Current Trends in Exercise Management for Chronic Low Back Pain: Comparison between Strengthening Exercise and Spinal Segmental Stabilization Exercise

Kasai, Ryosuke

doi:10.1589/jpts.18.97

Cited by 17 publications

(15 citation statements)

References 24 publications

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“…Stabilization exercises are well supported in the literature as an intervention strategy for LBP and SIJ region pain. [44][45][46] Based on the patient's reported outcomes (a 100% reduction in disability), the therapeutic exercises seem to have assisted in addressing the patient's target problem, reducing her pain and disability. The patient stated that she did her unilateral exercises on average 2Â/day and the stabilization exercises 1Â/day and that she was motivated to be compliant because she felt better as a result of doing the exercises.…”

Section: Discussionmentioning

confidence: 99%

Managing a Female Patient with Left Low Back Pain and Sacroiliac Joint Pain with Therapeutic Exercise: A Case Report

Boyle

2011

Physiotherapy Canada

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Section: Discussionmentioning

confidence: 99%

Managing a Female Patient with Left Low Back Pain and Sacroiliac Joint Pain with Therapeutic Exercise: A Case Report

Boyle

2011

Physiotherapy Canada

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“…Good evidence exists regarding benefits of exercise (generally) in CLBP [2,5]. In the 1990s, general strengthening exercises were more popular than other types of exercise for patients with CLBP [6].…”

Section: Introductionmentioning

confidence: 99%

Comparison of muscle activation imbalance following core stability or general exercises in nonspecific low back pain: a quasi-randomized controlled trial

Shamsi

Mirzaei

HamediRad

2020

BMC Sports Sci Med Rehabil

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Background: Low back pain causes changes in muscle activation patterns. Knowing how different exercises may improve altered muscle activation is useful in the treatment of patients. The aim of the study was to investigate whether there was a difference in the pattern of muscle activation in chronic nonspecific low back pain sufferers following core stability exercise (CSE) and general exercise (GE). Methods: Fifty-six non-specific chronic LBP subjects were randomly assigned to either groups (28 participants in CSE and 28 in GE group). Both groups performed 16 sessions of an exercise program for about 5 weeks. Pain, disability and trunk muscle activation patterns (using surface electromyography) were measured at baseline and post-training.Results: After the intervention period, antagonist coactivation ratio did not change in either groups. Though all compensated imbalance ratios (residual unequal muscular activity after cancellation of directionality) decreased towards negative (imbalance to left side) only this change for total muscles ratio in GE was significant (mean difference in GE group, 0.15; 95% CI: 0.02 to 0.28; p-value of paired t-test: 0.022); (mean difference in CSE, 0.02; 95% CI: − 0.07 to 0.11; p-value of paired t-test: 0.614).. No overall significantly decrease in uncompensated imbalance ratio (absolute imbalance values without cancellation directionality) was observed. Pain and disability decreased significantly in both groups. However, there was no difference between two groups in either of the variables after the intervention. Conclusions: Both exercise programs reduced pain and disability and made or kept trunk muscle activation imbalance to the left side. The effects of two exercises on pain, disability and antagonist coactivation or imbalance ratios were not different.

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“…Substantial evidence exists supporting the use of exercise as a therapeutic tool to improve impairments in back endurance and stiffness. Most studies have observed improvements in global pain ratings after exercise programs, and many have observed that exercise can lessen the behavioral and cognitive effects and disability aspects of back pain syndromes 9,11) . Strengthening has become a major trend in rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“…Core strengthening is, in essence, a description of the muscular control required around the lumbar spine to maintain functional stability. Although lumbar exercises have been the commonest method for general strength training in chronic low back pain, recent advances in the field of athletic training for prevention of recurrent episodes of chronic low back pain involve segmental stabilization training for the core stabilizers 9) .…”

Section: Introductionmentioning

confidence: 99%

Chronic Low Back Pain in Fast Bowlers a Comparative Study of Core Spinal Stabilization and Conventional Exercises

et al. 2012

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Fast bowlers are very prone to low back pain. Due to persistence of chronic low back pain (cLBP) fast bowlers suffer disturbances in their daily living and sports specific activities that lead to functional disability. The purpose of this study was to investigate the effect of spinal core stabilization exercises on the pain intensity and the functional activity of fast bowlers. [Subjects] Thirty male fast bowlers with cLBP with a mean age of 20.79 ± 2.08 years [Methods] Subjects were screened for this study by using inclusion and exclusion criteria. Experimental and control groups (n=15 in each group) received core stabilization exercises and conventional lumbar flexion-extension exercises respectively. The total study duration of the interventions was 8 weeks. The outcome variables used were the Visual Analogue Scale (VAS) to measure pain and the Oswestry low back pain disability questionnaire (OLBPDQ) to measure functional disability. [Results] The results showed significant functional improvement (post OLBPDQ score) and decreased pain intensity (VAS score) in both the groups but the experimental group which received spinal core stabilization exercises showed more significant improvements than the control group. [Conclusion] We conclude that the incorporation of spinal core stabilization exercises in the management of chronic low back pain would have better results than conventional exercises for cases of cLBP in fast bowlers.

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Current Trends in Exercise Management for Chronic Low Back Pain: Comparison between Strengthening Exercise and Spinal Segmental Stabilization Exercise

Cited by 17 publications

References 24 publications

Managing a Female Patient with Left Low Back Pain and Sacroiliac Joint Pain with Therapeutic Exercise: A Case Report

Managing a Female Patient with Left Low Back Pain and Sacroiliac Joint Pain with Therapeutic Exercise: A Case Report

Comparison of muscle activation imbalance following core stability or general exercises in nonspecific low back pain: a quasi-randomized controlled trial

Chronic Low Back Pain in Fast Bowlers a Comparative Study of Core Spinal Stabilization and Conventional Exercises

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