[Comparison of three therapeutic exercises protocols to lumbar hyperlordosis improvement in asyntomatic youths]

Rev Invest Clin. Nov-Dec 2010;62(6):568-76.
[Article in Spanish]

Abstract

Introduction: One of the causes of low back pain is lumbar hyperlordosis. There are different protocols of therapeutic exercises for its correction, which do not involve all of corporal segments. A modified protocol is proposed, which involves all such segments.

Objective: To evaluate the efficacy of proposed protocol with two established protocols for correction of lumbar hyperlordosis.

Materials and methods: Simple-blind clinical trial on 42 students of the Faculty of Medicine at University of Colima. The three protocols: A) Pérez-Olmedo (proposed, n = 14), B) Williams (n = 15) and C) Jeffrey Saal (n = 13) were randomly assigned. Clinical and radiological evaluations were performed. Lumbar hyperlordosis was considered when Ferguson's angle was > or = 30 degrees, measured on lateral spine x-ray pictures. During two months they underwent supervised and directed exercise sessions. The improvement in lumbar hyperlordosis correction of each protocol was compared through paired Student t-test and ANOVA.

Results: Average age was 18 +/- 0.9 years. Lumbar hyperlordosis frequency was 31% (n = 15). There was not significative difference on Ferguson's angle average comparation between three treatment groups. There was lumbar hyperlordosis improvement with following percentages: group A = 60%, Group B = 16% and group C = 0%.

Conclusion: Protocol of therapeutic exercises proposed (Pérez-Olmedo) could be an alternative to lumbar hyperlordosis improvement in asyntomatic youhts.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asymptomatic Diseases / therapy*
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Lordosis / diagnostic imaging
  • Lordosis / therapy*
  • Lumbar Vertebrae / diagnostic imaging
  • Male
  • Radiography
  • Single-Blind Method
  • Treatment Outcome