Tristan Ragland PEP 4370 Pain and discomfort, localized below the - PowerPoint PPT Presentation

Tristan Ragland PEP 4370

 Pain and discomfort, localized below the costal margin and above the inferior gluteal folds, with or without leg pain.

 LPB is one of the most widely experienced health-related problems in the world.  Lifetime prevalence of LBP is 58 – 70% of the population in industrial countries.  Yearly prevalence rate is 15 – 37%  At least four out of five adults will experience it at some point in their lives.

 Symptoms:  Pain: Sharp, dull, aching, ect.  Tightness  Pain radiating to the legs  Lack of flexibility  Treatment:  Surgery  Physical Therapy  Medications  Nonsteroidal Anti-inflammatory & Nonnarcardic analgesics, Muscle relaxants, antidepressants, Opiates, and Oral Steroids .  Exercise

 Effects on the Exercise Response  In and of itself LBP doesn’t have an effect on the exercise response  Exercise positions can exacerbate pain  The client’s beliefs can effect their ability.  May cause clients to not try to do their best out of fear  Clients may also feel insecure and fearful of who might be watching.

 Beliefs continued:  Minor inconvenience, ignore it  Stop daily activities and see a doctor  Avoid activities that cause pain or expect will cause pain  Acute LBP:  Less than 3 months in duration  Modify activity temporarily  Should be back to normal exercise in 1 – 2 days  Chronic LBP:  More than 3 months in duration  Address misconceptions and fears about exercise  Motivate to resume activity  Exercise and activity strongly recommended

 Individuals with LBP should be able to perform all Exercise Tests recommended by ACSM  May be limited by actual or anticipated increase in pain  Preferred mode of testing is the treadmill

Aerobic exercise is an important part of therapy for LBP  Exercise is Significantly effective for LBP  Strong evidence shows there is not one specific regimen that  is superior Guidelines for LBP are similar to the ACSM guidelines for  apparently healthy individuals Goals:  Improve health and well-being, exercise tolerance, prevent debilitation  caused by inactivity Intensity and duration should be; graded, gradual in progression and time  rather than pain contingent Should consider client preference  Stretching should also be prescribed for those who show to  have tightness in hips and legs.

 Two Types: Acute and Chronic  A lot of times origin or reason for pain unknown  Mode of exercise should vary  Motivate and Educate clients who have fear of pain and re-injuy

 Durstine, M. P. (2009). ACSM's Exercises Management for Persons with Chronic Diseases and Disabilities. Champaign, IL: Human Kinetics.  Edward T. Howley, B. D. (2007). Fitness Professional's Handbook. Champaign, IL: Human Kinetics.  McKenzie, R. (1985). Treat Your Own Back. Waikanae, New Zealand: Spinal Publications LTD.