The Effect Of General Exercise Program Combined With Cognitive Functional Therapy On Pain, Quality Of Life And Muscle Endurance Of Women With Chronic Non-Specific Low Back Pain

Asgari, Mahsa; Raeisi, Zahra

doi:10.61186/jsmt.22.27.195

Volume 22, Issue 27 (8-2024) RSMT 2024, 22(27): 195-218 | Back to browse issues page

‎ 10.61186/jsmt.22.27.195

Mendeley

Zotero

RefWorks

Asgari M, Raeisi Z. The Effect Of General Exercise Program Combined With Cognitive Functional Therapy On Pain, Quality Of Life And Muscle Endurance Of Women With Chronic Non-Specific Low Back Pain. RSMT 2024; 22 (27) :195-218
URL: http://jsmt.khu.ac.ir/article-1-596-en.html

The Effect Of General Exercise Program Combined With Cognitive Functional Therapy On Pain, Quality Of Life And Muscle Endurance Of Women With Chronic Non-Specific Low Back Pain

Mahsa Asgari

, Zahra Raeisi

Assistant Professor, Department of Sports Injuries and Corrective Exercises, Faculty of Sport Sciences, Arak University, Arak, Iran. , z_raisi13@yahoo.com

Abstract: (2876 Views)

Background and aim: The purpose of this study is to examine how eight weeks of general exercises (GEs) combined with cognitive functional therapy (CFT) affect women with chronic non-specific low back pain (CNSLBP) in terms of pain, quality of life (QoL), and muscle endurance.
Methods: 45 women with CNSLBP participated in this study for eight weeks in three groups: GEs, GEs with CFT, and control. Pain, QoL and muscle endurance were evaluated by visual analogue scale (VAS), SF-36 questionnaire, and Biering-Sorensen test, respectively. Mixed-model repeated measure test with repeated measurement design was used for data analysis.
Results: The results revealed a significant difference in the investigated variables between the pre-test and post-test for the intervention groups, but no difference was seen in the control group.
Discussion and final conclusion: The group of GEs combined with CFT distinguished itself significantly from the group of GEs in the comparison of the factors of physical performance, emotional health, and general health from sub-sections of QoL, and also muscular endurance. According to the results, it is recommended that women with CNSLBP use GEs in combination with CFT to reduce pain, improve QoL, and increase muscle endurance.

Keywords: Aerobic Training, Core Stability Training, Endurance Training, Flexibility Training, Functional Cognitive Therapy, Chronic Low Back Pain

Full-Text [PDF 641 kb] (221 Downloads)

Type of Study: Research | Subject: آسیب شناسی و حرکات اصلاحی
Received: 2023/06/22 | Accepted: 2024/01/9 | Published: 2024/08/31

References

1. Husky MM, Ferdous Farin F, Compagnone P, Fermanian C, Kovess-Masfety V. Chronic back pain and its association with quality of life in a large French population survey. Health Qual Life Outcomes. 2018;16(1):195. Available from: https://pubmed.ncbi.nlm.nih.gov/30257670/ [DOI:10.1186/s12955-018-1018-4]

2. Yalfani A, Khani MM, Ahmadi M, Asgarpoor A. The Effect of Core Stability Exercises Combined With Abdominal Hollowing on Postural Balance in Patients With Non-specific Chronic Low Back Pain: A Randomized Controlled Trial. PTJ. 2023;13(3). Available from: http://dx.doi.org/10.32598/ptj.13.3.442.5. [DOI:10.32598/ptj.13.3.442.5]

3. Fatoye F, Gebrye T, Mbada CE, Useh U. Clinical and economic burden of low back pain in low-and middle-income countries: a systematic review. BMJ Open. 2023;13:64119. Available from: http://bmjopen.bmj.com/ [DOI:10.1136/bmjopen-2022-064119]

4. Yalfani A, Maleki B, Raeisi Z. The effect of aquatic exercise therapy on the pain, disability and gait parameters of women with chronic low back pain. Scientific Journals Management System. 2019;17(18):57-67. Available from: https://jsmt.khu.ac.ir/article-1-401-en.html

