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- Title
Effect of physiotherapy and hippotherapy on kinematics of lower limbs during walking in patients with chronic low back pain: A pilot study.
- Authors
JANURA, MIROSLAV; GALLO, JIŘÍ; SVOBODA, ZDENĚK; VIDERNOCHOVÁ, DAGMAR; KRISTINÍKOVÁ, JARMILA
- Abstract
Low back pain (LBP) is a painful disease which results in limitations on normal daily physical activities related to self-care, social contact and communication. Physiotherapy combined with spa treatments and hippotherapy could be a suitable treatment method recommended in patients with LBP. The purpose of the study was to determine the effect of standard physiotherapy with and without hippotherapy on gait kinematic parameters in patients with chronic LBP. A total of 23 patients suffering from LBP with a damage located between L4 and S1 segments were enrolled in the study. Thirteen of them (the experimental group) underwent in addition to standard physiotherapy also hippotherapy. Physiotherapy intervention and hippotherapy units were performed at the Darkov Spa, Czech Republic. The kinematic gait parameters were obtained by the Vicon MX system. The intensity of the pain was determined using the visual analogue pain scale (VAS). After the intervention, we found statistically significant increase in the range of motion the knee joint in the sagittal plane (P < 0.05) as well as the flexion in the hip joint (P<0.05) in the experimental group. Similar trends were observed in the control group. Only two significant differences (P<0.05) between lower extremities with and without pain propagation were detected for the experimental group while for the control group the number of differences increased after the intervention. VAS pain score decreased in both groups but significantly (P < 0.01) only in the experimental group. Particular physiotherapy protocol had an observable effect on the gait kinematics in the patients with chronic LBP. A significant effect of hippotherapy on the symmetry of gait and VAS pain score was found.
- Subjects
TREATMENT of backaches; RIDING therapy; PHYSICAL therapy research; HIP joint; PAIN
- Publication
Journal of Physical Education & Sport, 2015, Vol 15, Issue 4, p663
- ISSN
2247-8051
- Publication type
Article
- DOI
10.7752/jpes.2015.04101