Core strength training for patients with chronic low back pain

Chang, Wen‐Dien; Lin, Hung‐Yu; Lai, Ping-Tung

doi:10.1589/jpts.27.619

Cited by 105 publications

(104 citation statements)

References 23 publications

(85 reference statements)

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“…Various problems occur in the somatosensory system of patients with chronic low back pain. Decrease of the mobility and stability of the waist occurs in these patients, and these bring about a decline of muscle strength and coordination capability and a change in proprioception6, 7 ) . These disabilities of the musculoskeletal system affect balance performing ability and limit use of a proper exercise strategy in perturbation3 ) .…”

Section: Introductionmentioning

confidence: 99%

The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients

et al. 2016

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[Purpose] This study investigated how types of lumbosacral orthoses applied to patients with chronic lumbar pain affect postural control and low back pain. [Subjects and Methods] Ten subjects were randomly selected and allocated to each a group wearing soft lumbosacral orthoses and a group wearing rigid lumbosacral orthoses. They wore the lumbosacral orthoses for 4 weeks. Pain index and postural control were measured on the first day of wearing lumbosacral orthoses and 4 weeks later. Pain index was evaluated using a visual analogue scale, and postural control was measured using a Balance measurement system. The measurements examined included the overall balance index, anteroposterior balance index, and mediolateral balance index. [Results] There were statistically meaningful within-group differences in all variables, the visual analogue scale, overall balance index, anteroposterior balance index, and mediolateral balance index, in the group wearing soft lumbosacral orthoses. There were meaningful differences in visual analogue scale, overall balance index, and mediolateral balance index in the group wearing rigid lumbosacral orthoses. Furthermore, there was a meaningful difference in anteroposterior balance index between the group wearing soft lumbosacral orthoses and the group wearing rigid lumbosacral orthoses. [Conclusion] The results of the present study showed that wearing soft lumbosacral orthoses was more effective than wearing rigid lumbosacral orthoses.

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Section: Introductionmentioning

confidence: 99%

The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients

et al. 2016

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“…4 Yet that significance was absent when core exercise was compared with general low back exercise. 4 Other investigators 5 have suggested clinicians should focus on interventions that improve disability and have noted improvements in LBP patients who perform some kind of core exercise.…”

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confidence: 99%

“…3 Patients are more likely to perceive the effectiveness of core exercises than that of other painreduction methods. 5 Decreased pain and increased function in the early stages of intervention may help the patient associate the rehabilitative experience with improvement in the condition. This can demonstrate the value of the patientclinician relationship and lead to increased compliance with all prescribed interventions.…”

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confidence: 99%

“…Using core plus low back exercises has resulted in more improvement than general exercise alone, but no specific protocol has been developed. 1,4,5 Evidence-based medicine requires a balance of the clinician's own knowledge and experience, the patient's values in terms of treatment outcomes, and synthesis of the current literature on the subject. In the absence of high-quality evidence, clinicians must rely on their own clinical expertise and the values of their patients when making decisions regarding the incorporation of core stability exercises in the treatment of LBP.…”

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Core Stability Exercise Versus General Exercise for Chronic Low Back Pain

Coulombe

Games

Neil

et al. 2017

Journal of Athletic Training

113

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Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A metaanalysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082.Clinical Questions: Is core stability exercise more effective than general exercise in the treatment of patients with nonspecific low back pain (LBP)?Data Sources: The authors searched the following databases: China Biological Medicine disc, Cochrane Library, Embase, and PubMed from 1970 through 2011. The key medical subject headings searched were chronic pain, exercise, LBP, lumbosacral region, and sciatica.Study Selection: Randomized controlled trials comparing core stability exercise with general exercise in the treatment of chronic LBP were investigated. Participants were male and female adults with LBP for at least 3 months that was not caused by a specific known condition. A control group receiving general exercise and an experimental group receiving core stability exercise were required for inclusion in the meta-analysis. Core stability was defined as the ability to ensure a stable neutral spine position, but the type of exercise was not specified. Outcome measures of pain intensity, back-specific functional status, quality of life, and work absenteeism were recorded at 3-, 6-, and 12-month intervals.Data Extraction: The study design, participant information, description of interventions in the control and experimental groups, outcome measures, and follow-up period were extracted. The mean difference (MD) and 95% confidence interval (CI) were calculated to evaluate statistical significance. Risk of bias was assessed using the Cochrane Collaboration Recommendations, and all articles were rated as high risk for other bias with no further explanation given.Main Results: Five studies involving 414 patients were included. Four studies assessed pain intensity using the visual analog scale or numeric rating scale. In the core stability exercise group, the reduction in pain was significant at 3 months (MD ¼ À1.29, 95% CI ¼ À2.47, À0.11; P ¼ .003) but not at 6 months (MD ¼À0.50, 95% CI ¼À1.36, 0.35; P ¼ .26). Functional status was improved at 3 months (MD ¼ À7.14, 95% CI ¼ À11.64, À2.65; P ¼ .002) but not at 6 months (MD ¼À0.50, 95% CI ¼ 0.36, 0.35; P ¼ .26) or 12 months (MD ¼ À0.32, 95% CI ¼ À0.87, 0.23; P ¼ .25). All of the included studies assessed backspecific functional status: 4 used the Oswestry Disability Index and 1 used the Roland-Morris Disability Questionnaire. Patients in the core stability exercise groups experienced improved functional status versus the general exercise group at 3 months (MD ¼À7.14, 95% CI ¼À11.64, À2.65; P ¼ .002); no results were recorded at 6 or 12 months.Conclusions: In the short term, core stability exercise was more effective than general exercise for decreasing pain and increasing back-specific functional status in patients with LBP.

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“…A terhesség alatt szétnyílt egyenes hasizom a core izmait is gyengévé teszi, mivel azok közvetlen kapcsolatban állnak vele, ami idővel az alsó háti szakasz fájdalmához vezethet (Gitta et al, 2017), illetve erősítése segíthet megszabadulni a fájdalmaktól (Franca et al, 2010;Chang, 2015). Úgyszintén megterhelhetik a gerincet a terhességet megelőző évek során megszokásból berögzült rossz ülő, álló pozíciók és a hajlongás, a terhesség maga pedig már könnyen túlterhelheti ezt az amúgy is megviselt gerincet.…”

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2018

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Core strength training for patients with chronic low back pain

Cited by 105 publications

References 23 publications

The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients

The effects on postural control and low back pain according to the types of orthoses in chronic low back pain patients

Core Stability Exercise Versus General Exercise for Chronic Low Back Pain

Hova vezethető vissza a kismamák hátfájása? - Koncentráljunk a megelőzésre

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