Effect of Abdominal Hollowing Exercise Along With Diaphragm Training On Pain, Diaphragm Strength And Lumbar Stability In Subjects With Non-Specific Low Back Pain- Randomized Control Trial
Ritul Baklikar
, Mrunali Patel
Nonspecific low back pain, Maximum Inspiratory Pressure, Lumbar instability, Abdominal Hollowing Exercise
Background: The term "nonspecific low back pain" describes lower back stiffness, discomfort, and/or tightness that have no apparent cause. The lack of strength and motor control of Transversus Abdominis (TrA), Multifidus, Diaphragm, and Pelvic Floor muscles are independent risk factor for non-specific LBP and lumbar instability.[1]In the Indian population, the prevalence of low back pain was found to range from 6.2% to 92%. Patients who have low back discomfort often report impaired diaphragm function, which may be crucial for postural stability. People are negatively affected by chronic pain. Strengthening the diaphragm muscle can increase the trunk's postural stability, and diaphragm exercise may lessen discomfort. [4] There is article that proves diaphragm strengthening with POWER breath device improves diaphragm strength (MIP). Also, Abdominal Hollowing Exercise alone can reduce low back pain is proved in an article. As the function of diaphragm is ignored during conventional treatment hence strengthening of diaphragm is important. Hence, to improve low back pain alone Abdominal Hollowing Exercise is significantly effective. And to improve MIP Abdominal Hollowing along with Diaphragm Training was significantly beneficial. For lumbar instability the abdominal hollowing alone was significantly effective. • Aim: To study effect of abdominal hollowing exercise along with diaphragm training on pain, diaphragm strength and lumbar stability in subjects with non-specific low back pain. • Material and Methodology: Participants were explained about the study and intervention. Their informed written consent was taken. 28 participants were selected based on the selection criteria. Population is randomly divided into two different groups. Prior and after treatment outcome measures; VAS, Lumbar Rocking Test, MIP were measured. Group A performed Abdominal Hollowing Exercise along with Diaphragm Training and Group B performed Abdominal Hollowing alone. Intervention consisted of total 4 weeks for both the groups. Diaphragm training was given for 2 sets per day with 30 inhalations per set. And Abdominal Hollowing Exercise was given 3 sets per day with 10 repetitions per set. • Results: Group A performed Abdominal Hollowing Exercise along with Diaphragm Training and resulted that this exercise is statistically significant in improving MIP with effect size 3.07. Group B performed Abdominal Hollowing alone and resulted that this exercise is statistically significant in reducing low back pain with effect size 7.01. For lumbar stability both groups showed significant result. • Conclusion: Abdominal Hollowing along with diaphragm training is effective on increasing MIP and lumbar stability. To reduce low back pain only Abdominal Hollowing exercise can work significantly.
"Effect of Abdominal Hollowing Exercise Along With Diaphragm Training On Pain, Diaphragm Strength And Lumbar Stability In Subjects With Non-Specific Low Back Pain- Randomized Control Trial", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 6, page no.578 - 586, June-2024, Available :https://ijsdr.org/papers/IJSDR2406064.pdf
Volume 9
Issue 6,
June-2024
Pages : 578 - 586
Paper Reg. ID: IJSDR_211459
Published Paper Id: IJSDR2406064
Downloads: 000347119
Research Area: Health Science
Country: Latur , Maharashtra, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
