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Showing 3 results for Exercise Therapy
Effect of Pain Neuroscience Education Followed by Cognition-Targeted Motor Control Training on Pain, Disability, Central Sensitization and Kinesiophobia in Patient with Nonspecific Chronic Low Back Pain
Dr Amir Letafatkar, , ,
Volume 0, Issue 0 (11-2019)
Abstract
Abstract

Introduction: Previous studies have shown promising results in improving pain, disability, and kinesiophobia in chronic low back pain patients through pain neuroscience education and targeted cognitive motor control exercises. The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control exercises with targeted cognitive motor control exercises alone in patients with chronic low back pain.
Materials and Methods: Fifty-four chronic low back pain patients (the pain neuroscience education with targeted cognitive motor control exercises group, n=27 and the targeted cognitive motor control exercises only group, n=27) participated in this study. Pain (visual analogue scale), disability (Oswestry Disability Index), central sensitization inventory, and kinesiophobia (Tampa Scale) were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models with Bonferroni correction were used to examine between-group differences.
Results: A significant group × time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control exercises group compared to the targeted cognitive motor control exercises only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group × time interaction effects was found for disability (p=0.50).
Conclusions: This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control exercises in chronic low back pain patients.
 
The effect of progressive endurance-strengthening training and electrical stimulation on muscle strength and surface electromyography parameters in volleyball players with Infraspinatus syndrome
, , , ,
Volume 10, Issue 3 (6-2012)
Abstract

Background: In sports such as handball, tennis and volleyball the player need to involve the great loads over his shoulders. In these sports, players are predisposed to overuse injuries. Infraspinatus syndrome’s meaning is the painless weakness and atrophy of this muscle that observe following Suprascapularis nerve neuropathy. In this investigation we want to survey the effects of a short term of progressive endurance-strengthening training and electrical stimulation on strength and electromyography in infraspinatus muscle. Method: 12 volleyball players with Infraspinatus syndrome were randomly divided to two groups: progressive endurance-strengthening training (6 persons, age 24/8±3/8, height 189/3±2/6, weight 83/8±7/9, sport background 9/4±2/5 and national team’s background 3/24±1/7) and electrical stimulation (6 persons, age 24/2±4/5, height 192/5±1/5, weight 86/2±6/4, sport background 8/5±4 and national team’s background 4/3±2/8). 20 persons of healthy players were considered to be as a control group (age 25/1±4/2, height 187/7±3/9, weight 75/6±7/1, sport history 9±3/8 and national team history 3/9±2/3), too. Therapeutic interventions performed for 8 weeks. Surface electromyography of infraspinatus and tress minor muscles and maximal isometric strength of external rotator muscles were measured before and after interventions. Data analyzing performed by SPSS.12 and we used of Paired sample T test and one-way ANOVA. Confidence level considered to be 95% (P<0.05). Results: After eight weeks, maximal isometric strength of external rotators in both experimental groups was increased significantly, but there were observed no significant changes in IEMG and RMSEMG. Conclusion: Progressive endurance-strengthening training and electrical stimulation can result in increase of maximal isometric strength of shoulder external rotator muscles. But both therapeutic methods have no effect onelectromyograghic parameters in infraspinatus and tress minor muscles. It seems that we can't use of surface electromyography for detecting the effect of these protocols on above muscles (P<0/05).


Effects of 12-week integrated exercise training on glycemic and peripheral sensation control in diabetic peripheral neuropathy
, , , ,
Volume 19, Issue 22 (12-2021)
Abstract
Aim: Neuropathy control and management is an objective in therapeutic exercises prescribed for patients with Type 2 diabetic peripheral neuropathy. We examined the effects of 12-week integrated exercises (IE) on glycemic control and peripheral sensation criteria in patients with diabetic neuropathy. Methods: Based on scores of MNSI, we assigned 40 patients into two equal paired random groups (control vs. IE). Pre and post-tests were administered before and after three months of intervention for 3 sessions per week with a time of 60 minutes in the first week and gradually increased with the duration and volume of training to 90 minutes in the final session.
 Results: Repeated measures ANOVA showed no significant interaction between FBS of the groups (P = .26), but significant interactions were observed between the levels of 2 hrs pp G , 4 pm G, HbA1c, Diapason, Monofilament, and Thermofeel in favor of the IE group (P <.05). Conclusion: At the beginning of the IE, we used massage and foam roller to release pain, and improve blood circulation as well as sensation in the neuropathic areas. This may have helped the patients perform the aerobic and resistance exercises more easily Therefore, better glycemic control and peripheral sensation was achieved. Verification of the long-term effects of this training strategy requires further study.


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