Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability

Abstract

Background and aimsClinical lumbar instability causes pain and socioeconomic suffering; however, an appropriate treatment for this condition is unknown. This article examines the effect of a 10 week core stabilization exercise (CSE) program and 3 month follow-up on pain-related outcomes in patients with clinical lumbar instability.MethodsForty-two participants with clinical lumbar instability of at least 3 months in duration were randomly allocated either to 10 weekly treatments with CSE or to a conventional group (CG) receiving trunk stretching exercises and hot pack. Pain-related outcomes including pain intensity during instability catch sign, functional disability, patient satisfaction, and health-related quality of life were measured at 10 weeks of intervention and 1 and 3 months after the last intervention session (follow-up); trunk muscle activation patterns measured by surface electromyography were measured at 10 weeks.ResultsCSE showed significantly greater reductions in all pain-related outcomes after 10 weeks and over the course of 3 month follow-up periods than those seen in the CG (P<0.01). Furthermore, CSE enhanced deep abdominal muscle activation better than in the CG (P<0.001), whereas the CG had deterioration of deep back muscle activation compared with the CSE group (P<0.01). For within-group comparison, CSE provided significant improvements in all pain-related outcomes over follow-up (P<0.01), whereas the CG demonstrated reduction in pain intensity during instability catch sign only at 10 weeks (P<0.01). In addition, CSE showed an improvement in deep abdominal muscle activation (P<0.01), whereas the CG revealed the deterioration of deep abdominal and back muscle activations (P<0.05).ConclusionTen week CSE provides greater training and retention effects on pain-related outcomes and induced activation of deep abdominal muscles in patients with clinical lumbar instability compared with conventional treatment.

Effect of Core Stability Exercises at Home on Functional Ability and Chronic Low Back Pain (LBP) in Male Dentists

“…The results of this study showed that spinal stabilization exercises had a significant effect on functional ability and chronic pain in male dentists, which is consistent with studies by Jadeian et al (2012), Puntumetakul et al (2013) and Wang et al (2012).…”

“…It is recommended to use these exercises in treating patients with segmental instability of the low back (16). Puntumetakul et al studied the effects of 10 weeks of central stabilization training on back pain in patients with lumbar instability, and concluded that 10 weeks of central stability training had a long lasting effect on outcomes and improved the function of the abdominal muscles compared to conventional treatments (17). Wang et al compared general and central stability exercises and concluded that central stability exercises were more effective in reducing pain and functional improvement of chronic LBP (18).…”

Trunk Muscles’ Response to Core Stability Exercises in Patients With Chronic Low Back Pain: A Randomized Controlled Trial

“…Increase in the cross-sectional area of the lumbar multifidus as a direct result of core stability exercises can be demonstrated within 6 weeks [37]. Core stabilization exercises with the abdominal drawing in maneuver technique has been found to primarily activate the deep abdominal muscles with minimal activity of the superficial muscles [38]. Core stability exercises focus on the lumbar multifidus and transversus abdominis muscles.…”

Avaliação de alunos ingressantes em um instituto de treinamento quanto à força e resistência dinâmica do core

“…Estudos mostram que cerca de 80% da população mundial, em algum momento de suas vidas, apresentará dores e desconforto na região das costas, provavelmente, sendo a maior incidência na região lombar (PUNTUMETAKUL et al, 2013;COX, 2002). São vários os fatores que podem desencadear a incidência de dores nas costas, sobretudo na região lombar, por ser esta a região de maior desconforto em relação à manutenção de uma boa postura.…”

“…O treinamento específico da musculatura do tronco é de extrema importância para a manutenção da saúde e da qualidade de vida, seja a médio ou a longo prazo, assim como o treinamento das variáveis interdependentes que auxiliam sua função, como a relação entre as capacidades físicas, sobretudo força e resistência (PUNTUMETAKUL et al, 2013).…”