Immediate Effects of Core Stabilization Exercise on β-Endorphin and Cortisol Levels Among Patients With Chronic Nonspecific Low Back Pain: A Randomized Crossover Design

Paungmali, Aatit; Joseph, Leonard; Punturee, Khanittha; Sitilertpisan, Patraporn; Pirunsan, Ubon; Uthaikhup, Sureeporn

doi:10.1016/j.jmpt.2018.01.002

Cited by 33 publications

(31 citation statements)

References 31 publications

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“…Furthermore, the core exercise alone group also demonstrated a reduction in pain, PPT, and LBP-related disability. Indeed, several studies that investigated the effect of core exercise on pain and sensory and motor function support our results [19,31,32]. Core exercise may influence the β-endorphin level in patients with chronic nonspecific LBP, and the mechanism of action of the pain-relieving effect of core exercise might be related to an endogenous opioid mechanism [32].…”

Section: Discussionsupporting

confidence: 82%

Mud Therapy Combined with Core Exercise for Chronic Nonspecific Low Back Pain: A Pilot, Single‐Blind, Randomized Controlled Trial

Hahm

Shin

Lee

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Background. Low back pain (LBP) is common in the elderly and an appropriate intervention for LBP management should be investigated. The aim of this study is to investigate the potential of mud-heat intervention combined with core exercise as an alternative intervention for relieving pain and improving motor function in individuals with nonspecific chronic LBP. Methods. Thirty-one individuals with chronic nonspecific LBP were randomly allocated to either the intervention group (n = 16) or the control group (n = 15). The intervention group used a mud pack for 30 min and performed a core-exercise program for 50 min twice a day for 4 days (8 sessions). The control group performed the core-exercise program only, at the same time point as the intervention group. Pain intensity was assessed using a 100 mm visual analog scale and a pain pressure threshold (PPT) as the primary outcomes. The secondary outcome measures included functional disability by LBP (Oswestry Disability Index), muscle properties, and static/dynamic balance. Results. There was a significant group difference in pain intensity at rest (p=0.048) and in the PPT at the two sites assessed (2 cm lateral to L3 spinous process, p=0.045; 2 cm lateral to L5 spinous process, p=0.015). No group differences were found in terms of muscle properties. Compared to core exercise only, moor-heat therapy and core exercise showed a significant improvement in static balance (p=0.026) and dynamic balance (p=0.019). Conclusion. Mud therapy combined with core exercise is effective in relieving pain and improving motor function in patients with chronic nonspecific LBP. Further research is needed to underpin these preliminary results.

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Section: Discussionsupporting

confidence: 82%

Mud Therapy Combined with Core Exercise for Chronic Nonspecific Low Back Pain: A Pilot, Single‐Blind, Randomized Controlled Trial

Hahm

Shin

Lee

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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“…10 Thus, high intensity or duration of exercise may lead with the release of beta-endorphins, producing changes in pain sensitivity. 29,30 This explanation could also partially justify our results that indicated a reduction in bodily, lumbar and sciatic pain, and pain disability, with higher overall PF during pregnancy. These results could also be explained through increasing tissue oxygenation as a result of aerobic physical activity that may diminish peripheral and central sensitization, thus reducing pain intensity.…”

Section: Discussionsupporting

confidence: 58%

“…The exact mechanisms to explain hypoalgesia are still unclear, although one of them is the activation of the endogenous opioid system . Thus, high intensity or duration of exercise may lead with the release of beta‐endorphins, producing changes in pain sensitivity . This explanation could also partially justify our results that indicated a reduction in bodily, lumbar and sciatic pain, and pain disability, with higher overall PF during pregnancy.…”

Section: Discussionmentioning

confidence: 71%

Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Marín-Jiménez

Acosta‐Manzano

Borges-Cósic

et al. 2019

Scandinavian Med Sci Sports

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Aims To explore the association of self‐reported physical fitness with bodily, lumbar and sciatic pain, and pain disability during pregnancy. Methods The present study sample comprised 159 pregnant women (32.9 ± 4.7 years old). Self‐reported physical fitness was assessed with the International Fitness Scale (IFIS), where higher scores indicate greater physical fitness. Bodily pain was assessed with the 36‐Item Short Form Health Survey (SF‐36), where higher scores indicate lower pain. Lumbar and sciatic pain were measured with a visual analogue scale (VAS). The Oswestry Disability Index (ODI) questionnaire was employed to assess the disability resulting from pain. Measures were assessed at 16th and 34th gestational weeks (g. w.). Results Pregnant women showed low‐moderate pain during pregnancy course. Most of them showed medium self‐reported overall physical fitness. At 16th g. w., greater self‐reported overall physical fitness and cardiorespiratory fitness were associated with less bodily and lumbar pain, and pain disability (all, P < 0.05). Greater muscular strength was associated with less bodily pain and pain disability (both, P < 0.05). Greater speed‐agility was associated with less bodily pain (P < 0.01) and less pain disability (P < 0.05). Self‐reported flexibility was not associated with any outcome (P > 0.05). At 34th g. w., greater overall physical fitness and its components were associated with less bodily and sciatic pain (all, P < 0.05). Conclusion Greater self‐reported overall physical fitness and its components are associated with less bodily, lumbar and sciatic pain, and reduced pain disability during pregnancy. Future studies are needed to explore whether increasing physical fitness before and during pregnancy could decrease pain in this relevant stage.

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“…( 25 ) In addition, LPST was reported to cause a significant release of plasma endorphin that resulted in pain reduction among participants with CLBP. ( 26 ) Therefore, it is possible that a combination therapy of massage with LPST may produce pain modulation as a therapeutic benefit through pain gate theory and endogenous opioids-induced analgesic effects in low back pain.…”

Section: Discussionmentioning

confidence: 99%

Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

Joseph

Hancharoenkul

Sitilertpisan

et al. 2018

IJTMB

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BackgroundLittle is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.PurposeThe current study compares the therapeutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.SettingThe study was conducted at the campus for National Olympic weight lifting training camp.ParticipantsA total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research DesignA within-subject, repeated measures, crossover, single-blinded, randomized allocation study.InterventionThe athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome MeasuresThe PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of variance (ANOVA).ResultsThe results showed that the CT significantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increasing tissue blood flow (131%–152%) than MT (p < .001).ConclusionThe combination therapy of massage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.

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Immediate Effects of Core Stabilization Exercise on β-Endorphin and Cortisol Levels Among Patients With Chronic Nonspecific Low Back Pain: A Randomized Crossover Design

Cited by 33 publications

References 31 publications

Mud Therapy Combined with Core Exercise for Chronic Nonspecific Low Back Pain: A Pilot, Single‐Blind, Randomized Controlled Trial

Mud Therapy Combined with Core Exercise for Chronic Nonspecific Low Back Pain: A Pilot, Single‐Blind, Randomized Controlled Trial

Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

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