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AB1238-HPR The Effects of Dynamic Lumbar Stabilization Exercises on Low Back Pain, Functional Disability and Depression in Mothers with Disabled Children
  1. N. Uzun1,
  2. S.N. Arman2,
  3. D. Tarakci3,
  4. S.N. Arman2,
  5. E. Tarakci2
  1. 1Dilbade Special Education and Rehabilitation Center
  2. 2Division of Physiotherapy and Rehabilitation, Faculty of Health Science, Istanbul University
  3. 3Istanbul Medipol University, Istanbul, Turkey

Abstract

Background Having a disability brings about different hardness for child and his/her parents, for especially mothers (1). The mothers with disabled children are overburdened by the demands of caregiving responsibilities such as transfers. Mothers with disabled children complain various degrees of low back pain, functional disability and depression symptoms (2).

Objectives The aim of the study was to investigate the effects of dynamic lumbar stabilization exercises on low back pain, functional disability and depression in mothers with disabled children.

Methods 42 mothers of disabled children diagnosed with cerebral palsy were included of the study. Visual Analog Scale (VAS) was used to assess low back pain of mothers. Functional disability was assessed with Oswestry Disability Index (ODI). Beck Depression Inventory (BDI was used to assess depression of mothers. Gross Motor Function Classification System Expanded and Revised (GMFMCS-ER) was used to assess motor function level of disabled children. Dynamic lumbar stabilization exercises (DLSE) were set a home exercise program for 12 weeks. The exercise program was performed 3 days a week with 5 repetitions in 3 sets to begin with and repetitions were gradually increased until they reached 15. Exercises were conducted under the supervision of a physiotherapist who instructed the patients initially on an individual basis. They initially performed the exercises individually as well. Home exercise program was reviewed by the physiotherapist once a month. All mothers were examined twice, once before the exercise program and once 12 weeks later.

Results The mean age was 35.10±6.53 years of mothers and mean of GMFCS of the children was 3.35±1.57. Scores of VAS, ODI and BDI before and after exercise program were shown in Table 1. After the exercise program, significant differences were found all parameters (p<0.05).

Table 1.

Scores of VAS, ODI and BDI before and after exercise

Conclusions This study demonstrated that mothers with disabled children complain of low back pain because they do activities such as care and transfer for disabled children and in addition to, severe low back pain may leads to functional disabilities along with depression symptoms in mothers with disabled children. DLSE should used to decrease low back pain, functional disabilities and depression symptoms in mother with disabled children. Therefore, we suggest that mothers with disabled children should do exercise regularly.

References

  1. Ellis JB, Hirsch JK. Reasons for living in parents of developmentally delayed children. Res Dev Disabil. 2000; 21: 323-7.

  2. Andersen JH, Kaergaard A, Frost P, et al. Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine 2002; 27: 660-667.

Disclosure of Interest None declared

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