2002, Number 2-4
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Rev Mex Med Fis Rehab 2002; 14 (2-4)
Lumbar hyperlordosis management with Williams’ exercises in children with diabetes mellitus type 1
Mendoza MLN, Coutiño LB, Torres SA, Sánchez LPM, Altamirano BN, Mora MI
Language: Spanish
References: 13
Page: 41-44
PDF size: 121.38 Kb.
ABSTRACT
Introduction: Lumbar hyperlordosis is the most frequent postural alteration in patients with Diabetes Mellitus type 1, it is common cause of low back pain.
Objectives: To diminish the lumbar hyperlordosis and to increase the muscular strength in children with Diabetes Mellitus type 1.
Material and methods: 40 patients were included from 6 to 17 years, with diagnosis of Diabetes Mellitus type 1 and lumbar hyperlordosis, being prescribed an exercises program of Williams. Column lumbar X Ray and muscular force were measured on the beginning at the end of the study.
Results: 40 Diabetes Mellitus type 1 patients, with an average of age of 11.7 years old, 30 of them made more than 4 times per week program of exercises and the other 10 made it less frequency. Initial average of lordosis was 43° and the final was 39°. At the end of this study we found a significant decrease of lordosis with a p value of p = 0.02 and an increase of muscular strength of p = 0.027, in the first group of 30 children who made exercises more than 4 times weekly.
Conclusions: Williams’ exercises help to correct the postural alterations, increasing the muscular strength, diminishing the lordosis degrees, and preventing the low back pain risk.
REFERENCES
Ratner KF. Diabetes Mellitus. Pediatr Rev 1997; 18(11): 383-92.
Menon R, Sperling M. Childhood Diabetes. Pediatr Clin North Am 1988; 72(6): 1565-77.
Pérez-Casio M, Altamirano-Bustamante N. Tesis: Alteraciones de la postura y su corrección con un programa de rehabilitación en niños y adolescentes con diabetes mellitus tipo I. Instituto Nacional de Pediatría. México. 1999.
Jenner J, Barry M. Low back pain. BMJ 1995; 310: 929-32.
Tollison C, Kriegel M. Pain clinic # 9. Physical exercise in the treatment of low back pain. Part I: A review. Orthop Rev 1988; 17(7): 724-9.
Elnaggar I, Nordin M. Effects of spinal flexion and extension exercises on low-back pain and spinal mobility in chronic mechanical low-back pain patients. Spine 1991: 16(8): 967-72.
Hochschuler S, Cotler H, Guyer R. Rehabilitación de la columna vertebral. Ciencia y práctica. España. Edit. Mosby. 1995.
McGill S. Low back exercises: Evidence for improving exercise regimens. Phys Ther 1998; 78(7): 754-64.
Mannion A, Taimela S. Active therapy for chronic low back pain, part 1, effects on muscle activation, fatigability, and strength. Spine 2001; 26(8): 897-908.
Dettori J, Bullock S et al. The effects of spinal flexion and extension exercises and their associated postures in patients with acute low back pain. Spine 1995; 20(21): 2303-12.
Snook S, Webster B et al. The reduction of chronic nonspecific low back pain through control of early morning lumbar flexion. A randomized contrial. Spine 1998; 23(23): 2601-7.
Muñoz GJ. Atlas de mediciones radiográficas en ortopedia y traumatología. México. Edit. McGraw-Hill Interamericana. 1999.
Youdas JW, Garret TR, Egan KS, Therneau TM. Lumbar lordosis and pelvic inclination in adults with chronic back pain. Phys Ther 2000; 80(3): 261-75.