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Comparison of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade‐I spondylolisthesis patients: A double‐blind randomized controlled trial
Author(s) -
Mohammadimajd Elaheh,
Lotfinia Iraj,
Salahzadeh Zahra,
Aghazadeh Nasser,
Noras Parisa,
Ghaderi Fariba,
Poureisa Masoud,
Sarbakhsh Parvin,
Choopani Rasool
Publication year - 2020
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1843
Subject(s) - medicine , randomized controlled trial , physical therapy , spondylolisthesis , lumbar , low back pain , clinical trial , physical medicine and rehabilitation , surgery , alternative medicine , pathology
Abstract Objectives The effects of different physiotherapy protocols on patients suffering from grade‐I spondylolisthesis have been thus far examined in a limited number of clinical trials. Therefore, the main purpose of this study was to compare the effects of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade‐I spondylolisthesis patients. Methods This study was a double‐blind randomized controlled trial (RCT) with a test–retest design and parallel groups. A total of 26 patients with grade‐I spondylolisthesis were thus randomly assigned to experimental group (13 patients, lumbar segmental stabilization exercises) and control group (13 patients, general exercises). Subsequently, pain, functional disability, kinesiophobia, translational motion, angular motion and slip percentage of the vertebra were investigated. Results Of the 120 people recruited in this study, only 26 patients were eligible. According to pre/post‐intervention comparison, a statistically significant decrease was observed in the experimental group in terms of pain ( p = 0.000), functional disability ( p = 0.004), kinesiophobia ( p = 0.002), translational motion ( p = 0.043) and angular motion ( p = 0.011), but not for slip percentage ( p = 0.122). Considering the control group, a statistically significant decline was reported for pain ( p = 0.043) and functional disability ( p = 0.002). However, no significant differences were found for other variables in the control group. With regard to inter‐group comparison, there was no statistically significant difference between the two groups regarding the given variables except for kinesiophobia ( p = 0.040). Conclusion Both lumbar segmental stabilization and general exercises led to reduction in pain and functional disability of patients with grade‐I spondylolisthesis. Therefore, lumbar segmental stabilization exercises seemed to be better than general ones with reference to improving kinesiophobia and intervertebral movements.