Document Type : Original Articles

Authors

• Atefeh Rahimi ¹
• Saeed Forghany ²
• Fatemeh Pol ³

¹ MSc Student of Physiotherapy, Department of Physiotherapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

² Associate Professor, Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

³ MSc Student of Orthotics and Prosthetics, Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Abstract  Background: .Low back pain (LBP) is one of the most common musculoskeletal disorders. Exercise therapy is often advised but it requires a significant time commitment, can rely on equipment or health professionals and risks low compliance. As an alternative or adjunct, shoes with a curved sole profile are thought to produce beneficial changes in ankle, knee, and hip and back position and posture .Therefore, the aim of this preliminary study was to investigate the effect of rollover footwear and McKenzie extension exercise on pain, disability and lumbar posture in people with sub acute Low back pain Material and Method: In this quasi-experimental study 20 people (age: 32.15±10.45 years) with LBP that decreased with extension movements , after signing informed consent ,  were assigned to a rollover footwear and McKenzie extension exercise group (n=10) or a McKenzie extension exercise only group (n=10). Baseline and post intervention measures were pain (visual analog pain scale), disability (Oswestry LBP disability) and lumbar posture when standing (via 7 -camera Qualisys motion capture system. Result: Participants in the rollover footwear and McKenzie extension exercise group had significantly greater decreases (58/9 %) in pain compared to the McKenzie extension exercise group (P=0.04). Disability reduction, comparison between two groups did not show statistical significance (P>0.05). The radius of lumbar curve was not significantly (P>0.05) and there was no significant difference in the change in the radius of lumbar curve between two groups (P>0.05).Conclusion: This result suggests that the rollover footwear could be part of a treatment protocol for greater reduction in pain level in patients with low back pain. Keywords: Low back Pain, McKenzie exercise, Rollover footwear, Posture