THE EFFECTS OF AN ERGONOMIC EXERCISE PROGRAM WITH A PILATES BALL ON REDUCING THE RISK OF THE INCIDENCE OF MUSCULOSKELETAL DISORDERS
Abstract
Introduction: Very few scientists have studied the influence of rehabilitation exercises on lowering the risks of muscular-skeletal disorder incidence (MSD). Therefore, it is necessary to study the influence of these exercise programmes on the prevention of and decrease in the risk of MSD development among schoolchildren. A special programme is based on the education of schoolchildren on ergonomic risks and their prevention by means of specific exercises with a Pilates ball for each recognized MSD, with the assumption that its sixteen-week application will significantly influence the risk of MSD incidence. Methods: The overall sample consisted of 55 students whose chronological age was 11, of both sexes, which was divided into two sub-samples: the experimental group (EG) of 28 students and the control group (CG) of 27 students. The Spinal Mouse with the appropriate programme support was used for the evaluation of muscular-skeletal disorders of the spine in the sagittal and frontal parts (kyphosis, lordosis, thoracic scoliosis). Results and Discussion: The results, following the experimental programme, have shown significantly lowered values of the kyphotic and thoracic scoliotic curve in the experimental group (EG), whereas the condition of the control group (CG) deteriorated, however not with the statistical significance. As for lordosis, there were no significant changes in either group during the experimental treatment. A variance analysis showed that exercises with a Pilates ball programme had statistically significant effects on decreasing MSD with kyphotic and thoracic scoliotic curves but with no significant effects on lordosis as compared to the school exercise programme. Conclusion: The conclusion drawn from the analysis of the effects of the specially defined ergonomic programme, in the form of specific exercises with a Pilates ball, is that it leads to the decreased risk of MSD incidence among fourth-grade primary school students. Applied experimental actions had a positive influence on lowering the spine MSD in the case of the experimental group, but that there were no significant changes in the case of the control group.
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Anderson, K. & Behm, D.G. (2005). Trunk Muscle Activity Increases With Unstable Squat Movements. Canadian Journal of Applied Physiology, 30(1), 33-45.
Andrusaitis, S.F., Brech, G.C., Vitale, G.F. & Greve, J.M.D.A. (2011). Trunk stabilization among women with chronic lower back pain: a randomized, controlled, and blinded pilot study. Clinics, 66(9), 1645-1650.
Carter, J.M., Beam, W.C., McMahan, S.G., Barr, M.L. & Brown, L.E. (2006). The effects of stability ball training on spinal stability in sedentary individuals. The Journal of Strength & Conditioning Research, 20(2), 429-435.
Cooke, J.D. (1980). The role of stretch reflexes during active movements. Brain Research 181(2), 429-435.
Cug, M., Ak, E., Ozdemir, R.A., Korkusuz, F. & Behm, D.G. (2012). The effect of instability training on knee joint proprioception and core strength. Journal of Sports Science & Medicine 11(3), 468-474.
Djurasović, M., & Glassman, S.D. (2007). Correlation of radiographic and clinical findings in spinal deformities. Neurosurgery Clinics of North America, 18(2), 223-227.
Drake, J.D.M., Fischer, S.L., Brown, S.H.M. & Callaghan, J.P. (2006). Do exercise balls provide a training advantage for trunk extensor exercises? A biomechanical evaluation. Journal of manipulative and physiological therapetics, 29(5), 354-362.
Ehrmann-Feldman, D.S.I., Rossignol, M. & Abenhaim, L. (2002). Risk factors for the development of neck and upper limb pain in adolescents. Spine, 27(5), 523-528.
El-Sayyad, M., & Conine, T.A. (1994). Effect of exercise, bracing and electrical surface stimulation on idiopathic scoliosis: a preliminary study. Int. J. Rehabil. Res., 17, 70–74.
Escamilla, R. F., Lewis, C., Bell, D., Bramblet, G., Daffron, J., Lambert, S., Pecson, A., Imamura, R., Paulos, L., & Andrews, J.R. (2010). Core muscle activation during swiss ball and traditional abdominal exercises. Journal of Orthopedic & Sports Physical Therapy, 40, 265-276. doi: 10.2519/jospt.2010.3073.
