The effect of individualized gradable stabilization exercises in patients with chronic low back pain: Case-control study

Lee, Hee Song; Kim, Dae‐Jin; Oh, Yoongul; Min, Kyunghoon; Ryu, Ju Seok

doi:10.3233/bmr-160724

Cited by 12 publications

(18 citation statements)

References 26 publications

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“…Stabilization of the deep muscles plays a critical role in anatomical structures of patients with low back pain. Particularly, erector spinae, multifidus, quadratus lumborum, iliopsoas, and abdominals play an important role in stabilizing the spine, and exercise methods that progressively activate these muscles are recently being recommended [14,15]. These exercise methods treat and prevent low back pain, and also has the advantage of stabilizing and progressively approaching the lumbo-pelvic area [15–17].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Progressive Stabilization Exercise Program Using Respiratory Resistance for Patients with Lumbar Instability: A Randomized Controlled Trial

Park

Lee

2019

Med Sci Monit

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BackgroundThis study investigated the effects of progressive stabilization exercise program carried out with respiratory resistance in patients with lumbar instability.Material/MethodsForty-three patients with lumbar instability were randomly assigned to experimental (n=20) and control groups (n=23). The experimental group performed progressive lumbar stabilization exercises along with respiratory resistance, and the control group only performed progressive lumbar stabilization exercises, for 40 min per session, 3 sessions a week, for 4 weeks. Numeric rating scale (NRS), Korean-Oswestry disability index (K-ODI), static balance ability, Fear-Avoidance Beliefs Questionnaire (FABQ), and pulmonary function test (PFT) were performed before and after the intervention program for comparison.ResultsThe 2 groups showed significant differences in NRS, K-ODI, balance ability, and FABQ after the interventions (p<0.05), but greater improvements were shown by the experimental group in balance ability and FABQ values. PFT results in the experimental group showed a significant increase (p<0.05) in forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and maximum voluntary ventilation (MVV). The experimental group showed a greater improvement (p<0.05) in FVC and MVV compared to the control group.ConclusionsProgressive stabilization exercise program with respiratory resistance is an effective method with clinical significance in pain reduction, psychosocial stability, and enhancement of motor and respiratory functions.

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Section: Introductionmentioning

confidence: 99%

Effects of a Progressive Stabilization Exercise Program Using Respiratory Resistance for Patients with Lumbar Instability: A Randomized Controlled Trial

Park

Lee

2019

Med Sci Monit

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“…Subjects were required to maintain a specific posture according to each type of exercise while performing ASSE. [9,10] The individualized graded lumbar stabilization exercise (IGLSE) is composed of spinal stabilizing exercises at different posture for chronic back pain. This exercise is proven to be effective in strengthening the core muscle around the spine and can easily be carried out without any apparatus.…”

Section: Methodsmentioning

confidence: 99%

“…This exercise is proven to be effective in strengthening the core muscle around the spine and can easily be carried out without any apparatus. [9,10] This program was based on the condition of each patient, and the degree of difficulty ranged from easy to difficult. Patients gradually increased the degree of instability until the most unstable posture was achieved; this method is advantageous as it is safe and can be personalized.…”

Section: Methodsmentioning

confidence: 99%

“…Patients gradually increased the degree of instability until the most unstable posture was achieved; this method is advantageous as it is safe and can be personalized. [9,10] ASSE includes the following actions:…”

Section: Methodsmentioning

confidence: 99%

“…We noticed some important findings during our clinical practice. While teaching asymmetric spinal stabilization exercises (ASSE) to patients with IS for the prevention and reduction of back pain, [9,10] we noticed that they were unable to maintain a specific posture on one side, but they were able to do so on the contralateral side. For example, patients showing right thoracic scoliosis were unable to maintain a bird-dog posture with holding the left hand and right leg up (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Proposal of a new exercise protocol for idiopathic scoliosis

Suh²,

Kim

et al. 2018

Medicine

Self Cite

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In clinical practice, we found a unilateral instability in patients with right thoracic scoliosis during asymmetric spinal stabilization exercise (ASSE), which can be an important clue to identify the pathophysiology of idiopathic scoliosis (IS).We investigated the relationship between unilateral postural instability and weakness of paraspinal muscles according to curve pattern. And finally, we propose the new exercise method based on the curve pattern.Combined use of prospective and retrospective clinical trials.Fifteen participants without IS and 10 patients with IS in 1 tertiary referral hospital.In 15 participants without IS, surface electromyography (sEMG) was used to evaluate the muscular activation patterns in the bilateral erector spinae (ES), rectus abdominis (RA), and external oblique (EO) muscles during ASSE. In addition, to assess the clinical effect of ASSE, Cobb angle and rotation grade were measured from 10 patients with IS.The most significant findings from the sEMG data were the increased activities of ipsilateral 7th thoracic ES during hand-up motion, ipsilateral 3rd lumbar ES during leg-up motion, and 12th thoracic and 3rd lumbar ES during side-bridging. In a radiographic analysis, specific components of ASSE that activates the concave side muscles were found to be effective for IS.The paraspinal muscle strengthening of the concave side using ASSE can improve the severity of scoliosis. Based on this research, we could propose a new exercise protocol that can be personalized according to the curve pattern.

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The Effects of Stabilization Exercises Combined With Pelvic Floor Exercise in Women With Nonspecific Low Back Pain: A Randomized Clinical Study

Abdel-aziem¹,

Abdelraouf²,

El-Basatiny³

et al. 2021

Journal of Chiropractic Medicine

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The effect of individualized gradable stabilization exercises in patients with chronic low back pain: Case-control study

Abstract: This study showed that the gradable stabilization exercise protocol has the possibility to improve clinical and physical findings.

Cited by 12 publications

References 26 publications

Effects of a Progressive Stabilization Exercise Program Using Respiratory Resistance for Patients with Lumbar Instability: A Randomized Controlled Trial

Effects of a Progressive Stabilization Exercise Program Using Respiratory Resistance for Patients with Lumbar Instability: A Randomized Controlled Trial

Proposal of a new exercise protocol for idiopathic scoliosis

The Effects of Stabilization Exercises Combined With Pelvic Floor Exercise in Women With Nonspecific Low Back Pain: A Randomized Clinical Study

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