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Effects of Virtual Reality Exercises versus Isokinetic Exercises in comparison with Conventional Exercises on the Imaging Findings and Inflammatory Biomarker Changes in Soccer Players with Non-Specific Low Back Pain: A Randomized Controlled Trial.


ABSTRACT: Chronic non-specific low back pain (CNLBP) is the most common musculoskeletal problem. The purpose of this study was to investigate the effects of advanced physiotherapeutic exercise programs on imaging findings and inflammatory biomarkers in soccer players with CNLBP. In total, 60 CNLBP participants were divided into virtual reality exercise (VRE; n = 20), isokinetic exercise (IKE; n = 20), and conventional exercise (n = 20) groups. Pain intensity, imaging findings (muscle cross-sectional area (CSA) and muscle thickness), and changes in inflammatory biomarkers (CRP, TNF-α, IL-2, IL-4, and IL-6) were measured at baseline and after four weeks. After four weeks of intervention, there was a significant improvement (p = 0.001) in pain intensity for the VRE vs. IKE (0.7; CI 95% 0.38 to 1.07) and VRE vs. conventional (3.0 CI 95% 2.68 to 3.31) groups. The IKE group showed a greater number of significant changes in muscle CSA and muscle thickness than the other two groups (p < 0.001). Moreover, the VRE group showed significant improvement in inflammatory biomarker measures compared with the other two groups (p < 0.001). In CNLBP, virtual and isokinetic exercises had equal effects on reducing pain intensity. Isokinetic exercise is beneficial in increasing the muscle CSA and thickness, and virtual exercises are helpful for attenuating the inflammation process in soccer players with CNLBP.

SUBMITTER: Nambi G 

PROVIDER: S-EPMC9819442 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Effects of Virtual Reality Exercises versus Isokinetic Exercises in comparison with Conventional Exercises on the Imaging Findings and Inflammatory Biomarker Changes in Soccer Players with Non-Specific Low Back Pain: A Randomized Controlled Trial.

Nambi Gopal G   Alghadier Mshari M   Kashoo Faizan Zaffar FZ   Aldhafian Osama R OR   Nwihadh Naif A NA   Saleh Ayman K AK   Omar Mohamed A MA   Hassan Tohamy G T TGT   Ibrahim Mohamed Nagah Ahmed MNA   El Behairy Hassan Fathy HF   Attallah Abdehamid A AA   Ismail Mohammed Abdelgwad MA  

International journal of environmental research and public health 20221228 1


Chronic non-specific low back pain (CNLBP) is the most common musculoskeletal problem. The purpose of this study was to investigate the effects of advanced physiotherapeutic exercise programs on imaging findings and inflammatory biomarkers in soccer players with CNLBP. In total, 60 CNLBP participants were divided into virtual reality exercise (VRE; <i>n</i> = 20), isokinetic exercise (IKE; <i>n</i> = 20), and conventional exercise (<i>n</i> = 20) groups. Pain intensity, imaging findings (muscle  ...[more]

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2022-06-14 | GSE178069 | GEO