A 4 Week Core Stability Exercise Programme Using Swiss Ball, Theraband and Floor Exercises in Cricketers with Low Back Pain: a Randomised Clinical Trail
Corresponding Author(s) : Varun Naik
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 3 (2020): 2020 Volume - 8 Issue-3
Abstract
Introduction
Low back pain (LBP) is one of the most common complaints seen in primary care, with 60-85% of adults experiencingit at some time in their lives. Current studies have done to see the effect of core strengthening exercises using Swiss ball, theraband and floor exercises in general population with low back pain, but there are no studies which have compared the effectiveness of Swiss ball, theraband and floor exercises in core strengthening in cricketers with low back pain.
Objective
To study and compare the effectiveness of Swiss ball exercises, theraband exercises and floor exercises in cricketers with low back ache in terms of pain and back strength.
Study design
Randomized Clinical Trial
Methods
Sixty competitive cricket players between the ages 18 to 35 years were randomly assigned to 1 of 3 groups. Group A –Swiss Ball Exercises (n=20), Group B - Theraband Exercises (n=20) and Group C - Floor exercises (n=20). Baseline pain and back strength was taken pretreatment i.e. 1st day and post treatment i.e. 4th week. VAS was used to assess pain and Pressure Bio feedback was used to measure the back strength in cricketers with low back ache. Comparison of data within group and between groups of the pre and post values was done.
Results
The results revealed that within group analysis in all the three groups showed statistically significant improvement in terms of pain and back strength (p<0.001). Whereas when between groups was analyzed, Group B (theraband) showed significant improvement when compared to Group A (Swiss ball) and Group C (floor) showed significant improvement when compared to Group C.
Conclusion
Although the study showed beneficial results in all the 3 groups, but the results reflected that theraband group had better improvement than the other two groups which was measured in terms of strength improvement and pain reduction.
Keywords
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1. Atlas SJ, Deyo RA. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 16(2), 2001, 120-131. doi:10.1111/j.1525-1497.2001.91141.x
2. Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 21(1), 2007, 77-91. doi:10.1016/j.berh.2006.08.004
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5. Williams P. Gray's Anatomy: 38th (eigth) Edition. Edinburgh: Churchill Livingstone; 38, 1995.
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7. Orchard J. Changes to injury profile (and recommended cricket injury definitions) based on the increased frequency of Twenty20 cricket matches. Open Access Journal of Sports Medicine. 63, 2010.
8. Carriere B, Tanzberger . The wiss ball. pringer-Verlag Berlin Heidelberg; 2000.
9. Hughes CJ, Hurd K, Jones A, Sprigle S. Resistance properties of Thera-Band tubing during shoulder abduction exercise. J Orthop Sports Phys Ther. 29(7), 1999, 413-420. doi:10.2519/jospt.1999.29.7.413
10. Van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine (Phila Pa 1976). 25(21), 2000, 2784-2796. doi:10.1097/00007632-200011010-00011
11. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 29(1), 2001, 26-31. Doi: 10.1097/00003677-200101000-00006
12. Olaogun MO, Adedoyin RA, Ikem IC, Anifaloba OR. Reliability of rating low back pain with a visual analogue scale and a semantic differential scale. Physiotherapy theory and practice. 20(2), 2004, 135-42.
13. Rowland T, Sparkes V. Reliability of the pressure biofeedback unit. InOrthopaedic Proceedings The British Editorial Society of Bone & Joint Surgery. 91(2), 2009, 283-283.
14. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 80(6), 2000, 564-569.
15. Marshall PW, Murphy BA. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: a pilot study. J Manipulative Physiol Ther. 29(7), 2006, 550-560. Doi:10.1016/j.jmpt.2006.06.025
16. Hughes CJ, Hurd K, Jones A, Sprigle S. Resistance properties of Thera-Band® tubing during shoulder abduction exercise. Journal of Orthopaedic & Sports Physical Therapy. 29(7), 1999, 413-20.
