Physiotherapy Treatment of Low Back Pain in Runners – A Literature Review
DOI:
https://doi.org/10.55707/jhs.v12i1.178Keywords:
pain, lumbar spine, physiotherapy treatments, rehabilitationAbstract
Low back pain is a common condition that limits runners' ability to run. Physiotherapy based on conservative treatment helps to eliminate the problem in the short and long term. The aim of article was to investigate the causes of low back pain in runners and to explore effective physiotherapy procedures. We used a review of peer-reviewed and scientific literature published in the Pedro, COBISS, ProQuest and Pubmed databases. We limited the hits by the following inclusion criteria: relevant articles, published in full text over a period of 10 years in English and Slovenian. Out of 978 hits, we used 15 articles for the final analysis. We created 47 codes, which we divided into 3 content categories. Physiotherapy rehabilitation includes a combination of various exercises (trunk activation, stretching, balance, coordination and strength), manual therapy (mobilisation and soft tissue techniques) and instrumental therapy (ultrasound, thermal therapy and electrotherapy), which are the most effective conservative treatments for reducing low back pain.
References
Benca, E., Listabarth, S., Flock, F. K. J., Pablik, E., Fischer, C., Walzer, S. M., Dorotka, R., Windhager, R. in Ziai, P. (2020). Analysis of running-related injuries: The Vienna Study. Journal of Clinical Medicine, 9(2), 438–455. https://doi.org/10.3390/jcm9020438
Burke, A., Dillon, S., O’Connor, S., Whyte, E. F., Gore, S. in Moran, K. A. (2023). Aetiological factors of running-related injuries: “A 12 month prospective running injury Surveillance Center” (RISC) study. Sports Medicine – Open, 9(46), 46–62. https://doi.org/10.1186/s40798-023-00589-1
Cai, C. in Kong, P. W. (2015). Low back and lower-limb muscle performance in male and female recreational runners with chronic low back pain. The Journal of Orthopaedic and Sports Physical Therapy, 45(6), 436–443. https://doi.org/10.2519/jospt.2015.5460
Cai, C., Yang, Y. in Kong, P. W. (2017). Comparison of lower limb and back exercises for runners with chronic low back pain. Medicine and Science in Sports and Exercise, 49(12), 2374–2384. https://doi.org/10.1249/MSS.0000000000001396
Chiarotto, A. in Koes, B. W. (2022). Nonspecific low back pain. New England Journal of Medicine, 386(18), 173Fischer, S. C., Calley, D. Q. in Hollman, J. H. (2021). Effect of an exercise program that includes deadlifts on low back pain. Journal of Sport Rehabilitation, 30(4), 672–675. https://doi.org/10.1123/jsr.2020-0324
Gerard, A. M., Yan, N. in Stark, J. (2015). Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgraduate Medicine, 127(1), 57–65. https://doi.org/10.1080/00325481.2015.992719
George, S. Z., Fritz, J. M., Silfies, S. P., Schneider, M. J., Beneciuk, J. M., Lentz, T. A., Gilliam, J. R., Hendren, S. in Norman, K. S. (2021). Interventions for the management of acute and chronic low back pain: Revision 2021. The Journal of Orthopaedic and Sports Physical Therapy, 51(11), 1–85. https://doi.org/10.2519/jospt.2021.0304
Hlaing, S. S., Puntumetakul, R., Khine, E. E. in Boucaut, R. (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain-related outcomes in patients with subacute nonspecific low back pain: A randomized controlled trial. BMC Musculoskeletal Disorders, 22(1), 1–13. https://doi.org/10.1186/s12891-021-04858-6
Kim, Y. W., Kim, N. Y., Chang, W. H. in Lee, S. C. (2018). Comparison of the therapeutic effects of a sling exercise and a traditional stabilizing exercise for clinical lumbar spinal instability. Journal of Sport Rehabilitation, 27(1), 47–54. https://doi.org/10.1123/jsr.2016-0083
Kolar, J. in Kambič, T. (2018). Bolečine v ledvenem delu hrbtenice pri športnikih: Od etiologije do zdravljenja. Šport: Revija za Teoretična in Praktična Vprašanja Športa, 66(3/4), 73–78.
