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The Effect of Electrical Stimulation...

King, Shannon.

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The Effect of Electrical Stimulation Cueing and Exercise on Clients With Chronic Low Back Pain - A Single Case Design.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effect of Electrical Stimulation Cueing and Exercise on Clients With Chronic Low Back Pain - A Single Case Design./
Author:	King, Shannon.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	66 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: B.
Contained By:	Dissertations Abstracts International85-10B.
Subject:	Physical therapy. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31145811
ISBN:	9798382193212

The Effect of Electrical Stimulation Cueing and Exercise on Clients With Chronic Low Back Pain - A Single Case Design.
King, Shannon.

The Effect of Electrical Stimulation Cueing and Exercise on Clients With Chronic Low Back Pain - A Single Case Design. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 66 p.

Source: Dissertations Abstracts International, Volume: 85-10, Section: B.

Thesis (D.P.T.)--California State University, Fresno, 2024.

Background: Low back pain (LBP) is annually reported as a leading patient cause of total lifetime disability years, by the United States Burden of Disease. Intervention studies suggest that targeting graded strengthening and more importantly, increasing the neural activation drive of the lumbar multifidus (LM) is associated with increases in the cross-sectional area of the muscle and it helps relieve chronic low back pain (CLBP). It is also suggested that it affects fatty infiltration seen in pathological LM. Electrical stimulation (ES) is an intervention for muscle dysfunction because of its capability to excite the muscle fibers; however, with its application to CLBP, there is still a lack of outcomes in the research literature. Objective: The purpose of this study was to conduct a series of single case designs on 3 subjects that utilized 3 high recruiting LM therapeutic exercises coupled with neuromuscular reeducation ES. It's hypothesized that the addition of ES to the LM during therapeutic exercises produce a motor learning effect and an involuntary motor pathway that potentially influences the hypofunctioning muscle which will improve therapeutic outcomes of CLBP. Methods: Single-case design studies conducted on 3 subjects that meet the study's inclusion criteria of non-specific LBP. The outcome measures used in this study were the Oswestry Low Back Pain Disability Questionnaire, Numeric Pain Rating Scale (NPRS) and Patient Specific Functional Scale (PSFS), Sorensen Test, and surface electromyography (sEMG). Results: The results of the study were analyzed using the 2 standard deviation methods which showed significance{A0}for the Oswestry Low Back Pain Disability Questionnaire, NPRS, PSFS and the Biering Sorenson Test. Conclusions: Patients with CLBP typically exhibit poor endurance and functional movement mechanics associated with decreased neural input, impaired muscle spindle regulation and poor proprioception. The results of this study supported an increase in LM recruitment with the use of neuromuscular electrical stimulation (NMES) for reeducation and endurance patients' functional outcomes. All the patients that participated had positive outcomes even though not all measurements were significant. Further research needs to be conducted to determine the exact effects of NMES for motor learning as a strong clinical treatment option for non-specific CLBP.

ISBN: 9798382193212Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Low back pain

The Effect of Electrical Stimulation Cueing and Exercise on Clients With Chronic Low Back Pain - A Single Case Design.
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502 $a Thesis (D.P.T.)--California State University, Fresno, 2024.
520 $a Background: Low back pain (LBP) is annually reported as a leading patient cause of total lifetime disability years, by the United States Burden of Disease. Intervention studies suggest that targeting graded strengthening and more importantly, increasing the neural activation drive of the lumbar multifidus (LM) is associated with increases in the cross-sectional area of the muscle and it helps relieve chronic low back pain (CLBP). It is also suggested that it affects fatty infiltration seen in pathological LM. Electrical stimulation (ES) is an intervention for muscle dysfunction because of its capability to excite the muscle fibers; however, with its application to CLBP, there is still a lack of outcomes in the research literature. Objective: The purpose of this study was to conduct a series of single case designs on 3 subjects that utilized 3 high recruiting LM therapeutic exercises coupled with neuromuscular reeducation ES. It's hypothesized that the addition of ES to the LM during therapeutic exercises produce a motor learning effect and an involuntary motor pathway that potentially influences the hypofunctioning muscle which will improve therapeutic outcomes of CLBP. Methods: Single-case design studies conducted on 3 subjects that meet the study's inclusion criteria of non-specific LBP. The outcome measures used in this study were the Oswestry Low Back Pain Disability Questionnaire, Numeric Pain Rating Scale (NPRS) and Patient Specific Functional Scale (PSFS), Sorensen Test, and surface electromyography (sEMG). Results: The results of the study were analyzed using the 2 standard deviation methods which showed significance{A0}for the Oswestry Low Back Pain Disability Questionnaire, NPRS, PSFS and the Biering Sorenson Test. Conclusions: Patients with CLBP typically exhibit poor endurance and functional movement mechanics associated with decreased neural input, impaired muscle spindle regulation and poor proprioception. The results of this study supported an increase in LM recruitment with the use of neuromuscular electrical stimulation (NMES) for reeducation and endurance patients' functional outcomes. All the patients that participated had positive outcomes even though not all measurements were significant. Further research needs to be conducted to determine the exact effects of NMES for motor learning as a strong clinical treatment option for non-specific CLBP.
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653 $a Lumbar multifidus
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