ISSN (Print): 0000 - 0000       ISSN (Online): 2455 - 4332      

Volume : 2 Issue :1 Month : March (2016)
TO COMPARE THE EFFECTIVENESS OF CO-CONTRACTION OF ANKLE DORSI FLEXION WITH ABDOMEN DRAW-IN MANEUVER WITH PRESSURE BIOFEEDBACK IN REDUCING PAIN AND ACTIVITY LIMITATION IN MECHANICAL LOW BACK PAIN
Authors : E. Mahadev gandhi, CH. Ashok Chakravarthi, Patchava Apparao, A. Chaturvedi Pilladi, A. Nityal Kumar, Chintada Ganapathy Swamy

Background: Mechanical low back pain exists in every culture and country and 80 % of all human beings experience mechanical low back pain at some point in their lives. Core stabilization exercises are widely used in treatment and prevention of mechanical low back pain since it decreases pain and improves function. Co-Contraction of ankle dorsiflexion with Abdomen draw-in maneuver with Pressure Biofeedback changes both level of muscle activity and the way that the muscle co-activate to stabilize whole body and spine.ity. There are no studies comparing core stability exercises with biofeedback which is providing feedback during exercise training. Hence this study is intended to find the effectiveness of Co-Contraction of ankle dorsiflexion with Abdomen draw-in maneuver and Core Stabilization Training with Pressure Biofeedback in reducing pain and activity limitation in subjects suffering from mechanical low back pain.
Objective: To compare the effectiveness of Co-Contraction of ankle dorsiflexion with Abdomen draw-in maneuver and Core Stabilization
Training with Pressure Biofeedback in reducing pain and activity limitation in mechanical low back pain.
Methodology: This study included 60 mechanical low back pain students of both genders between age group of 20-25 years. They are randomly divided into 2 groups, Group A and Group B. Group A received core stabilization exercises using pressure biofeedback and Group B received co-contraction of ankle dorsiflexion with abdomen draw-in maneuver using pressure biofeedback. Pain was measured using VAS before intervention and after 2 weeks of intervention. Functional disability was measured using ODI before intervention and after 2 weeks of intervention.
Results: There was highly significant difference between the VAS Scores in both groups noted respectively with p values of P < 0.04 and P < 0.01. In both groups there was highly significant difference between the ODI scores was noted with p=0.04 and P=0.01 respectively. There was highly significant difference between the VAS Scores in the subjects in the co-contraction of ankle dorsiflexion with abdomen draw-in maneuver group i.e.P> 0.01 and highly significant difference between the ODI scores in the subjects in group A and B (P 0.001) were note in between group analysis.
Conclusion: From the present study, it has been concluded that co-contraction of ankle dorsiflexion with abdomen draw-in maneuver is
effective in reducing pain and functional disability in students with mechanical low back pain.
Keywords: co-contraction of ankle dorsiflexion with abdomen draw-in maneuver, core strengthening, low back ache.

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