz Ricardo Becerro-de-Bengoa-Vallejo José López Chicharro César Calvo-Lobo The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| description |
Background: Chronic low back pain (LBP) has been stated as one of the main health concerns in the XXI century due to its high incidence. Objective: The objective of this study was to determine the effects of an 8-week program of hypopressive abdominal gymnastics (HAG) on inspiratory muscle strength, diaphragm thickness, disability and pain in patients suffering from non-specific chronic LBP. Methods: A total of 40 patients with chronic LBP were randomly divided into two groups. The experimental group carried out an 8-week supervised program of HAG (two sessions/week), whereas the control group did not receive any treatment. Outcomes were measured before and after the intervention, comprising diaphragm thickness during relaxed respiratory activity, maximal inspiratory pressure (PI<sub>max</sub>), pain intensity (NRS), pressure pain threshold and responses to four questionnaires: Physical Activity Questionnaire (PAQ), Roland–Morris Disability Questionnaire (RMQ), Central Sensitization Inventory (CSI) and Tampa Scale of Kinesiophobia-11 Items (TSK-11). Results: Statistically significant differences (<i>p</i> < 0.05) were observed for greater thickness of the left and right hemi-diaphragms at inspiration, as well as higher PI<sub>max</sub> and decreased NRS, CSI and RMQ scores in the intervention group. After treatment, the increases in the thickness of the left and right hemi-diaphragms at inspiration and PI<sub>max</sub>, as well as the decrease in the NRS and RMQ scores, were only predicted by the proposed intervention (<i>R</i><sup>2</sup> = 0.118–0.552). Conclusions: An 8-week HAG intervention seemed to show beneficial effects and predicted an increase in diaphragm thickness and strength during inspiration, as well as a reduction in pain intensity, central sensitization and disability, in patients suffering from chronic non-specific LBP with respect to non-intervention. |
| format |
article |
| author |
Davinia Vicente-Campos Sandra Sanchez-Jorge Pablo Terrón-Manrique Marion Guisard Marion Collin Borja Castaño David Rodríguez-Sanz Ricardo Becerro-de-Bengoa-Vallejo José López Chicharro César Calvo-Lobo |
| author_facet |
Davinia Vicente-Campos Sandra Sanchez-Jorge Pablo Terrón-Manrique Marion Guisard Marion Collin Borja Castaño David Rodríguez-Sanz Ricardo Becerro-de-Bengoa-Vallejo José López Chicharro César Calvo-Lobo |
| author_sort |
Davinia Vicente-Campos |
| title |
The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| title_short |
The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| title_full |
The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| title_fullStr |
The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| title_full_unstemmed |
The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial |
| title_sort |
main role of diaphragm muscle as a mechanism of hypopressive abdominal gymnastics to improve non-specific chronic low back pain: a randomized controlled trial |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/0ac4a46a97954b3ea3fa6e1370341208 |
| work_keys_str_mv |
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