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The study of factors that affect lumber stability and the treatment of low back pain (LBP) by increasing lumber stabilization has been an area of research and lumber stability and core strengthening are popular both to increase athletic performance and to treat pain. The total range of motion of a spinal motion segment may be divided into 2 zones: a neutral zone and an elastic zone. The neutral zone is the initial portion of the ROM during which the spinal motion is produced against minimal internal résistance. The elastic portion of the ROM is the portion nearer to the end range of movement that is produced against substantial internal resistance. The size of the neutral zone is considered to be an important measure of spinal stability. Normal spinal stabilizing system divided in to passive system, active system and neutral control system. The recent focus in the physiotherapy management of patients which CLBP has bee the specific training of muscles surrounding the lumber spine whose primary role is considered to be the provision of dynamic stability and segmental control to the spine. These are the deep abdominal muscles-internal oblique IO and transversus abdominis TA and lumber multifidus LM. The importance of LM muscle regarding its potential to provide dynamic, control to motion segment is its neutral zone is now well acknowledged. The deep abdominals, in particular the TA, are primarily involved in the maintenance of intra abdominal pressure, while inparting tension to the lumber vertebrac through the thoracolumber fascia. It is considered that the role of the deep abdominals muscle contraction in co-contraction the LM is to provide the stiffening effect on the lumber spine through is attachment to the thoracolumber fascia, in conjuciton with the increased in intra abdominal pressure. Preferential retaining of the stabilizing muscles, with their initial low-level isometric activation and their profressive integration into functional tasks, is proposed as an essential component of back muscle rehabilitation. The multifidus muscles are the most important back extensor muscles involved in providing the required stiffness for the lumber spine. Spinal stability is additionally increased with trunk flexor-extenssor muscle coactivation with increased intra-abdominal and produces abdominal spring force. :

The study of factors that affect lumber stability and the treatment of low back pain (LBP) by increasing lumber stabilization has been an area of research and lumber stability and core strengthening are popular both to increase athletic performance and to treat pain. The total range of motion of a spinal motion segment may be divided into 2 zones: a neutral zone and an elastic zone. The neutral zone is the initial portion of the ROM during which the spinal motion is produced against minimal internal résistance. The elastic portion of the ROM is the portion nearer to the end range of movement that is produced against substantial internal resistance. The size of the neutral zone is considered to be an important measure of spinal stability. Normal spinal stabilizing system divided in to passive system, active system and neutral control system. The recent focus in the physiotherapy management of patients which CLBP has bee the specific training of muscles surrounding the lumber spine whose primary role is considered to be the provision of dynamic stability and segmental control to the spine. These are the deep abdominal muscles-internal oblique IO and transversus abdominis TA and lumber multifidus LM. The importance of LM muscle regarding its potential to provide dynamic, control to motion segment is its neutral zone is now well acknowledged. The deep abdominals, in particular the TA, are primarily involved in the maintenance of intra abdominal pressure, while inparting tension to the lumber vertebrac through the thoracolumber fascia. It is considered that the role of the deep abdominals muscle contraction in co-contraction the LM is to provide the stiffening effect on the lumber spine through is attachment to the thoracolumber fascia, in conjuciton with the increased in intra abdominal pressure. Preferential retaining of the stabilizing muscles, with their initial low-level isometric activation and their profressive integration into functional tasks, is proposed as an essential component of back muscle rehabilitation. The multifidus muscles are the most important back extensor muscles involved in providing the required stiffness for the lumber spine. Spinal stability is additionally increased with trunk flexor-extenssor muscle coactivation with increased intra-abdominal and produces abdominal spring force.

Slide 2:

STATEMENT OF QUESTION Whether Comparison between spinal stabilization excises and general spinal excises will result in better management of chronic low back pain. NEED OF STUDY The purpose of this randomized controlled trail was to examine the usefulness of the addition of specific stabilization exercises to a general back and abdominal muscle exercise approach for patients with chronic nonspecific back pain by comparing a specific muscle stabilization-enhanced general exercise approach with a general exercise-only approach. The purpose of this study is to review the current literature on segmental stability of the lumber spine, with special emphasis on Panjabi’s theory of the “neutral zone” and how that relates to physical therapy using the Motor Learning Model proposed by P.B.O’ Sullivan. Also, the prime motive of this research work is to bring into focus a nees as well as a good possibility for descovering a method, which is painless, funcitonally helpful and has long term benefits.

Aims and Objectives of Study :

Aims and Objectives of Study Objective: This study aims at evaluating the additive effect of stabilization programmes to general spinal stabilization exercises, in the treatment of low back pain, with the concept of using the muscle system to improve joint stability and thus protecting joint structures repetitive microtrauma, recurrent pain and degenerative changes to reduce low back pain intensity and alleviate functional disability. It focuses on the more comprehensive interpretation and understanding of spinal segmental stabilization exercises.

ALTERNATE HYPOTHESIS :

ALTERNATE HYPOTHESIS The specific stability exercises give better pain relief and has better functional outcomes when compared with spinal extension exercises. NULL HYPOTHESIS The specific stability exercises will have no additional benefit over spinal extension exercise.

THE NEED FOR RESEARCH :

THE NEED FOR RESEARCH

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