Effects of retro-walking and spinal flexion exercises in postural low back pain

Sumit Raghav; Anshika Singh; Mukesh Kumar; Gunjan Chaudhary

doi:10.15391/prrht.2023-8(3).01

Authors

Sumit Raghav IIMT College of Allied Medical Sciences, IIMT University, Meerut, Uttar Pradesh, India https://orcid.org/0000-0003-4485-9725
Anshika Singh IIMT College of Allied Medical Sciences, IIMT University, Meerut, Uttar Pradesh, India https://orcid.org/0000-0002-2254-6632
Mukesh Kumar IIMT College of Allied Medical Sciences, IIMT University, Meerut, Uttar Pradesh, India https://orcid.org/0009-0006-1342-4306
Gunjan Chaudhary IIMT College of Allied Medical Sciences, IIMT University, Meerut, Uttar Pradesh, India https://orcid.org/0009-0001-5003-0764

DOI:

https://doi.org/10.15391/prrht.2023-8(3).01

Keywords:

low back pain, postural low back pain, spinal flexion exercises, retro-walking

Abstract

Purpose: to determine the effects of retro-walking along with spinal flexion exercises in postural low back pain.

Materials & Methods: total subjects were 30 selected out of 69 according to the inclusion and exclusion criteria and were divided in two groups – Group A and Group B. Both groups are experimental and have 15 subjects in each group on the basis of inclusion criteria. The purpose and procedure of the study were explained in details and consent from the taken and they were free to withdraw any time without giving any reason.

Results: independent t-test was used to find the significant difference between before and after intervention result in both groups. Before the intervention, table 1; the value of t-test of numeric pain rating scale was –1.628 wit significance value 0.115 of both groups; group A and B. whereas the value of t-test of oswestry disability index was –1.374 of both groups with significance value 0.180 of group A and 0.183 of group B. After intervention, table-2; the value of numeric pain rating scale and oswestry disability index was 0.000 and 0.000 in both groups. There was 95% of confidence interval adopted for the significant differences between the groups.

Conclusions: there were reduction in pain and disability in both groups. The statistically reduction in pain and disability in group A following 4-weeks protocol of retro-walking along with spinal flexion exercises in postural low back pain suggests including retro-walking with conventional management protocol for patients with postural low back pain.

References

Abdelraouf, O.R., Abdel-Aziem, A.A., Ahmed, A.A., Nassif, N.S., & Matar, A.G. (2019). Backward walking effects on activation pattern of leg muscles in young females with patellofemoral pain syndrome. International Journal of Therapy And Rehabilitation, 26(1), 1-9. https://doi.org/10.12968.ijtr.2017.0160

Ain, S.Q.T., Rehman, S.S.U., Maryam, M., & Kiani, S.K. (2019). Effects of Sustained Natural Apophyseal Glides with and without thoracic posture correction techniques on mechanical back pain: a randomized control trial. JPMA, 69(11), 1584-1587. https://doi.org 10.5455/JPMA.274875

Alghadir, A.H., Anwer, S., Sarkar, B., Paul, A.K., & Anwar, D. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC musculoskeletal disorders, 20, 1-10. https://doi.org/10.1186/s12891-019-2537-9

Anderson, C.D., Makgotloe, A., Koetsie, K., & Rose, A. (2021). Survey of back and neck pain in South African ophthalmologists. African Vision and Eye Health, 80(1), 616. https://doi.org/10.4102/aveh.v80i1.616

Balasukumaran, T., Olivier, B., & Ntsiea, M.V. (2019). The effectiveness of backward walking as a treatment for people with gait impairments: a systematic review and meta-analysis. Clinical rehabilitation, 33(2), 171-182. https://doi.org/10.1177/0269215518801430

Balraj, A.M., Kutty, R.K., Kamraj, B., & Saji, V.T. (2018). Impact of retro-walking on pain and disability parameters among chronic osteoarthritis knee patients. Physiother Rehabil, 3(157), 257. https://doi.org/10.4172/2573-0312.1000157

Bodwal, M., Rana, P., & Joshi, S. (2017). Prevalence of neck pain and laptop using behavior among post graduate students. Int J Physiother Res, 5(4), 2271-75. https://doi.org/10.16965/ijpr.2017.185

Childs, J.D., Piva, S.R., & Fritz, J.M. (2005). Responsiveness of the numeric pain rating scale in patients with low back pain. Spine, 30(11), 1331-1334. https://doi.org/10.1097/01.brs.0000164099.92112.29

Kim, C.Y., Lee, J.S., & Kim, H.D. (2017). Comparison of the effect of lateral and backward walking training on walking function in patients with poststroke hemiplegia: a pilot randomized controlled trial. American journal of physical medicine & rehabilitation, 96(2), 61-67. https://doi.org/10.1097/phm.0000000000000541

Kim, S.H., & Yoon, Y.B. (2016). Effect of backward walking on isokinetic muscular function, low back pain index and lumbosacral angle in unilateral exercise athletes. Indian J Sci Technol, 9(25), 1-6. https://doi.org/10.17485/ijst/2016/v9i25/97167

Kim, Y.S., Park, J., & Shim, J.K. (2010). Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy. Archives of physical medicine and rehabilitation, 91(2), 208-214. https://doi.org/10.1016/j.apmr.2009.10.014

Muazzam, M.R.U., Abbas, S., Abbas, S., & Rafi, M.A. (2021). Frequency of low back pain in young adults and its relationship with different mattresses. Journal of Pakistan Medical Association, 71(9), 2177-2180. https://doi.org/10.47391/jpma.03-494

Nagarajan, M., & Nair, M.R. (2010). Importance of fear-avoidance behavior in chronic non-specific low back pain. Journal of back and musculoskeletal rehabilitation, 23(2), 87-95. https://doi.org/10.3233/bmr-2010-0249

Sandal, D., Jindal, R., Gupta, S., & Garg, S.K. (2021). Reliability and validity of Punjabi version of Oswestry Disability Index in patients with mechanical low back pain. Journal of Clinical Orthopaedics and Trauma, 13, 163-168. https://doi.org/10.1016/j.jcot.2020.11.011

Teferi, G. (2020). Regular physical exercise for prevention and treatment of low back pain: a systematic review. American Journal of Sports Science, 8(3), 73-80. https://doi.org/10.11648/j.ajss.20200803.15

Witwit, W.A., Kovac, P., Sward, A., Agnvall, C., Todd, C., Thoreson, O., ... & Baranto, A. (2018). Disc degeneration on MRI is more prevalent in young elite skiers compared to controls. Knee Surgery, Sports Traumatology, Arthroscopy, 26, 325-332. https://doi.org/10.1007/s00167-017-4545-3

Zhang, M., Liu, A., Jiang, L., Pang, J., Guo, H., Chen, B., & Zhan, H. (2015). The biomechanical effects of backward walking on the knee: A new method for releasing the joint loading. Osteoarthritis and Cartilage, 23, A121-A122. https://doi.org/10.1016/j.joca.2015.02.845