Core Stability Exercises Research Articles

Impact of core stability exercises vs. interferential therapy on pelvic floor muscle strength in women with pelvic organ prolapse.

Pelvic organ prolapse (POP) is the descent of the pelvic organs into or through the vaginal walls. Females who have prolapse have symptoms that interfere with their daily lives, sexual function, and exercise. POP can have a negative effect on one's sexuality and body image. This study attempted to assess the significance of core stability exercises vs. interferential therapy on the power of the pelvic floor muscles in females with prolapsed pelvic organs. A randomized control trial was conducted on forty participants (aged between 40-60 years, diagnosed with mild degree pelvic organ prolapse participated in the research. Participants were randomly divided into two groups: (group A; n = 20) and (group B; n = 20). The participants were tested twice, before and after 12 weeks, during which group (A) performed core stability exercises while group (B) received interferential therapy. A modified Oxford grading scale and the perineometer were used to assess how the vaginal squeeze pressure changed. The study's findings demonstrated that the modified Oxford grading scale values and vaginal squeeze pressure had a non-statistically significant difference (p-value ≥ 0.05) between both groups pre-treatment while had a statistically significant difference (p-value ≤ 0.05) between both groups post-treatment in favor of group A. It was concluded that both training programs are efficient at strengthening the pelvic floor muscles, but the core stability exercises were more effective.

Home Exercise Programs Are Infrequently Prescribed in Trials of Supervised Exercise for Individuals With Low Back Pain: A Scoping Review of 292 Randomized Controlled Trials.

OBJECTIVES: To (1) determine how often home exercise programs (HEPs) are prescribed in supervised exercise trials for low back pain (LBP) and (2) describe characteristics of the HEP programs (design, purpose, dose, and adherence). DESIGN: Scoping review. LITERATURE SEARCH: PubMed, CINAHL, and Ovid MEDLINE were searched from January 1, 2010, to August 17, 2021. STUDY SELECTION CRITERIA: Randomized controlled trials that included adults with LBP who received exercise interventions. DATA SYNTHESIS: The presence or absence of a prescribed HEP and any details of the HEP including design, dose, and adherence were extracted and summarized. RESULTS: Of 2689 potentially relevant trials, 292 were eligible for inclusion. Ninety-four trials (32%) included a HEP. The most commonly prescribed home exercises were core stability, trunk strengthening, and motor control exercises. There was great variation in the frequency and duration with which HEPs were prescribed. Adherence to HEPs was measured in fewer than half of the trials, and the methods for measuring adherence were inconsistent. Adherence to HEPs ranged from 29% to 82% in the 21 trials that reported adherence. CONCLUSION: Home exercise programs are not regularly prescribed in supervised exercise trials for LBP. There was considerable variation in prescribing HEPs and monitoring exercise adherence in trials of exercise-based treatments for adults with LBP. There is no consistent method used to measure participants' adherence to HEPs, and adherence percentages vary widely. J Orthop Sports Phys Ther 2023;53(3):120-142. Epub: 16 January 2023. doi:10.2519/jospt.2023.11448.

Exercise Training’s Impact on Multifidus Muscle Thickness in Patients with Lower Back Pain: A Systematic Review

Various previous studies showed that there is involvement of multifidus muscle in lower back pain patients. Atrophy of lumbar multifidus is commonly witnessed among LBP patients. However, there is a lack of scientific findings regarding the training of this muscle. It is still unknown what changes are caused in the multifidus by such training methods. Therefore, the aim of this review is to explore the impact of various training techniques on the thickness of the multifidus muscle in patients with chronic or nonspecific back pain. Various international databases like Google Scholar, Scopus Elsevi¬er, Web of Science, and PubMed were searched by using a combination of keywords like “Exercise”, “Multifidus”, “Thickness” and “Lower Back Pain”. PEDro scoring was used for the assessment of the quality of included RCTs in the present review. It was found that there are few studies that showed improvement in the thickness of lumbar muscles due to different types of training but without investigating lumbar multifidus specifically. Isokinetic training and core stabilization exercises have been found to improve the thickness and symmetry of the multifidus muscle, as well as aid in muscle atrophy recovery. Isokinetic exercises and core-strengthening routines have been shown to enhance the multifidus muscle’s thickness and symmetry, and also assist in reversing muscle atrophy. It can be used to improve the knowledge of physical therapists and LBP patients who are suffering from chronic or nonspecific back pain.

