The Impact of Employing a Semi-Rigid Lumbosacral Orthosis (LSO) on Trunk Muscle Strength in Individuals with  Low Back Pain (LBP) and Spondylolisthesis

Sholeh Setiyawan; Agus Setya Nugraha

Authors

Sholeh Setiyawan RS Akademik UGM
Agus Setya Nugraha Orthotic and Prosthetic Department, Poltekkes Kemenkes Surakarta

Keywords:

Spondylolisthesis treatment, Orthotic intervention, Muscle strength assessment

Abstract

Background: Spondylolisthesis is a spinal condition in which one vertebra slips forward or backwards with the next vertebra. Disturbances caused by this condition include the lumbar region, muscle spasm, decreased muscle strength, limitation of motion, and radiating pain in the legs. Most people refrain from back pain treatment and prefer a more traditional approach. Although many studies have proven that wearing brace for LBP were successful, lack of study mentioned about negative effects on short-term wearing. Therefore, this study aimed to determine the effect of using semirigid Lumbo Sacral Orthosis on the strength of the Trunk muscles in the case of Low Back Pain (LBP) e.c Spondylolisthesis. Aims: to determine the effect of using semirigid Lumbo Sacral Orthosis on the strength of the Trunk muscles in the case of Low Back Pain (LBP) e.c Spondylolisthesis. Methods: This research was quasi-experimental research using a pretest and posttest design approach. It was conducted at the Yogyakarta General Hospital, UGM Academic Hospital, Dr. Soeradji Tirtonegoro Klaten hospital and Tugurejo Semarang Hospital. The number of participants was 35 patients with purposive sampling. Results: There was an effect of using LSO Type Semirigid on trunk flexion muscles before and after treatments (Z = -5.099 with p value = 0.000), trunk rotational muscle strength before and after treatment (Z = -4.600 with p value = 0.000), trunk extension strength before and after treatment (Z = -4.472 with p value = 0.000). Conclusion: There was an effect of semirigid Lumbo Sacral Orthosis on the strength of the trunk muscles in the case of Low Back Pain (LBP), e.c Spondylolisthesis. As a result, the most significant effect that experienced a decrease in trunk muscle strength after the patient used semirigid LSO was in the flexion muscle group (0.75), then extension muscle (0.58) and rotation muscle (0.65).

Downloads

Download data is not yet available.

References

Abdul Saad, W. A., Mat Dzahir, M. A., Mohamed, H., Ahmad, Z. A., Mohamad, M., Mad Saad, S., & Mat Dzahir, M. A. (2017). Posture Detection on Active and Inactive Vertebrae of Spine Biomechanics in Critical Daily Activities. Journal of Mechanical Engineering (JMechE), (2), 49-74.

Azadinia, F., Takamjani, E. E., Kamyab, M., Parnianpour, M., Cholewicki, J., & Maroufi, N.. Can lumbosacral orthoses cause trunk muscle weakness? A systematic review of the literature. The Spine Journal, 2017, 17.4: 589-602.

Bimo Ariotejo, Low Back Pain. [internet]. 2010 [cited 23 March 2017]. Available from : http://www.emedicine.com

Borenstein, David, Calin, Andei. Fast facts: low back pain. Karger Medical and Scientific Publishers. 2012.

Cailliet, Rene D. Loren A. Helberg. "15 Organic Musculoskeletal Back Disorders." Handbook of Severe Disability: A Text for Rehabilitation Counselors, Other Vocational Practitioners, and Allied Health Professionals. 1981: 205.

de Oliveira, F. C. L., Larivière, C., Dallaire, M., Mecheri, H., Ngomo, S., & da Silva, R. A. (2022). Immediate Effect of Lumbosacral Orthosis and Abdominal Drawing-In Maneuver on Postural Control in Adults with Nonspecific Chronic Low Back Pain. Journal of Manipulative and Physiological Therapeutics, 45(6), 425-435.

Fujimoto, Y., Sakai, T., & Sairyo, K. (2020). What type of orthosis is optimal for conservative treatment of lumbar spondylolysis?: a biomechanical analysis. Spine Surgery and Related Research, 4(1), 74-80.

Hislop, H. J., and J. Montgomery. "Daniels and Worthingham’s manual muscle testing." Techniques and manual examination, 8th ed. St. Louis: Saunders Elsevier, 2007: 198-204.

Johnson, D. D. (2012). Efficacy of a Novel Thoracopelvic Orthosis in Reducing Lumbar Spine Loading and Muscle Fatigue in Flexion: A Study with Weighted Garments (Doctoral dissertation).

Kuntono HP. Penggunaan korset lumbal dan back exercise untuk mengurangi keluhan LBP di PT Sritex Solo. [Diss]. Yogyakarta: Universitas Gadjah Mada; 2002.

Larivière, C., Boucher, J. A., Mecheri, H., & Ludvig, D. (2019). Maintaining lumbar spine stability: a study of the specific and combined effects of abdominal activation and lumbosacral orthosis on lumbar intrinsic stiffness. journal of orthopaedic & sports physical therapy, 49(4), 262-271.

Linton, A. A., & Hsu, W. K. (2022). A review of treatment for acute and chronic pars fractures in the lumbar spine. Current Reviews in Musculoskeletal Medicine, 15(4), 259-271.

Mary Rodts, DNP. Spondylolisthesis: Treatment, Restrictions, Bracing, Medication. [internet]. Spineuniverse.2018 [cited 2 January 2018]. Available from : https://www.spineuniverse.com/conditions/spondylolisthesis/spondylolisthesis-treatment-restrictions-bracing

Neel Metha. Weill Cornell Medicine [Internet]. Pain management. 2015 [cited 5 January 2018]. Available from: https://painmanagement.weillcornell.org/health-library/spondylolisthesis

Rocha, R. (2018). Back Injuries and Management of Low Back Pain in Handball. Handball Sports Medicine: Basic Science, Injury Management and Return to Sport, 375-386.