Brunkow exercises and low back pain

Emela Mujić Skikić, Suad Trebinjac, Slavica Sakota, Dijana Avdić, Aida Delić, Emela Mujić Skikić, Suad Trebinjac, Slavica Sakota, Dijana Avdić, Aida Delić

Abstract

Brunkow exercises starting with dynamic contraction of hands and feet with fixed point on the wrist or/and heal. Dynamic contraction from the beginning, transferring through kinetic chain, leads to isometric contraction of the group of muscles, which has to be included in the exercise. Starting positions determine the group of muscles to be trained. The purpose of this study is to investigate influence of Brunkow exercises on spinal motion improvement and pain relief and to evaluate use of Brunkow exercises, as a routine method for lower back pain in Physical Medicine and Rehabilitation Centres. Thirty-four patients with symptoms of low back pain were included in study. Patients received a mean of 14.9 treatments with standard deviation of 8.96. All patients were assessed before and after the treatment for spinal mobility and flexibility as well as pain intensity. All parameters for spinal movements showed statistically significant improvement in patients with low back pain who practiced Brunkow exercise program at the end of treatment in relations to pre-treatment values, with significant difference of p<0.01 for all motions. Pain was reduced on VAS for X=1.,7 with S.D. 1.97. Difference Test was t=6.020 with significant difference p<0.01. Flexibility of spine increased, so average difference in values before and after treatment for Shober test was 0.5 cm with SD 0.65. Difference test was t=3.794 with significant difference p<0.01. Brunkow exercises for low back pain are beneficial treatment for increasing flexibility and mobility of spine and improving the pain.

Figures

Figure 1
Figure 1
Gender structure of participants who exercised Brunkow program for low back pain
Figure 2
Figure 2
First symptoms of low back pain in participants in the study
Figure 3
Figure 3
Shober test before and after Brunkow exercises in patients with low back pain
Figure 4
Figure 4
Pain intensity measured by Visual Analog Scale (VAS) before and after Brunkow exercises in patients with low back pain
Figure 5
Figure 5
Patients without improvement after Brunkow exercise program

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Source: PubMed

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