Effect of Cervical Posture Correction and Lumbar Stabilization Exercises on Mechanical Low Back Pain

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Introduction

The focus is on the effect of the cervical posture correction and then handling the problem of the lumbar stabilization. There have been active approaches to the lower back pain which involves the basis for the motor control exercising program. The stabilization program is for the handling the treatment method for the spinal rehabilitation where the effectiveness is based on the relatedness to pain and disability. The study is based on the research about the problems and the exercises which are needed for reducing the pain and then disability in the chronic area. This is effective for the treatment with proper and acute lower pack pain which is set by reducing the rate of recurrence.

Research Problem

With the stabilization exercises, the major focus is on the rehabilitation process where there are prophylactic care with sports injury prevention. The understanding is based on the core stability and then handling the treatment regimes for the physiotherapy for the pain, and the disability or the scores for the chronic lower back pain. The research is also to address the different needs with the problems of the chronic lower back pain which is grouped for the better outcome. The evaluation is based on the control parameter where the pressure center is for the displacement and then handling the moments or the forces. There are stability exercises with the providing of the insights for the surrogating of the outcomes. The different subgroups or the chronic lower back pain of the patients are for identifying the subgroups with the handling of the benefits after there are particular procedures of intervention (Celenay et al., 2016). The core stability factors cannot be superior as it is for the conventional exercising which is also for the improvement and working on the reaction forces with using the optimized postural adjustments. There are risks reduction processes for the better resolution and then to handle the instability of the exercises.

Aim and Objectives and Research Question

The main aim of the program is to work on the impairment and the deficit motor control that is set around the neutral zone process. It includes the spinal motion segment through restoring the functions for the normal stabilizer muscles. The objectives are based on handling the effectiveness with the core stability to work on the evolving processes with the refinement of the clinical rehabilitation process. There is a need to refine and then validate the approaches for properly understanding the chronic pain problems and the neurobiology issues as well. The understanding is based on the segmental stabilization with handling the problems of the superficial strengthening that is there for the variables. It does not improve the activation capacity.

Some of the research questions that are relevant to it are:

Q1: What are the measures for the stabilization programs to handle the clinical strategies?

Q2: How it is possible to exercise the programs which are related to core stabilization exercise programs?

Research Contribution

The stabilization process includes the short-term improvement with focus on the global impression word the recovery and the better activity for the people. This comes with the chronic lower back pain that helps in maintaining the results after the time of 6 and 12 months. The improvements are improvised for the intensity of pain and the functional disability that is demonstrated through the group of patients. The parts for the intervertebral motion also involves the spinal motion with the minimal internal resistance that is defined through handling the decrease of the capacity with maintaining the neutral zones. There are no incapacitating pain and so there are unstable segments of the spine which might not be able to handle the vertebral alignment (Hides et al., 2019). The focus is on handling the system of stabilization for the spine and then controlling the passive and the active subsystem. There are ranges of motion for handling the vertebral positioning and the motions. The muscles tend to generate forces for the spine stability with control of the poor postural that can leave the spine to be completely vulnerable as well. There have been trunk for the co-contract which includes the interaction that is in between the different trunk muscles which is also complex.

Literature Review

2.1. Cervical Posture Correction effect on Mechanical Low Back Pain

The investigation is based on the cervical spine postures with the rehabilitation procedures for the proper treatment of the lower back pain. The study is based on the physiotherapy and the sedative massage with the therapy protocols as well. There are significant increase of the incidences for the lumbar diseases which are then associated to the knee compression process. It also relates to the postures which are faulty and then this leads to the increased life of the sedentary process. The jobs and the driving cars for the longer time period with lack in the physical activities could lead to the problem of the cervical spine. There are stress induced in the spine and then the problems are determined for the certain professionals. The biochemical changes leads to the degeneration process with the imbalances and the inflammation for the movement patterns. The head posture could also lead to the changes. The physical protocol therapy is with the lower back pain treatment where the Pilates and the lumbar spin is for the stretching exercise and the presumption is based on handling the biomechanics. The postures also improve the procedures with decreasing the lowered back symptom problems. The study includes the problems where the patients need to work on the 10 days of the treatment which also includes the physical therapy process and the sedative spine massage or the physiotherapy (Claus et al., 2016). There are assessments for testing the different treatment which also includes the lower back pain and the nerve compression. There are other exclusions which are relative to the hip and the knee with mental disorder, stroke problems and the impingement of the shoulder. The procedures are defined for the people who have been able to give the approval and then plan on the experimental exercising controls procedures. There are experimental procedures which could be for the protocol start with handling the kinetic change exercises. There are inclusion of the exercises with the increased power and the scapular thoracic muscles which are for handling the elongators as well. There is a need to work on the environmental origins with the factors that work for the influences of the drug administration or for the physiotherapy (Salavati et al., 2016). The powerful factor includes the associated pathology process with the comparison to the groups and the spine arthrosis. There is a need to consider about the individual profession with understanding about the physical forms and standards. There are revealed results for the physical therapy which is not influenced by profession.

