[Three months follow up of two methods of exercise therapy in treatment of patients with lumbar segmental instability]

The effect of different methods of exercise therapy in the treatment of patients suffering from lumbar segmental instability can be challenged in different following treatment periods. Compare of two different methods of exercise therapy in treatment of patients with lumbar segmental instability after three month. In this clinical trial study twenty-four patients' ranging 18-45 years old with signs of lumbar segmental instability were randomly divided into two groups. The first group did only the routine exercise and the second group did the routine exercise plus stabilizing exercises for eight weeks and continued it until three months after treatment. Studied variables included flexor and extensor trunk muscle endurance, pain intensity, functional disability, flexion and extension lumbar range of motion, right and left trunk muscle side were evaluated before, eight weeks and three months after treatment. Data was analyzed using k-s and repeated measurement tests. The findings showed that flexion lumbar range of motion, right and left trunk muscle side increased and pain, functional disability decreased in stabilizing exercise group. There is statically significant difference in the mean of this mentioned variables between two groups after 8 weeks [P=0.001]. The process of pain intensity and functional disability reduction and muscle endurance time increase was more in stabilizing exercise than routine exercise group, following three months exercise. Regarding the prolonged positive effects of stabilizing exercise in reduction of pain intensity and increase of functional ability and muscle endurance until three months after treatment, it is recommended to use this method along with routine exercises

[ effects of stabilization exercise on pain, functional disability and muscle endurance in patients supected to lumbar segmental instability]

Lumbar segmental instability is one of the subgroups of non specific chronic low back pain and it seems that 30-40% of patients with LBP suffer from lumbar segmental instability. Pain intensity, functional disability and reduced muscle endurance are common in such patients. The aim of this study was to evaluate the effects of stabilization exercise on pain, functional disability and muscle endurance in patients suspected to lumbar segmental instability. Following ethical approval, a randomized clinical trial was carried out on 30 patients suspected to lumbar segmental instability ranging from 18-45 years old. They were randomly divided into two groups; the first group underwent routine exercise only while the second group performed routine exercise plus stabilization training for 8 weeks. Outcome measure included pain intensity, functional disability, and flexion and extension range of motion and flexor, extensor and side support muscle endurance which were evaluated before and after treatment. Data were analyzed using paired t test and independent t test. Muscle endurance and flexion range of motion increased in both groups although the increase was higher in stabilization training group [p=0.00]. Pain intensity and functional disability significantly decreased in both groups [p=0.00], but decreasing of pain intensity and functional disability were more in stabilization training group [p=0.00]. Stabilization training is more effective than routine exercise in improvement of pain intensity, functional disability, muscle endurance and range of motion in patients suspected to lumbar segmental instability

Medical students' attitudes towards the importance of research

Encouragement of students toward research is effective for their future scientific and occupational development. To determine the attitude of medical students towards the importance of research. Through a descriptive random sampling study, 200 medical students of Babol University [1993-1997,] tooke part in this research. The data were analyzed by Spss statistical software and X[2] test. The average age of the respondents was 24. 33% of the students had done only one research which had been their thesis, 24% believed that conducting a research would complete learning. The most prodominant problems on the field of research were respectively as follows: educational and management system, shortage of budget and absense of interest. 69% believed that uneffective educational and management system and reduction of financial support are due to low attention paid to research in scientific issues. Application of modern educational systems, increasing financial support and provision of proper research fields seem to be necessary