Kordeš, U. in Smrdu, M., 2015. Osnove kvalitativnega raziskovanja. Založba Univerze na
Primorskem, pp. 51–60.
Malliaropoulos, N., Mertyri, D. in Tsaklis, P. (2015). Prevalence of injury in ultra trail running. Human Movement, 16(2), 55–59. https://doi.org/10.1515/humo-2015-0026
Maselli, F., Storari, L., Barbari, V., Colombi, A., Turolla, A., Gianola, S. in Testa, M. (2020). Prevalence and incidence of low back pain among runners: A systematic review. BMC Musculoskeletal Disorders, 21(1), 1–25. https://doi.org/10.1186/s12891-020-03357-4
Murtezani, A., Govori, V., Meka, V. S., Ibraimi, Z., Rrecaj, S. in Gashi, S. (2015). A comparison of McKenzie therapy with electrophysical agents for the treatment of work-related low back pain: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 28(2), 247–253. https://doi.org/10.3233/BMR-140511
National Institute of Neurological Disorders and Stroke. (2023). Pain: Hope through research. National Institutes of Health. https://www.ninds.nih.gov/health-information/disorders/pain
Page, M. J., McKenzie, J. M., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., Stewart, L. A., Thomas, J., Tricco, A. C., Welch, V. A., Whiting, P. in Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology, 134, 178–189. https://doi.org/10.31222/osf.io/v7gm2
Polit, D. in Beck, C. (2021). Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.
Puleo, J. in Milroy, P. (2018). The running in motion. V Running anatomy (str. 1–11). United States: Human Kinetics. https://doi.org/10.5040/9781718225497
Raabe, M. E. in Chaudhari, A. M. W. (2018). Biomechanical consequences of running with deep core muscle weakness. Journal of Biomechanics, 67, 98–105. https://doi.org/10.1016/j.jbiomech.2017.11.037
Rajfur, J., Pasternok, M., Rajfur, K., Walewicz, K., Fras, B., Bolach, B., Dymarek, R., Rosinczuk, J., Halski, T. in Taradaj, J. (2017). Efficacy of selected electrical therapies on chronic low back pain: A comparative clinical pilot study. Medical Science Monitor, 23, 85–100. https://doi.org/10.12659/MSM.899461
Şahin, N., Karahan, A. Y. in Albayrak, İ. (2017). Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation, 64(1), 52–58. https://doi.org/10.5606/tftrd.2018.1238
Senbursa, G., Pekyavas, N. O. in Baltaci, G. (2021). Comparison of physiotherapy approaches in low back pain: A randomized controlled trial. Korean Journal of Family Medicine, 42(2), 96–106. https://doi.org/10.4082/kjfm.20.0025
Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y. in Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173
Verbrugghe, J., Agten, A., Stevens, S., Hansen, D., Demoulin, C., O Eijnde, B., Vandenabeele, F. in Timmermans, A. (2019). Exercise intensity matters in chronic nonspecific low back pain rehabilitation. Medicine and Science in Sports and Exercise, 51(12), 2434–2442. https://doi.org/10.1249/MSS.0000000000002078
Zaworski, K. in Latosiewicz, R. (2021). The effectiveness of manual therapy and proprioceptive neuromuscular facilitation compared to kinesiotherapy: A four-arm randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 57(2), 280–287. https://doi.org/10.23736/S1973-9087.21.06344-9
Wilke, J., Vogel, O. in Vogt, L. (2019). Why are you running and does it hurt? Pain, motivations and beliefs about injury prevention among participants of a large-scale public running event. International Journal of Environmental Research and Public Health, 16(19), 3766–3775. https://doi.org/10.3390/ijerph16193766
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