Kineziterapijos poveikis apatinės nugaros dalies funkcijai ir skausmui ; Benefits of physical therapy of lower back function and pain

Subject: to determine the effect of physiotherapy on lower back function and pain. Problem: Number of people who experience lower back pain is growing and getting younger and this problem becomes a top prolem (Juocevičius, A., et al. 2001) In order to solve this problem, we analyzed how the physiotherapy program works for 23 to 28-year-old women who suffer from lower back pain, abdominal and spinal muscles, static extremity, lumbar flexibility and pain intensity by tensiomyography and dynamometer methods. Methods: the study was conducted at the MyHero LT studio for 6 weeks. The study was performed on 12 subjects (women) who experienced lower back pain. Subjects were treated with individual physiotherapy 4 times per week, 45 min. during a day. The TMG (Tc and Dm), dynamometer (60°/s and 90°/s Nm) methods were evaluated, and the pain was assessed by the VAS scale. The Schober test was used to evaluate lumbar spine mobility and the McGill methodology for assessing the static endurance of lumbar muscles. The evaluation was performed before and after physiotherapy. Subjects: twelve 23-28 year old women, who are experiencing lower back pain. The subject complained of chronic lower back pain assessed by 4-5 points according to VAS. All tested subjects have been counseled by a family doctor who recommended physiotherapy or swimming pool. Hypothesis: Knowing that lower back stabilization, stretching and mobility exercises affect back pain relief, improve lumbar function and mobility, reduce muscle contraction time, optimally affect muscle deformation amplitude, increase muscle strenght momentum (Macgregor et al., 2018; Demirel et al., 2019; Baggen et al., 2019), so we hypothesized that the increase in muscle strenght during applied physiotherapy and reducing muscle contraction time, will improve lower back function and mobility and pain will reduce. Tasks: 1. Determine and compare the contraction time of the lower back muscles of the subjects, the amplitude of deformation and the moment of force before and after physiotherapy; 2. Determine and compare subjects‘ lower back pain before and after physiotherapy; 3. Determine and compare the muscles of the lower back muscles and static endurance before and after physiotherapy. Results: there was no difference between the contraction time (Tc) and the deplacement (Dm) of the Adductor Longus, Erector Spinae, Gluteus Medius, Gluteus Maximus, Obliques Externus, Rectus Abdominus muscles. However, the momentum of the torso bending and building force was increased by the isokinetic dynamometer method and the lower back pain decreased. The results of Schober test did not change after physiotherapy, but the static endurance of the torso bending, bulding adn right and left muscles was increased according to the McGill test. Conclusion: 1. The moment of patient‘s lower back muscle contration time, deformation and torso bending and construction force at 60°/s was similar and statistically there was no sighificant difference after physiotherapy, but torso bending and building force moment 90°/s after physiotherapy increased significaly. 2. Pain in patients with lower back pain after physiotherapy was significaly reduced. 3. Patients with lower back movement after physiotherapy remained unchaneged, but static endurance of the same muscles after physiotherapy increased significantly.