5. Agnus Tom A, Rajkumar E, John R, Joshua George A. Determinants of quality of life in individuals with chronic low back pain: a systematic review. Health Psychol Behav Med. 2022;10(1):124-44. Available from: https://pubmed.ncbi.nlm.nih.gov/35003902/ [DOI:10.1080/21642850.2021.2022487]

6. Yalfani A, Raeisi Z, Koumasian Z. Effects of eight-week water versus mat pilates on female patients with chronic nonspecific low back pain: Double-blind randomized clinical trial. J Bodyw Mov Ther. 2020;24(4):70-5. [DOI:10.1016/j.jbmt.2020.06.002]

7. Yalfani A, Abedi M, Raeisi Z. Effects of an 8-Week Virtual Reality Training Program on Pain, Fall Risk, and Quality of Life in Elderly Women with Chronic Low Back Pain: Double-Blind Randomized Clinical Trial. Game for Health J. 2022;11(2):85-92. Available from: https://www.liebertpub.com/doi/full/10.1089/g4h.2021.0175 [DOI:10.1089/g4h.2021.0175]

8. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Curr Sports Med Rep. 2008;7(1):39-44. Available from: https://pubmed.ncbi.nlm.nih.gov/18296944/ [DOI:10.1097/01.CSMR.0000308663.13278.69]

9. Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare. 2016;4(2). Available from: /pmc/articles/PMC4934575/ [DOI:10.3390/healthcare4020022]

10. Mahjur M, Hashemi Javaheri S, Khoshraftar Yazdi N, Norouzi K. The effect of six weeks exercise therapy in the water on the trunk extensor muscle endurance in men with chronic non-specific low back pain. Journal of North Khorasan University of Medical Sciences. 2016;8(1):147-57. Available from: http://journal.nkums.ac.ir/article-1-796-en.html [DOI:10.29252/jnkums.8.1.147]

11. Bezgin S, Arslan SA, Sertel M, Vergili O, Kocaman AA, Ayhan Oral M, et al. The relationship between balance, trunk muscular endurance, and functional level in individuals with chronic low back pain. 2021; Annals of Medical Research, 27(2), 0582-0587. Available from: https://annalsmedres.org/index.php/aomr/article/view/615 [DOI:10.5455/annalsmedres.2019.11.684]

12. Günay S, Yildirim Y, Karadibak D. The effect of the muscle endurance training on the chronic low back pain. Fizyoterapi Rehabilitasyon. 2014;25(1):28-34. Available from: https://link.springer.com/article/10.7603/s40680-014-0004-y [DOI:10.7603/s40680-014-0004-y]

13. O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). Br J Sports Med. 2020;54(13):782-9. Available from: https://bjsm.bmj.com/content/54/13/782 [DOI:10.1136/bjsports-2019-100780]

14. Vibe Fersum K, Smith A, Kvåle A, Skouen JS, O'Sullivan P. Cognitive functional therapy in patients with non-specific chronic low back pain-a randomized controlled trial 3-year follow-up. Eur J Pain. 2019;23(8):1416-24. Available from: https://pubmed.ncbi.nlm.nih.gov/30974479/ [DOI:10.1002/ejp.1399]

15. Lanier VM, Lang CE, Van Dillen LR. Motor skill training in musculoskeletal pain: a case report in chronic low back pain. Disabil Rehabil. 2019;41(17):2071-9. Available from: https://pubmed.ncbi.nlm.nih.gov/29644888/ [DOI:10.1080/09638288.2018.1460627]

16. De Lira MR, de Mello Meziat-Filho NA, Silva GZM, Chaves TC. Efficacy of the cognitive functional therapy (CFT) in patients with chronic nonspecific low back pain: a study protocol for a randomized sham-controlled trial. Trials. 2022;23(1). Available from: https://pubmed.ncbi.nlm.nih.gov/35788240/ [DOI:10.1186/s13063-022-06466-8]

17. Grande-Alonso M, Pro-Marín D, Piedra-Garrosa I, La Touche R, Paris-Alemany A. Sensorimotor, cognitive and affective behavior according to perceived level of disability in patients with chronic low back pain: an observational cross-sectional study. J Musculoskelet Neuronal Interact. 2023;23(1):72. Available from: PMID: 36856102; PMCID: PMC9976176.