Effect of Exercise on the Ability of Children with Cerebellar Ataxia to Perform Activities of Daily Living

Background: People with ataxia cannot adjust the direction and intensity of movements due to poor voluntary muscle control and the lack of voluntary or reflexive muscle contraction necessary to improve position or posture problems. Ataxia is one of the main symptoms of cerebellar disorder. Most patients with cerebellar ataxia experience ataxia-related difficulties in performing activities of daily living. Exercise has positive effects on ataxia and the ability to perform activities of daily living. Balance exercises, walking exercises, muscle-strengthening exercises, activities of daily living exercises, torso weighting, etc., were reported to improve ataxia, gait capacity, and ability to perform activities of daily living in adults (including older people) with cerebellar ataxia. However, not much has been still done to clarify the effect of exercise on ataxia and the ability of children with cerebellar ataxia to perform activities of daily living. Objective: This review mainly aimed to add to existing knowledge and reveal the relationship between exercise and ataxia and the ability of children with cerebellum-related ataxia to perform activities of daily living. Results: Walking exercises, balance exercises, muscle-strengthening exercises, video games, tracking tasks, core stability exercises, and hippotherapy could improve ataxia, gross motor skills, and the ability of these children to perform activities of daily living. Conclusion: Given the lack of reports, studies are needed to clarify how exercise affects ataxia, gross motor skills, and the ability of children with cerebellar ataxia to perform activities of daily living.

Effect of Core Stability Training on Postpartum Mother's Sexual Desire.

Women may experience different problems in every aspect of their sexual life throughout their lives; therefore, it is essential to check women's sexual health and try to improve it. The present research aims to assess core stability trainings on postpartum mothers' sexual desire. This quasi-experimental research was conducted by random sampling on 72 mothers who referred to comprehensive health centers in Isfahan in 2019 in postpartum period. The samples were divided into experimental and control groups by random placement method (blocking). Core stability exercises were performed in the experimental group for 24 sessions. The demographic questionnaire and Female Sexual Function Index (FSFI) were filled out in two stages (before and one month after the intervention) by the samples, and the data were analyzed by Mann-Whitney, independent t-test, paired t-test, Chi-square. The result of this study showed that the average score of the sexual desire after intervention in the experimental group was significantly higher than that in the control group (p = 0.03). The average score of the sexual desire after the intervention in the experimental group was significantly higher than that before the intervention (p < 0.001). The average scores of the sexual desire before and after the intervention in the control group were not significantly different (p = 0.40). Eight weeks of core stabilization exercises can improve endurance of the pelvic floor muscles and the central part of the body, subsequently promoting females' sexual desire. The findings of this study can be considered in the fields of education, health, clinical, and policy.

Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial

ObjectiveThe purpose of this study was to assess the effect of adding core stability to usual care for pregnant women with lumbar and pelvic girdle (LPG) pain. MethodsThis was a repeated-measures design randomized controlled trial with blinded outcome assessors. Thirty-five pregnant women with LPG pain were recruited from prenatal health care providers. They were allocated to 2 study groups to receive either usual prenatal care (control group, n = 17) or usual care with core stability exercises focusing on the pelvic floor muscles and deep abdominal muscles (exercise group, n = 18) for 10 weeks. The visual analog scale, score on the Oswestry Disability Index, and the World Health Organization's Quality of Life Brief Version (WHOQOL-BREF) were evaluated with analysis of variance at pre-intervention, post-intervention, at the end of pregnancy, and 6 weeks after childbirth. ResultsThere was a statistically significant interaction of group and time for all outcome measures except for the Social category (P = .18) in the WHOQOL-BREF questionnaire. The analysis of the group within time showed that mean scores in the exercise group were substantially improved at the post-intervention, end of pregnancy, and 6-week follow-up evaluation, except in the Environment category (end of pregnancy: P = .36; 6-week follow-up: P = .75) in the WHOQOL-BREF questionnaire. ConclusionThe results of this study indicate that the addition of core stability exercises was more effective than the usual care alone in pain relief, improving disability, and quality of life of pregnant women with LPG pain.

