Lumbar Stabilization Exercises in Addition to Strengthening and Stretching Exercises Reduce Pain and Increase Function in Patients With Chronic Low Back Pain : Randomized Clinical (original) (raw)
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Bangladesh Journal of Medical Science
Background: Lumbar stabilisation exercise has been shown to reduce pain and disability in patients with low back pain but information on its potential benefits in term of back muscle endurance is scarce. Objective: This study was aimed at investigating the effects of augmenting conventional physiotherapy with lumbar stabilization exercises on selected variables of patients with non-specific chronic low back pain (NSCLBP). Methods: Forty individuals with NSCLBP aged 20-60 years were assigned to one of experimental or control groups (20 in each). The experimental group had lumbar stabilisation exercises in addition to conventional therapy (transcutaneous electrical nerve stimulator and infrared) which was the only treatment for the control group. Both groups were treated thrice weekly. Participants’ pain intensity, disability index, kinesiophobia level and back muscle endurance were evaluated at baseline and after 8 weeks. Results: There was significant reduction in pain intensity (ex...
Effectiveness of Lumbar Stabilization Exercise on Mechanical Low Back Pain
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.5\_May2022/IJHSR-Abstract.038.html, 2022
Background: Mechanical low back pain is the most common medical complaint and the leading cause of disability. Lumbar stabilization exercise focussed on deep abdominal and back muscles has gained credibility in patients with mechanical low back pain. Lumbar stabilization exercise has shown benefits for people with mechanical low back pain as the lumbar stabilizer muscles play a role in lumbar segmental stability and as a basic support, and for lumbar segmental stabilization, strengthening of deep and superficial stabilizer muscles and co-coordination are necessary. This study was conducted to find the effectiveness of lumbar stabilization exercise on mechanical low back pain and functional disability in people with mechanical low back pain. Methods: 15 individuals (both male and female) of the age group 20-50 with mechanical LBP were included in the study and performed each exercise for lumbar musculature once daily for 2 weeks. Visual analogue scale (VAS) and Oswestry disability index (ODI) were used as the outcome measure. Results: Paired t-tests showed a statistically significant difference between pre and post VAS and ODI (p≤0.05). Conclusion: This study concludes that lumbar stabilization exercises are effective in reducing mechanical low back pain and improving functional disability in patients with mechanical low back pain.
Background: Chronic low back pain (CLBP) is one of the most serious health problems in musculoskeletal aspect and immediate non surgical remedies are needed. Objective: Objective of the study was to find the effects of specific lumbar stabilization exercise by using an unstable training device on pain, lumbopelvic stability, and functional disability on subject with CLBP. Study design: A Randomized controlled study (double blinded) Setting; Institutional based musculoskeletal physiotherapy outpatient department. Outcome measures: Numerical pain rating scale (NPRS), lumbopelvic stability (LPS) by pressure biofeedback (PBU) & Modified Oswestery disability questionnaire (MODI) Materials & Methods: 60 patients with chronic low back pain were randomly allocated in to either experimental and control group. Group A received specific lumbar stabilization exercises by using an unstable training device (n=30) and Group B (control group) received mat lumbar stabilization exercise (n=30). The t...
International Journal of Physiotherapy and Research, 2017
Aim: The purpose of the study is to find out the effectiveness of lumbar stabilization exercises and extension exercises in patients with sub acute non-specific low back pain. Materials and Methods: 30 patients with non specific sub acute low back pain and no clinical signs suggesting spinal instability were recruited (Stabilization training: n=15; Mc Kenzies back extension: n=15). Both groups received 6 weeks of exercises intervention. Outcome measure were pain (Visual analog scale), range of motion (inch tape), disability (Modified Oswestry disability questionnaire) which were measured before and after intervention. Results: Both groups showed improvement post intervention. Statistically significant difference was observed between the 2 groups for relief of pain (mean difference=0.64, p=0.003), increase in range of motion (mean difference= 0.32,p=0.005) and reduction in disability scores (mean difference=3.40, p=0.003) favoring the trunk stabilization exercises. Conclusion: The lumbar stabilization exercises programme has shown a significant improvement in outcome measures and reduced the disability to a greater extent with that of back extension exercise approach among subjects with sub acute non specific low back pain.
2013
Stabilization exercises have been used for management of Low Back Pain. These exercises improve stability and increase control of the spine due to neuromuscular changes. Therefore, the effectiveness of stabilization and McKenzie's exercises on intensity of pain, disability and lumbo-pelvic stability was compared in non-specific Chronic Low Back Pain (CLBP) patients. Thirty patients with non-specific CLBP participated in this study. Patients were enrolled through simple non-probability sampling and were assigned into two groups, Mckenzie's and stabilization exercises, randomly. Intensity of pain, disability, and lumbo-pelvic stability were evaluated by Visual Analouge Scale, The Oswestry disability Questionnaire, and Stibilizer Pressure Biofeedback Unit, respectively. The training program was scheduled 18 sessions for both groups. T-tests and ANCOVA test were used for statistical analysis (p 0.05). The present study supported that stabilization exercises can reduce pain and d...