There are focus on the flexion extension, rotation and the side flexion which is for the spine couple motions. The cervical levels need to be handled with the vertebral body rotation process. This includes the ligaments for allowing the smoother movement with the minimal resistance that is done for the maximized energy conservation. The conditions are defined for the energy factors where there are degeneration process for determining about the increased mobility process or the handling of poor cervical spine. The facts are related to the balance of the spine and the demonstration is based on the fragility with balancing and demonstrating the importance. The study has been focusing on the forms which includes the determination of the lumbar biomechanics and its overuse. There are evolutionary procedures where there are onset for the lower back pain (Gross et al., 2016). Hence, one needs to handle the lumbar pathology with the improvement due to the rehabilitation exercising processes. The health posture is also important for the biomechanics with the optimal functions that are determined for the spine. The rehabilitation process includes the prevention for any of the premature degenerative and then there are disorders which are considered important for the protocol as well. There are plans for the musculoskeletal pain then they are also related to the expenses or the loss for the working productivity. The lower back pain is connected to the occupational environment which includes the increased risks and then handling the postures as well. The posture is related to the path of musculoskeletal with the correction posture technique that is used mainly by the practitioners of health. The methods are determined through treating the lower back pain and the goal is to study on the effectiveness of the system. The treatment is done for the workers which is asked for the pre-treatment and then comparing for a better process.

2.2. Lumbar Stabilization Exercises on Mechanical Low Back Pain

There have been comparisons which are made mainly in between the Pilates methods and the other stabilization methods. There are lower back pain and then compared to the control and the lumbar stabilization of the exercising groups. There are exercising programs for handling and strengthening the abdominal or the trunk muscles for the pain and the functional disability (Gross et al., 2016). There are active subsystem which is composed of the muscles that helps in generating the forces for proper supply of the stability. The postural control can also leave with handling the lumbar spine with the trunk muscles that can lead to the protection of a spinal tissue which comes mainly from the excessive motion process. There are interaction procedures with the spinal structures and the control of unwanted movement where the rehabilitation is through the active lumbar stabilization which is set for the torque production capacity of the muscles. There are functions for the neural control subsystems which also includes the sensory feedback to handle the transducers for the passive system. There are stability requirements for measuring the forces and then handling the stability for fulfilling the demands that have been changing constantly (Oakley et al., 2018).

The intertransversarii muscles includes the lumbar spine and the interspinal muscles with the dense concentrations for the spindle muscles. This includes the forms and the demonstration tend to influence the lower back pain. The Thomas test includes the hold on legs with the chest with maintaining the pelvic positioning, with the opposite and lower limb with extension till there is rest on the table. The lumbar lordosis is for the impossible factors with complete knee extensions (Bae et al., 2016).

There have been goals for determining the hip relative forms and the lumbar pelvic regions which are for the kneeling process. The patient who is kneeling down is directly beneath the shoulder and the hip. The testing is based on the lumbar spine or the neutral positioning which is backward, and the pulling of the hip is behind the knees. The monitoring of the pelvic tilt angle includes the lumbar lordosis with the motion that tends to begin at the hip. There are pelvis, which is titled, and the lumbar spine tends to latter as well (Bae et al., 2016). Hence, the examination is based on ensuring the slow moves with determining the motions sequence through the proper pelvis lumbar spine. There are poor segment control that is present with the pelvic tilts and the spine patters are for the rock back process.