Effect of Deep Cervical Flexor versus Core Stability Exercises on Range of Motion and Function in Individuals with Forward Head Posture-A Research Protocol

Introduction: The human spine forms cervical and lumbar lordosis and thoracic kyphosis when it is aligned in the sagittal plane against a vertical reference. When the head protrudes forward from the sagittal plane and appears to be in front of the body, it is called Forward Head Posture (FHP). The atlantooccipital joint and upper cervical vertebrae extend, whereas the lower cervical and upper thoracic vertebrae flex. FHP puts more strain on the neck causing problems with the musculoskeletal, neurological, and respiratory systems. The Deep Cervical Flexor (DCF) muscles have been revealed to have an important role in the cervical spine’s support and strengthening. FHP is one of the most typical incorrect postures that has increased in popularity recently. Aim: To compare the impact of Core Stability Exercises (CSE) to DCF exercises on people who have a FHP. Materials and Methods: In this interventional comparative study, a total of 70 patients with FHP and neck pain will be included with Craniovertebral Angle (CVA) less than 50o . They will be divided into two equal groups. After a warm-up, Group A will receive DCF exercises while Group B will receive CSE for four weeks, and pain, range, and function will be assessed at the beginning, after two weeks, and after four weeks of intervention. Pain will be assessed by the Visual Analogue Scale (VAS), range will be evaluated with a goniometer, and function will be assessed by Neck Disability Index (NDI). The statistical tests used will be Chi-square test and the Student t-test. Expected Outcome: It is hypothesised that DCF exercises will prove to be successful in improving the ROM and function in individuals aged between 20-40 years with FHP. Conclusion: The conclusion will be drawn based on the effect of both the techniques on pain, range, and function in individuals with FHP which will help patients and the therapist in a better approach to rehabilitation.

Patients with Low Back Pain Benefit from Core Stability and Motor Control Exercises

Motor control exercises improve the deep spinal muscles (transverse abdominus, multifidus), whereas corestability involves global core muscle training. Few studies have examined the short-term effects of motor controland core stability on low back pain patients. This research compared motor control exercises to core stabilityexercises on pain and impairment in people with mechanical low back pain. 30 participants with non-specificmechanical low back pain were randomised into 2 groups of 15 each. Group A did motor control exercises,while Group B did core stability. Both groups did activities. Statistically significant improvement (p0.05) inpain and functional impairment was discovered using paired t-test and wilcoxon signed rank test. Comparativeinvestigation utilising independent t-test and Mann Whitney U test indicated significant difference in VAS andODI improvement across groups. Group-A improved VAS and ODI by 1.47 and 0.99 compared to Group B.

The influence of core stability exercises programme on the functional limitations of the musculoskeletal system in girls practising volleyball

Introduction. High physical fitness requirements in young athletes may lead to physical injuries. This study aimed to determine the influence of a core stability exercise program on the functional limitations of the musculoskeletal system in girls practising volleyball. Materials and Methods. 32 female players practising competitive volleyball in the Sport Club SMS Warsaw participated in this study. Group 1 (study group) comprised female volleyball players who, apart from training, performed stabilisation exercises from the developed program. Group 2 (control group) included players who did not perform any additional exercises. The assessment tool was the FMS test, comprising of 7 movement patterns scored on a scale of 0–3. Results. In the studied group of 32 volleyball players, at the first measurement, the average result of the FMS test amounted to 11.38 points. At the second measurement, considerably better results (p&lt;0.001) were observed in the study group. Both the players in the study and control groups obtained the highest possible result of the pectoral girdle mobility test at both measurements. Conclusion. Stabilisation training may have a diminishing influence on functional limitations in women practising volleyball. The use of stabilisation exercises is recommended to prevent traumatic and overload-related bodily injuries.

