The Effect of Sahrmann’s Exercises on the Stability Indices in Chronic Low Back Pain Patients with Rotation-Extension Syndrome

Abstract

Background: Sahrmann’s exercises are recommended for patients with low back pain, through correcting movement, adjusting posture and improving balance. Therefore, this study aimed to determine the effect of Sahrmann’s Exercises on the stability indices in chronic low back pain patients with rotation-extension syndrome.

Methods: In this single blinded randomized clinical trial, 30 subjects with chronic low back pain patients with rotation-extension syndrome were included. The subjects were randomly divided into a control group, and Sahrmann’s Exercises group. Interventions were conducted three times per week for 4 weeks. Static and dynamic anteroposterior stability index, mediolateral stability index and overall stability index were measured before and after intervention by the biodex balance system in opened/closed eyes and double/single leg position. Data were analyzed with the paired sample and independent t-tests (p<0.05).

Results: In the Sahrmann’s Exercises group, overall, the static and dynamic stability index significantly changed (p>0.05). For example, in open and close eyes status, the overall static stability index significantly changed from 0.58±0.33 to 0.38±0.16 (p=0.03), and 1.54±0.09 to 1.00±0.7 (p=0.02), respectively. There is no significant difference in the stability index between control and Sahrmann’s Exercises groups (p>0.05).

Discussion: According to the results of the study, the positive effects of Sahrmann’s Exercises group on postural control reactions were shown, so we suggest that in addition to routine exercises, Sahrmann’s Exercises should also be considered in chronic low back pain subjects with rotation-extension syndrome.