There have been goals for the one leg life which is for the lumbar pelvic to handle the lifting and the hip height and then lowering it. The examination is done for monitoring the optimal alignment with focusing on the pelvis which needs to be remaining horizontal till the patient lift the leg. The sequence is based on the motion of the hip with flexion and then followed by a proper pelvic motion process (Bae et al., 2016). The understanding is based on the lumbar motion with lordosis that flattens and then reverses as well. There is a poor control which exists, and the pelvis also drops when the leg is lifted. The lumbar spine is flex with the early movement stage.

The forward bending process includes the patient standing with the shoulder width that is completely apart (Suni et al., 2017). There has been optimal control that tend to occur till the patient unlocks for the knees. The flexing is done through lumbar spine with poor control that is present when he tends to lock out and also hyperextend the knees.

There are lumbar processes for the activation with the submaximal contraction process which is elicited through the contralateral arm with the handling of the small hand weight that has been set and demonstrated through 30% of the maximal voluntary contraction process. There are other ensuring activation which involves the maintenance of the static lumbopelvic posture with the weightbearing factors (Moustafa et al., 2015). The muscles are then likely to be seen to be completely dysfunctional which needs to be addressed as this might place the risks for sustaining the injury of the lower back.

References

Bae, W.S., Lee, K.C. and Lee, H.O., 2016. Effects of the cranio-cervical static stabilization exercises among the using small tools. Korean Society of Physical Medicine, 11(3), pp.65-72.

Celenay, S.T., Akbayrak, T. and Kaya, D.O., 2016. A comparison of the effects of stabilization exercises plus manual therapy to those of stabilization exercises alone in patients with nonspecific mechanical neck pain: a randomized clinical trial. journal of orthopaedic & sports physical therapy, 46(2), pp.44-55.

Celenay, S.T., Kaya, D.O. and Akbayrak, T., 2016. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Manual therapy, 21, pp.144-150.

Claus, A.P., Hides, J.A., Moseley, G.L. and Hodges, P.W., 2016. Thoracic and lumbar posture behaviour in sitting tasks and standing: Progressing the biomechanics from observations to measurements. Applied ergonomics, 53, pp.161-168.

Gross, A.R., Paquin, J.P., Dupont, G., Blanchette, S., Lalonde, P., Cristie, T., Graham, N., Kay, T.M., Burnie, S.J., Gelley, G. and Goldsmith, C.H., 2016. Exercises for mechanical neck disorders: A Cochrane review update. Manual therapy, 24, pp.25-45.

Hides, J.A., Donelson, R., Lee, D., Prather, H., Sahrmann, S.A. and Hodges, P.W., 2019. Convergence and divergence of exercise-based approaches that incorporate motor control for the management of low back pain. journal of orthopaedic & sports physical therapy, 49(6), pp.437-452.

Moustafa, I.M. and Diab, A.A., 2015. The effect of adding forward head posture corrective exercises in the management of lumbosacral radiculopathy: a randomized controlled study. Journal of manipulative and physiological therapeutics, 38(3), pp.167-178.

Oakley, P.A., Cuttler, J.M. and Harrison, D.E., 2018. X-ray imaging is essential for contemporary chiropractic and manual therapy spinal rehabilitation: radiography increases benefits and reduces risks. Dose-Response, 16(2), p.1559325818781437.

Rodríguez-Romero, B., Bello, O., Costa, J.V. and Carballo-Costa, L., 2019. A Therapeutic Exercise Program Improves Pain and Physical Dimension of Health-Related Quality of Life in Young Adults: A Randomized Controlled Trial. American journal of physical medicine & rehabilitation, 98(5), pp.392-398.

Salavati, M., Akhbari, B., Takamjani, I.E., Bagheri, H., Ezzati, K. and Kahlaee, A.H., 2016. Effect of spinal stabilization exercise on dynamic postural control and visual dependency in subjects with chronic non-specific low back pain. Journal of bodywork and movement therapies, 20(2), pp.441-448.

Suni, J.H., Rinne, M., Tokola, K., Mänttäri, A. and Vasankari, T., 2017. Effectiveness of a standardised exercise programme for recurrent neck and low back pain: a multicentre, randomised, two-arm, parallel group trial across 34 fitness clubs in Finland. BMJ open sport & exercise medicine, 3(1), p.e000233.