Feathers, D., Pavlović-Veselinović, S. & Hedge, A., (2013). Measures of fit and discomfort for school children in Serbia. Work: A Journal of Prevention, Assessment, and Rehabilitation, 44, 73-81.
Fitts, R.H. (2003). Effects of regular exercise training on skeletal muscle contractile function [Review]. Am. J. Phys. Med. Rehabil, 82, 320–331.
Freeman, S., Karpowicz, A., Gray, J., & McGill, S. (2006) Quantifying muscle patterns and spine load during various forms of the push-up. Medicine & Science in Sports & Exercise, 38(3), 570-577.
Glassman, S.D., Bridwell, K., Dimar, J.R., Horton, W., & Berven, S.F. (2005). The impact of positive sagittal balance in adult spinal deformity. Spine, 30, 2024-2029.
Goldby, L.J., Moore, A.P., Doust, J., & Trew, M.E. (2006). A Randomized Controlled Trial Investigating the Efficiency of Musculoskeletal Physiotherapy on Chronic Low Back Disorder. Spine, 31(10), 1083-1093.
Hedge, A. & Lueder, R. (2008). Classroom furniture. In Lueder, R. & Rice, V. (eds). Ergonomics for Children: Designing products and places for toddlers and teens, Chap. 21, pp. 721-751. CRC Press. Boca Raton, FL.
Heyman, E. & Deke,l H. (2008). Ergonomics for children: an educational program for elementary school. Work, 31(2), 253-257.
Hodges, P.W., Pengel, L.H.M., Herbert, R.D. & Gandevia, S.C. (2003). Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve, 27(6), 682–692. DOI: 10.1002/mus.10375.
Jones, M.A., Stratton, G., Reilly, T. & Unnithan, V.B. (2004). A school-based survey of рecurrent nonspecific low-back pain prevalence and consequences in children. Health Educ. Res., 19(3), 284–289.
Kavčić, N., Grenier, S. & McGill, SM. (2004). Determining the Stabilizing Role of Individual Torso Muscles During Rehabilitation Exercises. Spine, 29(11), 1254–1265.
Kraemer, W.J. & Ratamess, N.A. (2004). Fundamentals of resistance training: Progression and exercise prescription. Med. Sci.Sports Exerc, 36, 674–688.
Leeg, S. (2004). Ergonomics in schools. Ergonomics, 50(10), 1523-9.
Linton, S.J. (1994). The effects of ergonomically designed school furniture on pupil’s attitudes, symptoms and behaviour. Applied Ergonomics, 25(5), 299-304.
Lowe, T.G., & Line, B.G. (2007). Evidence based medicine: analysis of Scheuermann kyphosis. Spine, 32(19 Suppl), S115-119.
MacDonald, D.A., Moseley, G.L., & Hodges, P.W. (2006) The lumbar multifidus: Does the evidence support clinical beliefs? Manual Therapy, 11(4), 254-263.
Mamyama, T., Kitagawal, T., Takeshita, K., & Nakainura, K. (2002). Side shift exercise for idiopathic scoliosis after skeletal maturity. Stud Health Technol Inform, 91, 361–364.
Marshall, M., Harrington, A. C. & Steele, J.R. (1995). Effect of work station design on sitting posture in young children. Ergonomics, 38(9), 1932-40.
Marshall, P. & Murphy, B. (2005). Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil, 86, 242-249.
Marshall, P. & Murphy, B. (2006). Changes in muscle activity and perceived exertion during exercises performed on a swiss ball. Applied Physiology, Nutrition, and Metabolism, 31(4), 376-383.
Marshall, P.W.M & Desai, I. (2010). Electromyographic analysis of upper body, lower body and abdominal muscles during advanced swiss ball exercises. Journal of strength and conditioning research, 24(6), 1537-1545. doi: 10.1519/JSC.0b013e3181dc4440.
Mooney, V., & Brigham, A. (2003). The role of measured resistance exercises in adolescent scoliosis. Orthopedics, 26(2), 167–171.
