期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2018
卷号：18
期号：2
页码：313-318
语种：English
出版社：Ovidius University Press
摘要：Objective.The purpose of this research is to prove the effectiveness of the muscle strengthening techniques in regards to diminishing the symptoms of disc disorders in the lumbar spine.Methods.The group of subjects consisted of 6 patients with lumbalgia,with various social background,close age,and professions that demand constantly their dorsal-lumbar muscles.Each subject benefited from 30 physical therapy sessions,conducted three times per week,with one or two days break,in order to prevent muscle and joint overwork.They were chosen according to the following criteria: a common clinical diagnosis - lumbalgia;no contraindications for the physical therapy treatment (heart or respiratory disorders,other types of diseases,etc.);the patients are not in the inflammatory phase;no invalidating diseases;their agreement for the physical therapy treatment.The methods and techniques that were applied were carefully particularized and individualized according to the patients' symptoms,both at the beginning and over the course of the treatment or sessions.The evaluation tests were the Visual Analog Scale,the joint assessment and the muscle testing.Results.The VAS results,realized through the palpation of the injured areas (ligaments and muscles) show a diminished pain after the strengthening sessions.One can see that following the strengthening exercises,the range of motion was also improved by a few degrees in every direction,which represents both diminished pain reflex contractures in the extensor muscles,and a thinning of the ligament capsules.During the final testing of muscle strength,all subjects recorded a positive score,this aspect being the result of the analytical application of the specific muscle strengthening techniques on each muscle group.The best results recorded by the subjects were in regards to their back muscles,the quadriceps and hamstrings,which means that at the end of the intervention,the patients were able to easily perform eccentric contractions outside the segment,and plyometric contractions.Conclusions.The initial hypothesis was confirmed,thus an adapted and particularized strengthening program had beneficial effects,helping to diminish the pain,reduce the contractures,maintain the strength and correct the muscle imbalances.The correct and complete evaluation of the spine,pain,and the functional status caused by the consecutive disability in patients with lumbalgia is an important component in the rehabilitation program,for this being emphasized the need to use standardized scales through which one can quantify and compare the recorded progress.
