%0 Journal Article
%T Isolated Lumbar Extension Resistance Training Is Effective at Improving Extension Power and Disability in Subjects with Diagnosed Lumbar Multifidus Dysfunction
%A William Roger Peters
%A James Thomas Ernest Smith
%A Mario Guiseppe Zotti
%A Adam Leslie Lincoln
%A Benjamin James Enser
%J Open Journal of Therapy and Rehabilitation
%P 245-255
%@ 2332-1830
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojtr.2024.123019
%X <b>Background</b><b>:</b> Lumbar multifidus dysfunction is a prevalent cause of disability in individuals with lower back pain. Previous research highlights the benefits of isolated lumbar extension training for non-specific lower back pain, however, studies examining its efficacy in lumbar multifidus dysfunction are lacking. <b>Objective</b><b>:</b> To evaluate the effectiveness of isolated lumbar extension resistance training on disability and strength in individuals with lumbar multifidus dysfunction. <b>Methods</b><b>:</b> Subjects underwent a physiotherapy led structured rehabilitation program incorporating isolated lumbar extension. Sessions were conducted twice weekly targeting momentary muscular failure with time under load 90 - 120 seconds and progressions aimed at 5 - 10 lbs increments. Outcomes were assessed using the Oswestry Disability Index and lumbar extension strength testing at baseline and after 12 weeks, with statistical analysis using t-test and chi-squared 2 &#215; 2. <b>Results</b><b>:</b> Forty-five subjects (24 male, 21 female) with a median age of 48 completed the intervention. Improvements were noted in Oswestry Disability Index scores (median pre: 24, post: 15) and maximal lumbar extension strength (median pre: 122 lb, post: 186 lb), with p &#8804; 0.05. Overall, 89% showed improvement in disability scores, 67% moved to a better disability category, and 51% saw at least a 50% increase in strength. No significant gender differences were observed. <b>Co</b><b>n</b><b>clusions</b><b>:</b> Isolated lumbar extension resistance training is effective at improving extension power and disability in subjects with lumbar multifidus dysfunction.
%K Low Back Pain
%K Multifidus
%K Muscle Strength
%K Rehabilitation
%K Resistance Training
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=134973