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The Effect of Comprehensive Physical Exercises Combined with Cognitive Functional Therapy on Women with Chronic Low Back Pain
Mahsa Asgari1 , Zahra Raeisi * 1
1- Department of sport injuries and corrective exercises, Faculty of sport sciences, Arak University, Arak, Iran
Abstract:   (79 Views)
Objective: This study looked at how women with non-specific chronic low back pain (NSCLBP) responded to comprehensive physical exercises (CPEs) combined with cognitive functional therapy (CFT) in terms of pain, disability, and postural sway (PS).
Methods: 45 women with NSCLBP took part in this quasi-experimental study. The participants were assigned to the CPEs, CPEs combined with CFT, and control group (CG) (15 participants per group), randomly. The McGill Pain Questionnaire (MPQ), Roland-Morris Disability Questionnaire (RMDQ), and Zebris platform were used to assess pain, disability and PS in both anteroposterior (AP) and mediolateral (ML) directions with eyes open (EO) and closed (EC). For eight weeks, participants engaged in both CPEs and CPEs combined with CFT. The CG went about their usual routine. The MANOVA statistical test with repeated measures design was used to analyze the data (p<0.05).
Results: The results revealed that after eight weeks, the patient’s pain and disability significantly decreased in both intervention groups compared to the CG (P<0.001). The CPEs combined with CFT (p<0.001) and the CPEs group (p<0.001) compared to the CG showed a significant decline in AP sways with EO. The AP with EC and ML with EO demonstrated a significant reduction in the CPEs group with CFT versus the CPEs and CG (p<0.05). The ML oscillations with EC revealed a significant reduction in the CPEs group compared to the CG (p=0.005).
Discussion: The CPEs combined with CFT group showed better results in postural control ability, especially when the eyes were closed which may be a consequence of CFT. Therefore, it is recommended to use CPEs combined with CFT to reduce pain, disability, and PS in women with NSCLBP.
 
Keywords: Cognitive functional therapy, Aerobic training, Core stability training, Flexibility training, Chronic low back pain
     
Article type: Original Research Articles | Subject: Sport rehabilitation
Received: 2023/06/21 | Accepted: 2023/09/5
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