17. Treiber FA, Lott J, Duncan J, Slavens G, Davis H. Effects of Theraband and lightweight dumbbell training on shoulder rotation torque and serve performance in college tennis players. Am J Sports Med. 26(4), 1998, 510- 515. Doi: 10.1177/03635465980260040601
18. Axler CT, McGill SM. Low back loads over a variety of abdominal exercises: searching for the safest abdominal challenge. Med Sci Sports Exerc. 29(6), 1997, 804-811. doi:10.1097/00005768-199706000-00011
19. Lim EC, Poh RL, Low AY, Wong WP. Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 41(2), 2011, 70-80. doi:10.2519/jospt.2011.3393
References
2. Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol. 21(1), 2007, 77-91. doi:10.1016/j.berh.2006.08.004
3. Trainor TJ, Wiesel SW. Epidemiology of back pain in the athlete. Clin Sports Med. 21(1), 2002, 93-103. doi:10.1016/s0278-5919(03)00059-0
4. Ong A. A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic Games. British Journal of Sports Medicine. 37(3), 2003, 263-266.
5. Williams P. Gray's Anatomy: 38th (eigth) Edition. Edinburgh: Churchill Livingstone; 38, 1995.
6. Elliott B, Khangure M. Disk degeneration and fast bowling in cricket: an intervention study. Med Sci Sports Exerc. 34(11), 2002, 1714-1718. doi:10.1249/01.MSS.0000036863.74140.90
7. Orchard J. Changes to injury profile (and recommended cricket injury definitions) based on the increased frequency of Twenty20 cricket matches. Open Access Journal of Sports Medicine. 63, 2010.
8. Carriere B, Tanzberger . The wiss ball. pringer-Verlag Berlin Heidelberg; 2000.
9. Hughes CJ, Hurd K, Jones A, Sprigle S. Resistance properties of Thera-Band tubing during shoulder abduction exercise. J Orthop Sports Phys Ther. 29(7), 1999, 413-420. doi:10.2519/jospt.1999.29.7.413
10. Van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine (Phila Pa 1976). 25(21), 2000, 2784-2796. doi:10.1097/00007632-200011010-00011
11. McGill SM. Low back stability: from formal description to issues for performance and rehabilitation. Exerc Sport Sci Rev. 29(1), 2001, 26-31. Doi: 10.1097/00003677-200101000-00006
12. Olaogun MO, Adedoyin RA, Ikem IC, Anifaloba OR. Reliability of rating low back pain with a visual analogue scale and a semantic differential scale. Physiotherapy theory and practice. 20(2), 2004, 135-42.
13. Rowland T, Sparkes V. Reliability of the pressure biofeedback unit. InOrthopaedic Proceedings The British Editorial Society of Bone & Joint Surgery. 91(2), 2009, 283-283.
14. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 80(6), 2000, 564-569.
15. Marshall PW, Murphy BA. Evaluation of functional and neuromuscular changes after exercise rehabilitation for low back pain using a Swiss ball: a pilot study. J Manipulative Physiol Ther. 29(7), 2006, 550-560. Doi:10.1016/j.jmpt.2006.06.025
16. Hughes CJ, Hurd K, Jones A, Sprigle S. Resistance properties of Thera-Band® tubing during shoulder abduction exercise. Journal of Orthopaedic & Sports Physical Therapy. 29(7), 1999, 413-20.
17. Treiber FA, Lott J, Duncan J, Slavens G, Davis H. Effects of Theraband and lightweight dumbbell training on shoulder rotation torque and serve performance in college tennis players. Am J Sports Med. 26(4), 1998, 510- 515. Doi: 10.1177/03635465980260040601
18. Axler CT, McGill SM. Low back loads over a variety of abdominal exercises: searching for the safest abdominal challenge. Med Sci Sports Exerc. 29(6), 1997, 804-811. doi:10.1097/00005768-199706000-00011
19. Lim EC, Poh RL, Low AY, Wong WP. Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 41(2), 2011, 70-80. doi:10.2519/jospt.2011.3393