Journal of Rehabilitation Sciences & Research

Efficacy of Pelvic Repositioning Exercises on Pain, Hip and Shoulder Range of Motion and Disability of the Patients with Chronic Nonspecific Low Back Pain: A Single Blinded Randomized Controlled Trial

Noureddin Karimi; Mehran Fathizadeh; Mohammad Reza Nourbakhsh; Akbar Biglarian

Volume 8, Issue 3 , September 2021, , Pages 106-114

Abstract

Background: Chronic non-specific low back pain (LBP) is one of the mostcontroversial issues of experts. Positive Ober`s test was considered a contributingfactor to LBP. Common intervention ... Read More Background: Chronic non-specific low back pain (LBP) is one of the mostcontroversial issues of experts. Positive Ober`s test was considered a contributingfactor to LBP. Common intervention to address such problems was surgery oriliotibial band stretching. Recently, it was suggested that pelvic malalignmentis the contributing factor to Positive Ober`s test. Pelvic repositioning exerciseswas argued as a solution for the treatment of chronic LBP followed by pelvicmalalignment.Methods: In this single-blinded randomized controlled trial, 18 patientsparticipated and were assigned into the control and treatment groups using theblock randomization method. One side Positive Ober`s test as an indicator ofpelvic malalignment was used as an inclusion criterion to employ the patientswho have pelvic malalignment and asymmetry. Patients were asked to completethe Oswestry disability questionnaire to assess their disability. Hip internal andexternal rotation and shoulder internal and external rotation ROM measured bya standard goniometer. An inclinometer measures hip adduction and abductionROM. Outcome measures were reassessed after 12 days. Data were analyzedusing the ANCOVA test to compare among groups.Results: Patients in treatment group showed significant improvement of pain(P=0.01), ipsilateral hip adduction (P=0.00) and internal rotation (P=0.02)ROM and contralateral hip abduction (P=0.00) and shoulder internal rotation(P=0.00) ROM and Glenohumeral internal rotation deficit (GIRD) (P=0.001)compared with control group. There was no difference among groups fordisability (P=0.34) and contralateral hip external rotation (P=0.06) and alsothere was no difference for contralateral shoulder external rotation (P=0.85) andipsilateral shoulder internal (P=0.13) and external rotation (P=0.58).Conclusion: Pelvic repositioning exercises are an effective treatment to reducechronic LBP via improving pelvic alignment. These exercises improve GIRD andincrease shoulder internal rotation ROM, contralateral to positive Ober`s test.2021© The Authors. Published by JRSR. All rights reserved.

Differences in Cervical Extensor Muscles Thickness on Subjects with Normal Head Posture and Forward Head Posture: An Ultrasonography Study

Fereshte Goodarzi; Noureddin Karimi; Leila Rahnama; Leila Khodakarim

Volume 2, Issue 2 , June 2015, , Pages 23-26

Abstract

Background: Forward head posture (FHP) is recognized as a common postural disorder of modern societies. Increase in anterior cervical convexity and anterior displacement of the line ... Read More

Effects of Adding Segmental Traction Therapy to Routine Physiotherapy on Pain and Functional Ability of Patients with Acute Low Back Pain

Parvin Akberov; Noureddin Karimi; Leila Rahnama

Volume 2, Issue 2 , June 2015, , Pages 37-40

Abstract

Background: Low back pain (LBP) is one of the most common musculoskeletal complications of today’s societies which, poses a big portion of health expenses and work absentees. Lumbar ... Read More

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Author = Karimi, Noureddin

Efficacy of Pelvic Repositioning Exercises on Pain, Hip and Shoulder Range of Motion and Disability of the Patients with Chronic Nonspecific Low Back Pain: A Single Blinded Randomized Controlled Trial

Abstract

Differences in Cervical Extensor Muscles Thickness on Subjects with Normal Head Posture and Forward Head Posture: An Ultrasonography Study

Abstract

Effects of Adding Segmental Traction Therapy to Routine Physiotherapy on Pain and Functional Ability of Patients with Acute Low Back Pain

Abstract