Tomas Aukštikalnis, Juozas Raistenskis, Romualdas Sinkevičius, Lina Varnienė, Vaiva Strukčinskaitė, Vilma Dudonienė, Kristina Aukštikalnienė, Emilis Janeliauskas, Emilija Šinkūnienė
Abstract
The objective of study: to compare the effectiveness of isokinetic training and spine stabilization exercises in low back pain for adolescents. Materials and methods: The research was set in Children‘s Hospital, Affiliate of Vilnius University Hospital Santariskiu clinics. It started 2013.01, till 2014.06. 75 adolescent participants (48 (64%) female, 27 (36%) male, mean age 15,1±1,26m years) with low back pain were recruited and randomly assigned into one of two groups. Patients of Biodex group received isokinetic training, and patients of other group performed spine stabilization exercises. Each participant received 30 minutes length physiotherapic exercises for 16 days in a row. In addition to physical therapy procedures, all participants received physical modalities and massage, according the V-50 law. Before and after rehabilitation cycle all participants were tested for pain severity via visual analogy pain scale (VAS-10), Roland-Morris questionnaire; for lumbar spine flexibility by modified Clarcson‘s methodology; for trunk muscle static endurance methodology of McGill; for isokinetic trunk muscle strength using „BIODEX 4PRO“ isokinetic dinamometer. Data analysis was performed using statistical analysis software specialized pakets. Results: After the cycle of rehabilitation procedures significant increases of several factors were noted in both groups: pain reduce (p<0,05); flexibility of lumbar spine (p<0,05); isometric endurance of trunk muscles (p<0,05); peak torque and dynamic endurance of trunk extensors (p<0,05). No static differences were found between two groups (p>0,05), except static endurance of trunk (p<0,05) on isokinetic group. Conclusion: rehabilitation cycle has great influence improving functional status. The findings demonstrate that both methods were effective improving the functional status. Neither method has been effective over the other, except static endurance of trunk on isokinetic group.
Keyword(s): rehabilitation; isokinetic; adolescents; back; pain.
DOI: 10.5200/sm-hs.2016.035
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