Type of Article:  Original Research

Volume 6; Issue 5 (October 2018)

Page No.: 2784-2790

DOI: https://dx.doi.org/10.16965/ijpr.2018.159


Shikha C Chulliyil *1, Megha S Sheth 2, Neeta J Vyas 3.

*1 Lecturer, Physiotherapy Department, Ahmedabad Physiotherapy College, Ahmedabad, India.

2 Senior Lecturer, Physiotherapy department, S.B.B College of Physiotherapy, Ahmedabad, India.

3 Campus director; Physiotherapy department, Khyati Institute of Physiotherapy, Ahmedabad, India.

Corresponding Author: Dr. Shikha C Chulliyil, Lecturer, Physiotherapy Department, Ahmedabad Physiotherapy College, Ahmedabad, India. Contact No: +91-9426349260 E-Mail: shikhacc2010@gmail.com


Background: Diminished muscular performance & greater functional impairment leads to restricted quality of life in chronic low back pain (CLBP) patients. The transverses abdominis (TrA) has been implicated as part of the cause of LBP. The purpose of the study was to compare the effects of treadmill walking and stationary cycling in subjects with non-specific CLBP.

Methodology: A quasi-experimental study was conducted with 30 subjects divided into 2 groups. Group A consisted of treadmill walking & group B of cycling. Subjects aged 18 to 45 years with chronic LBP without radiating pain with absence of any cardiac & pulmonary conditions were included. Moderate intensity aerobic exercise for 10-20 minutes, 5 days/week based on FITT principle was given. Outcome measures were pain, TrA endurance, disability & quality of life.

Results: Statistically significant difference (p<0.001) was noted for all outcome measures in both groups A & B with non-significant difference (p>0.05) between groups. For Group A, NRS (Numerical Rating Scale) at rest (95% CI 2.182 to 3.685), NRS on activity (95% CI 3.056 to 4.410), TrA endurance (95% CI -3.61 to -2.79), MODI (Modified Oswestry Disability Index) (95% CI 20.05 to 29.01), physical health (95% CI -18.80 to -9.33) & overall QOL of WHOQOL (95% CI -2.06 to -1.26). For Group B, NRS at rest (95% CI 2.034 to 3.699), NRS on activity (95% CI 2.214 to 4.186) & TrA endurance (95% CI -4.78 to -2.01), MODI (95% CI 21.75 to 31.04), physical health (95% CI -23.36 to -10.77) & overall QOL of WHOQOL (95% CI -2.32 to -1.27).

Conclusion: Treadmill walking & stationary cycling were equally effective in improving pain, TrA endurance, disability & quality of life in subjects with non-specific CLBP.

Clinical Implication: Aerobic exercise such as walking & cycling at moderate intensity can be used to reduce pain & disability & increase core muscle (transversus abdominis) endurance thereby improving quality of life in patients with CLBP.

Key words: Transversus Abdominis (TrA) endurance, non-specific chronic low back pain, treadmill walking, stationary cycling, quality of life.


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