TY  - JOUR
A1  - Golonka, Witold
A1  - Raschka, Christoph
A1  - Harandi, Vahid M.
A1  - Domokos, Bruno
A1  - Alfredson, Håkan
A1  - Alfen, Florian Maria
A1  - Spang, Christoph
T1  - Isolated lumbar extension resistance exercise in limited range of motion for patients with lumbar radiculopathy and disk herniation — clinical outcome and influencing factors
JF  - Journal of Clinical Medicine
N2  - (1) Background: Reconditioning of the paraspinal lumbar extensor muscles by isolated lumbar extension resistance exercises (ILEX) has shown good clinical results for patients with chronic unspecific low back pain. However, the clinical value and safety for patients with specific spine pathologies is unclear. In this study, clinical outcome and influencing factors were retrospectively analyzed for patients with lumbar disk herniation (LDH) and radiculopathy. (2) Methods: 189 consecutive patients (123 men and 66 women; mean age, 36 years) with clinically diagnosed LDH and relative indications for surgery started a 9-week rehabilitation program (2x/week) including ILEX in limited range of motion (ROM) adjusted to patients’ symptoms. Patients diagnosed with advanced levels of spine degeneration were excluded. Pain/radiculopathy (PR), influence on mental health (IOMH), satisfaction rates were measured via Numeric Rating Scales (NRS, 0–10), and overall clinical outcome was stated in % (100% = full recovery). Isometric extension strength was tested before and after the program. (3) Results: 168 patients (88.9%) completed the program. For 162 out of 168 patients (96.4%) there was a significant reduction of clinical symptoms, whereas 6 patients reported no changes in symptoms. Scores (mean) for symptom intensity decreased from 4.2 (±1.5) to 1.9 (±1.5) (p < 0.001), the impact on mental health decreased from 5.9 (±2.3) to 2.4 (±2.0) (p < 0.001). There was a (weak) correlation between lower scores for PR and IOMH before the study and better clinical outcomes; PR also weakly correlated with satisfaction. Other factors such as age, strength increase, level/location and number of LDH did not have a significant impact on the clinical results. (4) Conclusion: The results indicate that ILEX in limited ROM can be an effective treatment for the majority of patients with LDH. For patients with high pain levels, the results are less consistent, and surgery may be considered.
KW  - disk herniation
KW  - radiculopathy
KW  - low back pain
KW  - ILEX
KW  - exercise
KW  - conservative treatment
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239723
SN  - 2077-0383
VL  - 10
IS  - 11
ER  - 
TY  - JOUR
A1  - Mages, Michelle
A1  - Shojaa, Mahdieh
A1  - Kohl, Matthias
A1  - Stengel, Simon von
A1  - Becker, Clemens
A1  - Gosch, Markus
A1  - Jakob, Franz
A1  - Kerschan-Schindl, Katharina
A1  - Kladny, Bernd
A1  - Klöckner, Nicole
A1  - Lange, Uwe
A1  - Middeldorf, Stefan
A1  - Peters, Stefan
A1  - Schoene, Daniel
A1  - Sieber, Cornel C.
A1  - Tholen, Reina
A1  - Thomasius, Friederike E.
A1  - Uder, Michael
A1  - Kemmler, Wolfgang
T1  - Exercise effects on Bone Mineral Density in men
JF  - Nutrients
N2  - In contrast to postmenopausal women, evidence for a favorable effect of exercise on Bone Mineral Density (BMD) is still limited for men. This might be due to the paucity of studies, but also to the great variety of participants and study characteristics that may dilute study results. The aim of the present systematic review and meta-analysis was to evaluate the effect of exercise on BMD changes with rational eligibility criteria. A comprehensive search of six electronic databases up to 15 March 2021 was conducted. Briefly, controlled trials ≥6 months that determined changes in areal BMD in men >18 years old, with no apparent diseases or pharmacological therapy that relevantly affect bone metabolism, were included. BMD changes (standardized mean differences: SMD) of the lumbar spine (LS) and femoral neck (FN) were considered as outcomes. Twelve studies with 16 exercise and 12 control groups were identified. The pooled estimate of random-effect analysis was SMD = 0.38, 95%-CI: 0.14–0.61 and SMD = 0.25, 95%-CI: 0.00–0.49, for LS and FN, respectively. Heterogeneity between the trials was low–moderate. Funnel plots and rank and regression correlation tests indicate evidence for small study publication bias for LS but not FN-BMD. Subgroup analyses that focus on study length, type of exercise and methodologic quality revealed no significant difference between each of the three categories. In summary, we provided further evidence for a low but significant effect of exercise on BMD in men. However, we are currently unable to give even rough exercise recommendations for male cohorts.
KW  - Bone Mineral Density
KW  - exercise
KW  - men
KW  - overview
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250247
SN  - 2072-6643
VL  - 13
IS  - 12
ER  -