Can Prophylactic Tracheostomy be Avoided in Advanced Oral Cancer Surgery for Airway Management? An Experience and Guidelines from a Tertiary Care Facility.

BACKGROUND: Combining training for the pelvic floor muscle (PFM) with core stability exercises have unique advantages for treating Chronic Non-specific Low back pain (CNSLBP).Given the significant role of PFM in lumbar spine stability and the suggested link between lumbar instability and Low Back Pain in women, it was hypothesized that PFM exercises could provide beneficial outcomes for patients with CNSLBP Objective: To evaluate the effect of a 12 week Pelvic floor muscle and core training program in women with CNSLBP.

METHODS: A total of 70 women with CNSLBP (20-40 years) participated in the study. They were randomly allocated into 2 groups. Group A received PFM  Exercises combined with Core stabilization  exercises, and Group B received core stabilization exercises alone for 12 successive weeks. Pain intensity, Muscle strength (transverse abdominis (TrA) and pelvic floor muscles (PFM)), and thickness (TrA and PFM) were measured before and after treatment program.

STATISTICAL ANALYSIS: There was no difference between the groups in terms of age, BMI, number of births and mode of delivery (p > 0.05) and also in all clinical parameters (p  <  0.05)p more than 0.05 between the groups at the baseline. Independent and paired t-tests were used.

RESULTS: Post-intervention analysis revealed significant differences between the two groups in pain, strength, and muscle thickness, favouring the interventional group (p  <  0.05).

DISCUSSION: The current study assessed the efficacy of the intervention on several key outcomes, including pain, muscle strength (TrA and PFM), and muscle thickness (TrA and PFM). The intervention group demonstrated notable enhancements in pain, muscle strength and thickness, suggesting a positive impact of the intervention on muscular outcomes.