Effectiveness of Posture Analysis Using Kinovea in Enhancing Movement Control in NSLBP Patients

Abstract

Objective:

To compare the effectiveness of movement control exercise versus spinal extension exercises in Non-specific low back pain assess through pain, postural evaluation.

Introduction:

Low back pain (LBP) affects almost everyone in their lifetime and impact over social economic status. LBP is broadly classified into specific and nonspecific types. Nonspecific has 10% non-specific low back pain has multi-factorial causes include, muscle strain, poor posture psychological stress etc.

So, it is essential to perceive various sub groups of low back pain existence, the mechanism Behind the low back pain to be understood, and improve diagnostic strategies and tailor-made intervention.

Amongwhich, Movement control exercises are a type of therapeutic approach used in the management of NSLBP. It enhances, co-ordination, stability, specific movement control (cognitively) that overall improve the movement pattern, reduce future recurrences, acute pain into chronic pain. It’s always crucial to include postural evaluation, and evaluate the effects of movement control exercise (MCE) over the NSLBP subjects.

STUDY PROCEDURE

40 subjects with NSLBP were selected based on the selection criteria. Assessment and treatment procedure were explained to the patients and they were randomly assigned into two separate groups. Group A received MCE and Group B received spinal extension exercise.

Pretest assessment were taken on 1^st day before treatment using movement control dysfunction test, pain, postural evaluation- analysis by kinovea software of specific functional activities. both the group were treated for 15 days. At the end of the 15^thday the post evaluation of (MCDT), pain, postural evaluation was recorded and statistically analyzed.

RESULTS

In group A, comparing pre and post mean difference, there was statistically significant improvement in NPRS [z=12.50, p=0.001], UF [z=9.78, p=0.001], UE [z= 11.26 p= 0.002,

In group B, there was less statistically significant improvement than group A in NPRS [ z= 12.36, p= 0.001], UF [ z= 5.88, p= 0.001], UE [ z= 3.68, p= 0.002],

On comparing group A and group B there was statistically significant improvement in NPRS [ z= 4.92, p= 0.001], UF [ z= 3.99, p= 0.001], UE[ z=4.78, p= 0.001]

CONCLUSION

• The study concluded that movement control exercise is an effective treatment for non-specific low back pain


• Movement control exercise is comparatively better in improving pain, postural evaluation shows (improved uncontrolled flexion and extension) than spinal extension in NSLBP.