18. O'Sullivan PB, Caneiro JP, O'Keeffe M, Smith A, Dankaerts W, Fersum K, et al. Cognitive Functional Therapy: An Integrated Behavioral Approach for the Targeted Management of Disabling Low Back Pain. Phys Ther. 2018;98(5):408-23. Available from: https://pubmed.ncbi.nlm.nih.gov/29669082/ [DOI:10.1093/ptj/pzy022]

19. Uttley J. Power Analysis, Sample Size, and Assessment of Statistical Assumptions-Improving the Evidential Value of Lighting Research. LEUKOS. 2019; 15(2-3):143-62. Available from: https://www.tandfonline.com/doi/abs/10.1080/15502724.2018.1533851 [DOI:10.1080/15502724.2018.1533851]

20. MacDowall A, Skeppholm M, Robinson Y, Olerud C. Validation of the visual analog scale in the cervical spine. J Neurosurg Spine. 2018;28(3):227-35. Available from: https://pubmed.ncbi.nlm.nih.gov/29243996/ [DOI:10.3171/2017.5.SPINE1732]

21. Euasobhon P, Atisook R, Bumrungchatudom K, Zinboonyahgoon N, Saisavoey N, Jensen MP. Reliability and responsivity of pain intensity scales in individuals with chronic pain. Pain. 2022;163(12):E1184-91. Available from: https://pubmed.ncbi.nlm.nih.gov/35584261/ [DOI:10.1097/j.pain.0000000000002692]

22. Montazeri A, Goshtasebi A, Vahdaninia M.S. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Payesh (Health Monitor). 2006; 5(1):0-0. Available from: http://payeshjournal.ir/article-1-756-en.html

23. Yalfani A, Ahmadnezhad L, Gholami B, Mayahi F. The Effect of Six-Weeks Aquatic Exercise Therapy on Static Balance, Function oOf Trunk And Pelvic Girdle Muscles, Pain, And Disability in Woman With Chronic Low Back Pain. Iranian Journal of Health Education and Health Promotion. 2018;5(4):288-95. Available from: http://journal.ihepsa.ir/article-1-779-en.html [DOI:10.30699/acadpub.ijhehp.5.4.288]

24. Vibe Fersum K, O'Sullivan P, Skouen JS, Smith A, Kvåle A. Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: a randomized controlled trial. Eur J Pain. 2013;17(6):916-28. Available from: https://pubmed.ncbi.nlm.nih.gov/23208945/ [DOI:10.1002/j.1532-2149.2012.00252.x]

25. Raeisi Z, Asgari M, Zarali A. The effect of eight weeks combined exercise in water on pain and postural sway in female with non-specific chronic low back pain. Journal for Research in Sport Rehabilitation. 2020;8(15):115-26. Available from: https://rsr.basu.ac.ir/article_3849_en.html

26. Mbada CE, Makinde MO, Odole AC, Dada OO, Ayanniyi O. Comparative Effects of Clinic-and-Virtual Reality-Based McKenzie Therapy in Chronic Non Specific Low-Back Pain. Arch Phys Med Rehabil. 2018;99(10):e83. Available from: http://www.archives-pmr.org/article/S000399931830755X/fulltext [DOI:10.1016/j.apmr.2018.07.295]

27. Kenney WL, Wilmore J, Costill D. Physiology of Sport and Exercise With Web Study Guide-5th Edition. 2011;640. Available from: http://www.amazon.com/Physiology-Sport-Exercise-Guide-5th-Edition/dp/0736094091

28. Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, et al. Noninvasive Treatments for Low Back Pain. Effective Health Care Program - Comparative Effectiveness Review. 2016;272. Available from: https://www.ncbi.nlm.nih.gov/books/NBK350276/

29. Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ, Danneels L. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9(4):266-72. Available from: https://pubmed.ncbi.nlm.nih.gov/11261613/ [DOI:10.1007/s005860000190]

30. Franca FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics (Sao Paulo). 2010;65(10):1013-7. Available from: https://pubmed.ncbi.nlm.nih.gov/21120303/ [DOI:10.1590/S1807-59322010001000015]