Negrini, S., Zaina, F., Romano, M., Negrini, A., & Parzini, S. (2008). Specific exercises reduce brace prescription in adolescent idiopathic scoliosis: a prospective controlled cohort study with worstcase analysis. J Rehabil Med, 40(6), 451–455.
Nuzzo, J.L., McCaulley, G.O., Cormie, P., Cavill, M.J., & McBride, J.M. (2008). Trunk muscle activity during stability ball and free weight exercises. J Strength Cond Res, 22, 95–102.
Otman, S., Kose, N., & Yakut, Y. (2005). The efficacy of Schroth s 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey. Saudi Med J, 26(9), 1429–1435.
Panagiotopoulou, G., Christoulas, K., Papanckolaou, A. & Mandroukas, K. (2004). Classroom furniture dimensions and anthropometric measures in primary school. Applied Ergonomics, 35, 121-128.
Parcells, C., Stommel, M., & Hubbard, R. (1999). Mismatch of Classroom Furniture and Student Body Dimensions. Journal of Adolescent Health, 24, 265-273.
Park, S. & Yoo, W. (2011). Differential activation of parts of the serratus anterior muscle during push-up variations on stable and unstable bases of support. Journal of Electromyography and Kinesiology, 21(5), 861–867.
Pavlović-Veselinović, S., Grozdanović, M. (2003). School children and ergonomic risks. IEA XVth Triennal congress, vol.3, Seoul, Korea.
Petrofsky, J.S., Batt, J., Davis, N., Lohman, E., Laymon, M., DeLeon, G.E., Roark, H., Tran, T.M., Ayson, E.G., Vigeland, K.M. & Payken, C.E. (2007). Core muscle activity during exercise on a mini stability ball compared with abdominal crunches on the flor and on a swiss ball. Journal of applied research, 7(3), 255-272.
Pizzutillo, P.D. (2004). Nonsurgical treatment of kyphosis. American Academy of Orthopaedic Surgeons, Committee on Instructional Courses. Instructional Course Lectures 53, 485-91.
Richardson, C.A., Snijders, C.J., Hides, J.A., Damen, L., Pas, M.S., & Storm, J. (2002). The relation between the transversus abdominus muscles, sacroiliac joint mechanics, and low back pain. Spine, 27, 399-405.
Wahl, M.J. & Behm, D.G. (2008). Not All Instability Training Devices Enhance Muscle Activation in Highly Resistance-Trained Individuals. Journal of Strength & Conditioning Research, 22(4), 1360-1370. doi: 10.1519/JSC.0b013e318175ca3c.
Weiss, H.R. (1992). Influence of an in-patient exercise program on scoliotic curve. Ital J Orthop Traumatol, 18(3), 395–406.
Weiss, H.R., Dieckmann, J., & Gerner, H.J. (2003). The practical use of surface topography: following up patients with Scheuermann's disease. Pediatric Rehabilitation, 6(1), 39-45.
Weiss, H.R., & Werkmann, M. (2009). Unspecific chronic low back pain - a simple functional classification tested in a case series of patients with spinal deformities. Scoliosis, 4, 4. doi:10.1186/1748-7161-4-4.
Weiss, H., & Turnbull, D. (2010). Kyphosis (Physical and technical rehabilitation of patients with Scheuermann's disease and kyphosis). In: JH Stone, M Blouin, editors. International Encyclopedia of Rehabilitation. Available online: http://cirrie.buffalo.edu/encyclopedia/en/article/125/
Wenger, D.R., & Frick, S.L. (1999). Scheuermann kyphosis. Spine, 24(24), 2630-2639.
Yeats, B. (1997). Factors that may influence the behavioral health of school children (K-12). Work, 9, 45-55.
Živković, D. (1992). Skolioza - korekcija i lečenje (Scoliosis - correction and treatment) In Serbian. Niš: Sirijus.
Zsidai, A., Koscis, L. (2001). Ultrasound-based spinal column examination systems. Facta Universitatis, Series Physical Education and Sport, 1(8), 1-12.
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