Effect of Biodex Balance Training on Postural Stability in Patients with Primary Dysmenorrhea

Background: Dysmenorrhea is one of the most common causes of pelvic pain in women, estimates of the prevalence of dysmenorrhea range widely from 16.8 % to 81%, with high rates as 90% have been recorded. It has a negative impact on the quality of life of affected females, leading to activity restrictions. Pelvic stability decreases in women with dysmenorrhea, leading to lumbar pelvic imbalance, resulting in impaired balance control. Purpose: The purpose of this study was to determine the effect of Biodex balance (BBS) training on pain, postural stability and functional activities during dysmenorrhea. Methods: Thirty participants suffering from primary dysmenorrhea with a regular menstrual cycle were randomly assigned to experimental group (n=15) and control group (n=15). The experimental group received sessions in BBS training combined with traditional core stability exercises while the control group received only traditional core stability exercises for 4 weeks (three sessions per week). The BBS was used to assess postural stability and limit of stability, while the Visual analog scale (VAS) was used to assess pain intensity and Patient specific functional scale (PSFS) to assess the ability to perform activities. All measurements were obtained before, during the menstrual cycle, and after receiving the treatment. Results: The mean values of all variables showed no significant difference in the pre, mid menstrual cycle an d post-treatment assessments, p values were insignificant (P&gt;0.05) between the 2 groups except for post-post treatment assessment for limit of stability (p&lt;0.05). However, both groups showed improvement in all variables when comparing pre and post balance assessments. Conclusion: Balance training with BBS has a positive effect on dysmenorrhea patients by improving postural stability, functional activities, and decreasing pain intensity

8주간의 단시간 코어 안정화 운동이 여성 보육교사의 근골격계 통증에 미치는 효과

This study aims to verify the effects of short-time core stabilization exercises on the musculoskeletal system of childcare teachers for the duration of eight weeks. The participants consisted of 10 childcare teachers who had no experience with physical exercises beforehand. The short-term core stabilization exercises were performed three times a week, (twice at work, once at home) for 25 minutes each time, 8 weeks. For verification, the effects of core stabilization exercise measurement variables, body composition, muscular strength, muscular endurance, flexibility, core dynamic balance, core isokinetic muscle functions, and the pain index of each participants were measured.BR In the case of body composition, eight weeks of short-time core stabilization exercises did not show any significant changes in general, but the percentage of abdominal fat has noticeably decreased (p.01). For basic physical strength, flexibility (right-shoulder and forward bending for upper body), and muscular endurance, results have been significantly improved (p.05). For core dynamic balance, the range of motion of all joints excluding anterior flexion increased slightly, the symmetrical difference between the front-back, left-right, and anterior-left and right 45° directions decreased but there was no significant difference. Finally, for the core isokinetic muscle function, the maximum torque of all angles and the 90° flexion/extension ratio was significantly improved (p.05). Additionally, the pain index of both the shoulder and the back have noticeably decreased (p.01).BR The eight-week short-term core stabilization exercise program showed beneficial effects for body composition, flexibility, muscular endurance, core muscle functions. As a result of these effects, the study shows noticeable reduction of musculoskeletal pain.

