IMPACT OF GLOBAL POSTURAL MUSCLE STRENGTHENING EXERCISE V/S CONVENTIONAL PHYSIOTHERAPY IN LUMBAR PIVD FOR IMPROVING DISABILITY AND QUALITY OF LIFE

Main Article Content

Dr Monika Sharma
Ekta Chaudhary

Keywords

Global postural muscle exercises, Conventional physiotherapy, NPRS, DEET, DAET, NDI, SF-36, Exercise Protocol, Swiss ball exercises, Lower back pain.

Abstract

When the gel-like substance within a spinal disc forces itself out through the outer covering onto the nerves of the spinal canal, a condition called prolapsed intervertebral disc (PIVD) will be experienced.  This can result in a number of symptoms not limited to discomfort, numbness and weakness. PIVD may be due to injury, wear and tear as well as degenerative diseases associated with age.  Intervertebral disk is a disc-shaped piece of tissue which lies between two vertebrae.  This study will appraise the effectiveness of one of these regimens, GPMSE in combination with traditional physiotherapy in the management of pain.
Objective: The aim of this study is to determine the advantage of a specific exercise programme by means of an comparison of two different procedures. This paper intends to investigate the effects of a given exercise on the proprioception of this population, its sensory integration as well as overall operations.
Method: In this case, prospective study, one-hundred participants are involved in an experimental investigation with Lumbar Prolapsed Intervertebral Discs- PIVD.  Group A comprised of half the patients who were treated with GPMSE and Group B which was treated with traditional physiotherapy.

Both the groups Group-A(GPMSE) and Group-B (conventional physiotherapy) received a specific treatment protocol, including moist heat packs, muscle strengthening exercises, mobility and flexibility. Both the groups continued receiving exercises.


Result: we can infer from the study’s findings  that patients who received GPMSE showed better results (Group A) compared to patients who received conventional physiotherapy (Group B).


Conclusion: A GPMSE can offer a more lasting relief  and a more noticeable quality – of – life change than standard physiotherapy which is mainly aimed at symptom reduction by targeting underlying postural imbalances and muscle weakness.

Abstract 63 | PDF Downloads 32

References

1. Dydyk AM, Massa RN, Mesfin FB. Disc Herniation. StatPearls [Internet]. 2020 Apr 22.Available: https://www.statpearls.com/articlelibrary/viewarticle/20584/(accessed 14.6.2021)
2. Dulebohn SC, Massa RN, Mesfin FB. Disc Herniation.Available from:https://www.ncbi.nlm.nih.gov/books/NBK441822/ (last accessed 25.1.2020)
3. HD- Patient Education. Available from:https://www.youtube.com/ watch?v=lZm4j6Ls128 (last accessed 13.09.2021)
4. Musculoskeletal key Applied anatomy of the lumbar spine Available from:https://musculoskeletalkey.com/applied-anatomy-of-the-lumbar-spine/ (last accessed 24.1.2020)
5. Raj, P. Prithvi. "Intervertebral Disc: Anatomy‐Physiology‐Pathophysiology‐Treatment." Pain Practice 8.1 (2008): 18-44.
6. Drake, Richard, A. Wayne Vogl, & Adam WM Mitchell. Gray's anatomy for students. Elsevier Health Sciences, 2014
7. L. G. F. Giles, K. P. Singer. The Clinical Anatomy & Management of Back Pain. Butterworth-Heinemann, 2006.
8. McGill, S. LB Disorders: Evidence Based Prevention & Rehabilitation, Second Edition. USA: 2007 Human Kinetics.
9. Jegede KA, etal. Contemporary management of symptomatic lumbar disc herniations. Orthop Clin North Am. 2010;41:217-24. PMID: 20399360 www.ncbi.nlm.nih.gov/pubmed/20399360.
10. Chou R, etal. Nonsurgical interventional therapies for lumbar pivd: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009;
11. LaxmaiahManchikanti etal; An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain. Part II: Guidance & Recommendations. Pain Physician 2013; 16:S49-S283 • ISSN 1533-3159
12. Marcelo Gálvez M.1 , Jorge Cordovez M.1 , Cecilia Okuma P.1 , Carlos Montoya M.2, Takeshi Asahi K.2 Revista Chilena de Radiología. Vol. 23 Nº 2, año 2017; 66-76 Differential diagnoses for disc herniation. Available from: https://www.webcir.org/revista virtual/articulos/2017/3_agosto/ch/hernia_eng.pdf (last accessed 25.1.2020)
13. Simeone, F.A.; Herkowitz, H.N.; Upper lumbar disc herniations. J Spinal Disord. 1993 Aug;6(4):351-9.
14. Slipped disc. Health line. Available from https://www.healthline.com/health/herniated-disk#:~:text=An%20untreated%2C%20severe%20slipped%20disc,is%20known%20as%20saddle%20anesthesia. [last accessed 13/10/2020]
15. Wheeler AH: Diagnosis & management of lumbar pivd & sciatica. Am Fam Physician, 1995, 52: 1333–1341

Article Sidebar

PDF
Published
Nov 07, 2025
DOI: https://doi.org/10.53555/bfqc4v85

Article Details

How to Cite
Dr Monika Sharma, & Ekta Chaudhary. (2025). IMPACT OF GLOBAL POSTURAL MUSCLE STRENGTHENING EXERCISE V/S CONVENTIONAL PHYSIOTHERAPY IN LUMBAR PIVD FOR IMPROVING DISABILITY AND QUALITY OF LIFE. Journal of Population Therapeutics and Clinical Pharmacology, 32(10), 216-229. https://doi.org/10.53555/bfqc4v85
Issue
Vol. 32 No. 10 (2025): JPTCP
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

All articles published in JPTCP  are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.

Author Biographies

Dr Monika Sharma

Professor AND Head of Department, IAMR, Ghaziabad (ABVMU, Lucknow), Uttar Pradesh

Ekta Chaudhary

Institute of Applied Medicines & Research (IAMR), Atal Bihari Vajpayee Medical University, Lucknow, Uttar Pradesh

How to Cite

Dr Monika Sharma, & Ekta Chaudhary. (2025). IMPACT OF GLOBAL POSTURAL MUSCLE STRENGTHENING EXERCISE V/S CONVENTIONAL PHYSIOTHERAPY IN LUMBAR PIVD FOR IMPROVING DISABILITY AND QUALITY OF LIFE. Journal of Population Therapeutics and Clinical Pharmacology, 32(10), 216-229. https://doi.org/10.53555/bfqc4v85