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Year : 2014  |  Volume : 24  |  Issue : 4  |  Page : 262--263

Effect of exercise program on lumbosacral strain in patients on continuous ambulatory peritoneal dialysis

SR Krishna1, K Madhavi1, CK Kishore2, VS Kumar2,  
1 Department of Physiotherapy, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
2 Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India

Correspondence Address:
V S Kumar
Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh
India

How to cite this article:
Krishna S R, Madhavi K, Kishore C K, Kumar V S. Effect of exercise program on lumbosacral strain in patients on continuous ambulatory peritoneal dialysis.Indian J Nephrol 2014;24:262-263

How to cite this URL:
Krishna S R, Madhavi K, Kishore C K, Kumar V S. Effect of exercise program on lumbosacral strain in patients on continuous ambulatory peritoneal dialysis. Indian J Nephrol [serial online] 2014 [cited 2022 Jul 3 ];24:262-263
Available from: https://www.indianjnephrol.org/text.asp?2014/24/4/262/133787

Full Text

Sir,

In patients on continuous ambulatory peritoneal dialysis (CAPD), a weight of 2 l (2 kg) dialysate in the peritoneal cavity causes low back strain and pain. The lumbosacral strain is assessed by measurement of lumbosacral angle (LSA) radiologically by Ferguson's technique (normal humans around 30°), [1] range of motion (ROM) of lumbar spine is by Schober's test [2] and lumbosacral discomfort through Visual Analogue Scale (VAS) scoring.

We studied 11 patients (male: female = 8:3), five were diabetic, none had disc prolapse, fracture and infections of lumbosacral spine. The assessment of these parameters were carried out on three occasions in all patients, firstly [Figure 1] when the peritoneal cavity was empty (without fluid), secondly when the peritoneal [Figure 2] cavity was filled with fluid (after infusion of CAPD bag) and thirdly 3 weeks after initiating the exercises as prescribed below. The prescribed exercises were, (a) pelvic tilt in lying, (b) abdominal curl up, (c) single knee to chest flexion with flexion and extension of knee, (d) straight leg raising with ankle dorsiflexion and (e) standing pelvic tilt. [3] The measurements of LSA, ROM and VAS score were tabulated in [Table 1].{Figure 1}{Figure 2}

We observed by repeated measure analysis of variance statistical technique there was a statistically significant reduction in LSA and ROM of the lumbar spine and VAS score after the exercise program in comparison with the value before the initiation of exercise program.{Table 1}

In conclusion, we suggest that an effective exercise program applied under physiotherapy specialists' guidance improves musculoskeletal strength of lumbosacral region to mitigate lumbosacral strain.

 Acknowledgment



We thank to Dr. Vishnu Vardhan Ph.D. (Statistics) for his help in statistical data analysis of our study.

References

1Goodman CE, Husserl EF. Etiology prevention and treatment of back pain in patients undergoing continuous ambulatory peritoneal dialysis. Perit Dial Int 1981;1:119-22.
2Hellems HK Jr, Keats TE. Measurement of the normal lumbosacral angle. Am J Roentgenol Radium Ther Nucl Med 1971;113:642-5.
3Magee DJ. Orthopedic Physical Assessment. 5 th ed. St. Louis, Missouri: Saunders; 2008. p. 515-616.