Effect of Core Stability Exercises in Reducing Complaints of Low Back Pain on the Pembatik Across the City of Jambi

Batik craftsmen tend to be in a long sitting position, followed by a batik position that is not ergonomic, the way they work, all of which still use the manual method, of course, will cause a lot of complaints or skeletal muscle disorders. So far, batik makers usually treat low back pain by resting without any treatment. There is a need for physiotherapy modalities that can be applied to batik, such as core stability. To analyze the effect of core stability exercise in lowering the lower back in the batik group Seberang Jambi City. This type of research is a quasi-experimental research with pre-test and post-test with control group design. The research sample amounted to 20 respondents. The measuring instrument uses the Visual Analog Scale (VAS). The data analysis technique used Paired Sample T-Test and Independent Sample T-Test. There was a significant effect on the core stability exercise group in lowering the lower back. There is a difference in the effect of core stability exercises in lowering the lower back on batik at the Kajang Lako Seberang Cooperative, Jambi City.

Impact of physical activity on postural stability and coordination in children with posterior fossa tumor: randomized control phase III trial

BackgroundPosterior fossa tumor is a type of brain tumor that is located at the borders of both the brain stem and cerebellum. The cerebellum is the brain region in charge of balance and coordination. Pediatric patients diagnosed with posterior fossa tumor have been reported to fall frequently.ObjectivesThe aim of this study is to investigate the effectiveness of balance and coordination training in these children.MethodsThis randomized control clinical trial (ClinicalTrials.gov Identifier: NCT04528316) was carried out between September 2020 and April 2021 at Children’s Cancer Hospital-57357. The inclusion criteria were patients with posterior fossa tumor in maintenance phase and, age between 5 and 12 years. The exclusion criteria were patients who had a genetic disorder or suffer from mental retardation, a chronic lung disease, severe cardiomyopathy, or a neuromuscular disease that does not relate to tumor. The study participants were randomly assigned into three groups: Group I/Control group: they received Pilates core stability exercises program, Group II/Postural stability group: they received the same program plus HUMAC balance program, and Group III/Coordination group: they received the same program plus coordination exercises of BOT-2. The semi-parametric proportional odds model was used to compare follow-up scores of the Postural stability group vs Control, and Coordination group vs Control, while adjusting for baseline values. All tests were two sided, with alpha set to 0.05.ResultsSixty children including 38 boys and 22 girls were enrolled in this study. In all three groups, postural stability and coordination improved significantly in terms of modified clinical test of sensory integration of balance, center of pressure, limits of stability, bilateral coordination, and upper-limb coordination.ConclusionThe current study supports the value of adding postural stability and coordination training to the physiotherapy plan for children with posterior fossa tumor.Trial registration number and date of registrationClinicalTrials.gov Identifier: NCT04528316 on August 27, 2020.

The Effect of Combination of Core Stability Training and Lower Extremity Strength Training on Static Standing Balance Ability in a Child with Down Syndrome

Balance is the ability to stay in one position with good control. Children with a diagnosis of Down syndrome usually have decreased muscle tone (hypotonia) or muscle weakness, so that their balance is disturbed and they are more prone to falling when standing. Core stability and lower extremity strength exercise are expected to improve the ability of static standing balance in children with a diagnosis of Down syndrome. The aim of the study is to determine the effect of giving a combination of core stability and lower extremity strength exercises on the static standing balance ability in children with Down syndrome. This study uses a single subject research on a child with a diagnosis of Down syndrome who is given core stability and lower extremity strength exercise for 4 weeks to improve the ability of static standing balance. The ability of static standing balance in this study was measured using Gross Motor Function Measure (GMFM). Measurements were taken before exercise was given (A1), follow-up (B) and final evaluation (A2). After being given exercise twice for four weeks, there was no increase in the GMFM score, so it was concluded that there was no increase in the ability of static standing balance in children with Down syndrome in this study. In conclusions, giving core stability exercise and lower extremity strength exercise twice for four weeks is considered not to be able to improve the ability of static standing balance in children with Down syndrome.

Effect of Progressive Postural Control Exercise Versus Core Stability Exercise in Young Adults with Chronic Low Back Pain: A Randomized Controlled Trial.