International Journal for Multidimensional Research Perspective (IJMRP), 2024
Lumbar discomfort is a major problem due to its harmful effects on health and high frequency in the general population. Depending on where and how long the pain lasts, there are three general categorizations for Lumbar discomfort: acute less than 6 weeks, sub-acute 6 to 12 weeks, and chronic more than 12 weeks. Several theories concerning the cause of nonspecific LBP feature poor posture, low body mass, hamstring flexibility, psychological discomfort, diminished trunk extensor endurance, and faulty muscular control of trunk. Pain in the lower back is a challenging illness which can result from injuries pertaining to the muscles and ligaments providing support vertebral column or from overuse or strain. One common treatment method for Lumbar discomfort is exercise therapy. This includes diverse forms of therapies including muscular strengthening, several forms of flexibility and stretching, and cardiovascular exercise for overall physical fitness. Normally, the stabilization system's job is to give the spine enough stability to meet the demands of changing circumstances immediately due to the posture changes with static and dynamic loads. As Per traditional understanding, spinal stabilization primarily relies on spinal biomechanics, the intervertebral disc, spinal ligaments, and osseous components. The stabilization and mobility of the lumbar spine can be facilitated by any muscle that exits the lumbar region. However, according to certain research, the lumbar multifidus and transverses abdominis muscles are very crucial for the stability of the lumbar segment. There is preliminary data indicating that those with long-term Lumbar discomfort do not properly recruit their core muscles and display core weakness13. Standard Exercise for back extension and exercises for lumbar stability both are used to treat low back discomfort. Thus, an effort is undertaken to compare and investigate the benefits of traditional back extension exercises and lumbar stabilization activities in patients with chronic Lumbar discomfort.
Case Medical Research, 2019
BACKGROUND: Exercise programs in the treatment of chronic lumbar pain are quite diverse, but it has been proven that stabilization exercises are the most effective. OBJECTIVE: We compared the lumbar stabilization exercise program in a closed and open kinetic chain (LSCO) and lumbar stabilization exercises and thoracic mobilization program in a closed kinetic chain (LSTMC), and evaluated the clinical effectiveness of each program. METHODS: Prospective, randomized, controlled trial in 80 chronic low back pain (CLBP) patients with lumbar radiculopathy of both sexes (35 male, 45 female), average age (48.45 ± 10.22 years), divided in two groups that performed different sets of exercises. Participants were given laser therapy, transcutaneous electro-nerve stimulation and an eight-week kinesiotherapy that included exercises to strengthen the deep lumbar spine stabilizers. Retesting was done after four and eight weeks. RESULTS: Statistically significant (p < 0.05) superior recovery of the LSTMC group subjects compared to the LSCO group was achieved at all measurement intervals in the pain intensity and functional disability parameters. CONCLUSION: Patients who performed the lumbar stabilization and thoracic mobilization exercise program in a closed kinetic chain had the most effective reduction of pain intensity and functional disability.
The therapist, 2024
Chronic low back pain (LBP), the most communal musculoskeletal condition with a pervasiveness of up to 84% in the grown-up population and world's chief cause of debility and a major welfare and economic issue and lasts for at least 12 weeks [1]. LBP affects human beings somewhere of their lives and its progression is too much and with time it becomes di cult to change [2]. LBP may be mechanical or non-mechanical in nature and causes more global disability than any other condition [3]. Degenerative disc diseases and spondylolysis with or without listhesis causes low back pain in athletes [4] while sacral hiatus (either highly placed apex or de cient posterior wall) is one of the major causes of mechanical low back pain in the Middle Ages [5]. Modic changes occur in persons with low backbone pain associated with disc degeneration and displacement and severity of disease. Weakness in gluteus medius and tenderness in glutei,
Journal of Exercise Rehabilitation, 2017
The aim of the present study was to compare three different forms of exercises namely lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain (LBP) in terms of pain, range of motion, core strength and function. In this study, 44 subjects suffering from nonspecific LBP for more than 3 months were randomly allocated into the lumbar stabilization group, the dynamic strengthening group, and the Pilates group. Ten sessions of exercises for 3 weeks were prescribed along with interferential current and hot moist pack. Pain was assessed by visual analog scale, functional affection by modified Oswestry Disability Questionnaire, range of motion by assessing lumbar flexion and extension by modified Schober test and core strength was assessed by pressure biofeedback on day 1 and day 10 of the treatment. There was reduction of pain, improvement in range of motion, functional ability and core strength in all the 3 exercise groups. The improvement was significantly greater in the lumbar stabilization group for all the outcome measures, when compared the posttreatment after 10th session. Pairwise comparison showed that there was greater reduction of disability in the Pilates group than the dynamic strengthening group. It was concluded that the lumbar stabilization is more superior compared to the dynamic strengthening and Pilates in chronic nonspecific LBP. However, longterm benefits need to be assessed and compared with prospective follow-up studies.