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HERDIN Record #: 106164-20090101081078 Submitted: 01 September 2020 Modified: 29 September 2020

Effects of hip abductors strengthening as an adjunct to lumbar stabilization exercises on pain, disability, and hip abductors strength among security guards with non-specific low back pain of Cebu Doctors' University and Mactan Doctors' Hospital.

Esyl S. Jakosalem,
Jon Rodney E. Longkines,
Wrenzil M. Sadagnot,
Alanah Mei D. Villarias,
Kurt Andre C. Yu,
Twinkle C. Gargar

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  The study utilized a randomized pre-post test experimental design that aimed to determine the effects of hip abductors strengthening as an adjunct to lumbar stabilization exercises on pain, disability, and hip abductors strength among security guards with non-specific low back pain of Cebu Doctors' University (CDU) and Mactan Doctors' Hospital (MDH). The subjects were 10 security guards with non-specific low back pain who were randomly assigned into two (2) groups: a lumbar stabilization group of five (5) subjects, the control group, and a lumbar stabilization with hip abductors strengthening group of five (5) subjects, the experimental group.The subjects were given the National Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI) to measure the severity of pain experienced on the lower back and how this affects their daily activities. After filling out the questionnaires, the subjects were then assessed for the strength of the hip abductor muscles. The study was implemented in the CDU room 406 and 308 for six (6) sessions over a span of two (2) weeks. Paired t-Test for normally distributed values and Wilcoxon Signed Rank test for non-parametric measurement were used to compare the significant differences between the pre-test and post-test values of both the control and experimental groups.


  Pre-test values of pain, disability and muscle strength of hip abductors were as follows: pain was recorded as 4.80±.84 for the control group and 5.00±1.00 for the experimental group. The disability score for the control and experimental group was documented as 25.80±2.59 and 27.60±2.70, respectively. The pre-test measurements of hip abductors muscle strength were 3.53±.38 (left gluteus maximus) and 3.67±.24 (right gluteus maximus), 3.47±.30 (left gluteus medius) and 3.33±.00 (right gluteus medius), and 3.67±.24 (left tensor fascia latae) and 3.53±.18 (right tensor fascia latae) for the control group; 3.60±43 (left gluteus maximus) and 3.53±30 (right gluteus maximus), 3.60±28 (left gluteus medius) and 3.67±24 (right gluteus medius), and 3.60±43 (left tensor fascia latae) and 3.80±18 (right tensor fascia latae) for the experimental group. Post-test scores for pain and disability were as follows: pain was recorded as 2.80±.84 for the control group and 2.40±1.40 for the experimental group. The disability score for the control and experimental group was documented as 20.40±1.82 and 19.40±1.82, respectively. The post-test measurements of muscle strength were 4.20±.69 (left gluteus maximus) and 4.47±.38 (right gluteus maximus), 3.73±.37 (left gluteus medius) and 3.87±.30 (right gluteus medius), and 4.27±.37 (left tensor fascia latae) and 4.40±.28 (right tensor fascia latae) for the control group; 3.60±43 (left gluteus maximus) and 3.53±30 (right gluteus maximus), 3.60±28 (left gluteus medius) and 3.67±24 (right gluteus medius), and 3.60±43 (left tensor fascia latae) and 3.80±18 (right tensor fascia latae) for the experimental group.The Paired T-test and Wilcoxon Signed Ranks Test revealed that results showed significant differences between pre-test and post-test measurements within both groups. Results revealed that the control group had a significant decrease as to pain (t= -2.236; p=.025), and disability (t=7.216; p=.002) as well as a significant increase in muscle strength of the left (t=3.651; p=.022) and right (t=-2.041; p=.041) gluteus maximus, left (t=-2.060; p=.039) and right (t=5.079; p=.007) tensor fascia latae, and right gluteus medius (t=-2.060; p=.039), except for the left gluteus medius(t=1.372; p=.242) muscle which did not come out to be significant. Results in the experimental group also yielded a significant decrease as to pain (z=-2.070; p=.038), disability (z=-2.070; p=.038), and a significant increase in muscle strength of the left and right gluteus maximus (z=-2.060; p=.039), left (z=3.651; p=.022) and right (z=5.880; p=.004) gluteus medius, and left (z=-2.070; p=.038) and right (z=-2.032; p=.042).


  In conclusion, hip abductors strengthening as an adjunct to lumbar stabilization exercises has no effect on pain, disability and hip abductors strength among security guards with non-specific low back pain of Cebu Doctors' University and Mactan Doctors' Hospital. The researchers recommend to search for other populations that the study may be applicable to. Other recommendations may include extending the treatment period for more than two (2) weeks and conducting a one (1) month follow up assessment to see if the intervention has long-term effects.

Publication Type
Thesis/Dissertations
Thesis Degree
BS
Specialization
Physical Therapy
Publication Date
March 2019
LocationLocation CodeAvailable FormatAvailability
Cebu Doctors' University - Main Library U9 Ef36j 2019 Fulltext Print Format
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