This study aimed to investigate the effects of progressive postural control exercise (PPCE) vs core stability exercise (CSE) in patients with chronic low back pain (CLBP). A total of 34 young-adult participants with CLBP were randomly assigned to two groups (the PPCE group and the CSE group). They received instructions for two different exercise training regimens persisting over 8weeks. Before, after, and at 6months after the intervention, the participants were evaluated on the basis of pain intensity (VAS), degree of dysfunction (ODI and RMDQ), contractility of transversus abdominis (TrA) and lumbar multifidus (MF), as well as the ability to control static posture. There was no significant difference between the results of the PPCE group and the CSE group. At the 6-month follow-up after the 8-week treatment, the scores of VAS, ODI, and RMDQ in the two groups decreased significantly compared to before (p < 0.05). The percentage change in thickness of bilateral TrA and left MF (p < 0.05) was elevated and the sway area of center of pressure during static stance tasks with eyes opened (p < 0.05) was decreased in both groups. In the short term, PPCE provides positive effects similar to those of core stability exercise in patients with CLBP. The effective mechanism of PPCE might be the consequence of neuromuscular plasticity and adaptation adjustments. PPCE enriches the choices of treatment for CLBP. The trial was registered at www.chictr.org.cn , identifier ChiCTR2100043113.

The Effectiveness of External Support on Hip Abduction Strength in Subjects with Insufficient Core Stability

Background The core stability is important for the performance of hip joint in the standing position. However, little research in comparison of the hip abductor strength in the standing position according to core stability has been reported. Purpose Core stability was important to manage chronic lower back pain and improve standing balance. This study investigated the influence of core stability on hip abductor strength in standing. Study design A parallel-groups design Methods 34 subjects with sufficient and insufficient core stability between 20–31 years. Hip abductor strength was measured using Smart KEMA tensiometer, with subjects between sufficient and insufficient core stability. Two groups were classified by using the double bent leg lowering test. The hip abductor strength were measured in standing with and without an external support. The two-way mixed analysis of variance was applied. Results In the group with insufficient core stability, The hip abductor strength in standing was greater with external support than the condition without external support. No significant difference was found in the hip abductor strength in the subjects with sufficient core stability between the conditions with and without external support. Conclusions The performance of the hip abductor strength can be influenced by core stability in standing. In the group with insufficient core stability, the hip abduction strength in standing is better with external support, as compared to the condition without external support. Therefore, core stability exercise can be recommended in individuals with insufficient core stability to improve the hip abductor performance in standing.

EFEITOS DO TREINO DE ESTABILIDADE DO CORE NA REABILITAÇÃO EM MEMBROS INFERIORES DE JUDOCAS

ABSTRACT Introduction Judo is a sport that presents a high incidence of sports injuries. Judo athletes want to master their skills to the maximum. Good physical conditioning is necessary to decrease the incidence of surgeries and achieve better results. Core stability exercises can discretely reduce the likelihood of lower limb injuries in judo athletes. Objective This paper examines the rehabilitation of core stability training effects on lower limb injuries in judokas by case studies. Methods A Chinese judo team member with a lower limb injury underwent core stability training. Isokinetic strength tests, body composition tests, and functional checks explored the athlete’s physical recovery after training. Results The athletes’ lower limbs progressed with good recovery (P&lt;0.05). Additionally, a recovery in fitness level was also noted (P&lt;0.05). Conclusion Core stability training positively affects recovery from lower limb injuries in judokas. Evidence level II; Therapeutic Studies - Investigating the results.

Effects of Core Stability Training on Functional Movement Patterns in Tennis Players.

