Utah Valley Pain Management
Pain Management Case Study
The Effect of Workplace Based Strengthening on Low Back Injury Rates: A Case Study in the Strip Mining Industry
MedX Published Research
Journal of Occupational Rehabilitation
1995 Volume 5, Number 3
Vert Mooney, MD
Marvin Kron
Patrick Rummerfield
Bryon Holmes
Study Outcomes & Clinical Relevance:
The purpose of this study was to demonstrate the effect of a once a week exercise program focused specially at lumbar extensor strengthening. There was a 54% to 104% increase in strength during the 20 week program. The average workers' compensation liability dropped from $14,430 per month to $380 per month for the study year. The significant increase in strength associated with the exercise program correlated with the greatly reduced incidence of back claims. This could significantly help Utah Valley pain management.
Pain Management Benefits
MedX Published Research
Physiological and Psychological Benefits: Lumbar Strengthening in Chronic Back Pain Patients
Spine
February 1993 Volume 18, Number 2
Sherry V. Risch, PhD
Michael L. Pollock, PhD
Howard Langer, RPT
James E. Graves, PhD
Nancy K. Norvell, PhD
Edward D. Risch, MD
Michael Fulton, MD
Scott H. Leggett, MS
Study Outcomes & Clinical Relevance:
Lumbar extension exercise is beneficial for strengthening the lumbar extensors and results in decreased pain and improved perceptions of physical and psychological functioning in chronic back pain patients.
The Role of Anticipation and Fear of Pain in the Persistence of Avoidance Behavior in Patients with Chronic Low Back Pain
Spine
May 2000 Volume 25, Number 9
Al-Obaidi SM
Nelson RM
Al-Awadhi S
Al-Shuwaie N
Department of Physical Therapy, Kuwait University
Faculty of Allied Health Sciences and Nursing, Sulaibikhat, Kuwait
Study Outcomes & Clinical Relevance:
The results of this study strongly support the hypothesis that spinal physical capacity in chronicity is not explained solely by the sensory perception of pain. The anticipation of pain and the fear-avoidance belief about physical activities were the strongest predictors of the variation in physical performance.
This study utilizing MedX technology reveals that the fear of pain can be as functionally debilitating as pain itself. MedX is a perfect solution for defusing fear of movement because treatment can occur in a very restricted range-of-motion with minimal resistance. Patients in Utah Valley can benefit from this study in their pain management.
Pain Management and Traditional Low Back Exercises
MedX Published Research
Electromyographic Activity of Selected Trunk Muscles during Dynamic Spine Stabilization Exercises
Archives of Physical Medicine & Rehabilitation
November 2001 Volume 82, Number 11
Souza GM
Baker LL
Powers CM
Study Outcomes & Clinical Relevance:
Spine Stabilization Exercises (traditional back exercises taught in therapy and home exercise programs) produced low levels of electromyographic activity (41% of maximum voluntary isometric contraction). Healthy persons may not receive a significant strengthening effect from common, low-technology trunk extensions.
Effect of Roman Chair Exercise Training on the Development of Lumbar Extension Strength
Journal of Strength & Conditioning Research
May 2003 Volume 17, Number 2
Mayer JM
Udermann BE
Graves JE
Ploutz-Snyder LL
Department of Exercise Science
Syracuse University, Syracuse, New York 13244
Study Outcomes & Clinical Relevance:
Following training, peak isometric lumbar extension torque did not increase for the group training on the Roman Chair. It was determined that the Roman Chair primarily strengthened the hamstrings and gluteal muscles.
Effects of Three Different Training Modalities on the Cross Sectional Area of the Lumbar Multifidus Muscle in Patients with Chronic Low Back Pain
British Journal of Sports Medicine
2001 Volume 35
L A Danneels
G G Vanderstraeten
D C Cambier
E E Witvrouw
J Bourgois
W Dankaerts
H J De
Cuyper Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine, Ghent University, Belgium
Centre of Sports Medicine, Ghent University Hospital, Belgium
Department of Physical Medicine and Rehabilitation, Hospital Jan Palfijn-Campus Gallifort, Antwerp, Belgium
Study Outcomes & Clinical Relevance:
Multifidus muscle wasting appears to be reversible if given the proper intervention. But, spinal stabilization training does not restore atrophied multifidi in the absence of progressive resistance exercises for the low back musculature. The most effective resistance exercise routine in this study used a concentric-eccentric protocol with a 5-second isometric pause with the muscles in their most contracted position.
Differences in Electromyographic Activity in the Multifidus Muscle and the Iliocostalis Lumborum between Healthy Subjects and Patients with Sub-Acute and Chronic Low Back Pain
European Spine Journal
February 2002 Volume 11, Number 1
Danneels LA
Coorevits PL
Cools AM
Vanderstraeten GG
Cambier DC
Witvrouw EE
De CH University Hospital
Department of Rehabilitation Sciences and Physiotherapy, Ghent, Belgium
Study Outcomes & Clinical Relevance:
Back pain patients have a reduced capacity to voluntarily recruit the multifidus in order to obtain a neutral lordosis. Pain, pain avoidance and deconditioning may have contributed to these lower levels of EMG activity during intensive back muscle contraction. This study reaffirms the involvement of the multifidi in the possible pathogenesis of low back pain.
In this study, low load activity (lumbar stabilization exercises) was insufficient to challenge the multifidi during "stabilization" exercises. This is in agreement with another study previously reviewed in this column that concluded stabilization exercises do not recruit the paraspinal musculature at a level high enough to stimulate strength adaptations. One of the most researched means of accomplishing this spinal overload is via the MedX lumbar extension machine. These studies show that pain management can be accomplished in Utah Valley at Alpine Spinal Rehab.