The aim of this study was to assess the effects of a six-week core stability training program on the fundamental movement pattern assessed using the Functional Movement Screen Test in tennis players. The study group consisted of 160 subjects (74 women, 86 men) with a mean age of 20.26 ± 1.55. The Functional Movement Screen Test (FMS™), as well as the core stability tests including the lateral trunk muscles endurance test (the side bridge test), the abdominal muscles endurance test and the trunk extensors muscle endurance test—were used to evaluate the effects of core stability training. Statistical analysis revealed significant differences in the FMS test scores before and after introducing a core stability exercise program. Initially, the average total score of the FMS test in female tennis players was 14.58 ± 2.91, and after core stability training it was 17.20 ± 1.68 (p < 0.001). In the male group, the total FMS test score was 14.44 ± 2.76 before and 16.91 ± 1.36 after (p < 0.001) in the final assessment. Additionally, statistically significant differences were observed in the core stability test scores before and after introducing a stabilisation training program. The results of the study showed that specific core strengthening exercises could improve the FMS test scores in adult tennis players. This may also have an influence on reducing injury risk in this group, although further studies would be required to test this.

Lipid and metabolic alteration involvement in physiotherapy for chronic nonspecific low back pain

BackgroundChronic nonspecific low back pain (cNLBP) is a common health problem worldwide, affecting 65–80% of the population and greatly affecting people’s quality of life and productivity. It also causes huge economic losses. Manual therapy (MT) and therapeutic exercise (TE) are effective treatment options for cNLBP physiotherapy-based treatment. However, the underlying mechanisms that promote cNLBP amelioration by MT or TE are incompletely understood.MethodsSeventeen recruited subjects were randomly divided into an MT group and a TE group. Subjects in the MT group performed muscular relaxation, myofascial release, and mobilization for 20 min during each treatment session. The treatment lasted for a total of six sessions, once every two days. Subjects in the TE group completed motor control and core stability exercises for 30 min during each treatment session. The motor control exercise included stretching of the trunk and extremity muscles through trunk and hip rotation and flexion training. Stabilization exercises consisted of the (1) bridge exercise, (2) single-leg-lift bridge exercise, (3) side bridge exercise, (4) two-point bird-dog position with an elevated contralateral leg and arm, (5) bear crawl exercise, and (6) dead bug exercise. The treatment lasted for a total of six sessions, with one session every two days. Serum samples were collected from subjects before and after physiotherapy-based treatment for lipidomic and metabolomic measurements.ResultsThrough lipidomic analysis, we found that the phosphatidylcholine/phosphatidylethanolamine (PC/PE) ratio decreased and the sphingomyelin/ceramide (SM/Cer) ratio increased in cNLBP patients after MT or TE treatment. In addition, eight metabolites enriched in pyrimidine and purine differed significantly in cNLBP patients who received MT treatment. A total of nine metabolites enriched in pyrimidine, tyrosine, and galactose pathways differed significantly in cNLBP patients after TE treatment during metabolomics analysis.ConclusionOur study was the first to elucidate the alterations in the lipidomics and metabolomics of cNLBP physiotherapy-based treatment and can expand our knowledge of cNLBP physiotherapy-based treatment.

Edukasi Latihan Core Stability terhadap Nyeri Punggung Bawah pada Pembatik Kajang Lako Kota Jambi

The batik makers tend to be in a long sitting position followed by the unergonomic position of the batik makers, the way they work, all of which still use the manual method, will certainly cause a lot of complaints or skeletal muscle disorders. One of the triggering factors for these mechanical disorders is prolonged sitting according to research showing about 39.5-60% of adults experience low back pain due to prolonged sitting for 1.5 hours - 5 hours. One of the jobs at risk for NPB is batik. Batik craftsmen usually have a static nature of work that is carried out within 8 hours per day in a sitting condition. Static muscle contractions for 8 hours in a sitting condition can increase muscle and spinal ligament tension. Community service activities were carried out in June 2022 with the method of discussing and delivering materials and leaflets related to the bad ergonomic effects that lead to lower back pain and demonstrating core stability exercises. This community service aims to be used as a source of knowledge for mothers of batik craftsmen at the Kajang Lako batik studio across the city of Jambi. The results of the evaluation through the question and answer session were that the batik craftsmen had understood how to practice core stability correctly and were able to do it independently.