Lumbar Stabilization Exercise Research Articles

A Comparative Study to Analyze the Effect of Lumbar Stabilization and Conventional Back Extension Exercises on Mechanical Pain in Patients with Chronic Low Back Pain in Greater Noida

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.

Comparison of the Effects of Lumbar Stabilization Exercise According to the Presence or Absence of Gluteus Medius Muscle Weakness in Chronic Lower Back Pain Patients with Lumbar Instability

Comparison of the Effects of Lumbar Stabilization Exercise According to the Presence or Absence of Gluteus Medius Muscle Weakness in Chronic Lower Back Pain Patients with Lumbar Instability

The effects of lumbar stabilization exercises with and without jaw movements in non-specific low back pain (A randomized controlled trial)

Objective: This study aimed to investigate the added effect of jaw clenching on the efficacy of lumbar stabilization exercises to manage chronic non-specific low back pain. Methods: This randomized controlled trial was conducted at the Sindh Institute of Physical Medicine and Rehabilitation (SIPM&R) Karachi from April 2021 to April 2023. Eighty patients with chronic non-specific low back pain participated in this study. Forty patients each were randomly allocated to the lumbar stability exercise (LSE) group’ and the lumbar stability exercise with teeth clenching (LSETC) group. Patients in both groups performed respective exercises twice weekly for 12 weeks. The Numeric Pain Rating Scale (NPRS), Roland Morris Disability Questionnaire (RMDQ), and Pressure Biofeedback Unit (PBU) were used to assess pain, disability, and muscle endurance respectively. Data were collected at the baseline, after six weeks and 12 weeks of intervention. A p-value of <0.05 was considered statistically significant. Results: Both groups showed statistically significant improvements in pain, disability, and muscle endurance. Upon further stratification, participants aged 20-30 years in the LSETC group showed significantly higher scores than the LSE group for NPRS, RMDQ, and PBU after 12 weeks. Overall, the LSETC group showed relatively higher improvement in mean scores for NPRS, RMDQ, and PBU than the LSE group. Conclusion: Lumbar stabilization exercises with and without jaw movement are effective for the treatment of chronic non-specific low back pain. The addition of teeth clenching enhanced the effectiveness of lumbar stability exercises, especially in young adults. Trial Registration: Clinicaltrials.gov (NCT04801212), Prospectively registered on March 16, 2021. doi: https://doi.org/10.12669/pjms.40.6.9208 How to cite this: Khan M, Zafar H, Gilani SA, Farooqui WA, Ahmad A. The effects of lumbar stabilization exercises with and without jaw movements in non-specific low back pain (A randomized controlled trial). Pak J Med Sci. 2024;40(6):1116-1121. doi: https://doi.org/10.12669/pjms.40.6.9208 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Comparison of trunk muscle activity during lumbar stabilization exercises on stable and unstable surfaces.

Lumbar stabilization exercises (LSE) provide dynamic trunk stability, promote muscle strength and endurance, and improve low back pain rehabilitation and performance. To clarify the differences in trunk muscle activity during LSEs on stable and different unstable surfaces. Fifteen healthy males performed three exercises (elbow-toe, hand-knee, and side bridge) on stable (floor) and unstable surfaces. Muscle activity of the bilateral rectus abdominis, internal oblique, external oblique, and erector spinae were recorded. Data were compared using the Friedman test. Pairwise comparisons were performed using Wilcoxon's signed rank test if significant differences were observed. In the elbow-toe exercise, muscle activity of the rectus abdominis and right internal oblique increased in the following order: floor, low-difficulty, and high-difficulty unstable surface. In the hand-knee exercise, muscle activity of the internal oblique on the lower-extremity elevated side, external oblique, and erector spinae on the upper-extremity elevated side were greater on unstable surface exercise performance. In the side bridge exercise, rectus abdominis muscle activity was highest on a high-difficulty unstable surface. Trunk muscle activity increased during exercise on unstable surfaces. Since the effects of unstable surfaces vary depending on muscle and exercise types, exercise difficulty and surface stability must be considered accordingly.

Disability reduction following a lumbar stabilization exercise program for low back pain: large vs. small improvement subgroup analyses of physical and psychological variables

BackgroundLittle is known about why patients with low back pain (LBP) respond differently to treatment, and more specifically, to a lumbar stabilization exercise program. As a first step toward answering this question, the present study evaluates how subgroups of patients who demonstrate large and small clinical improvements differ in terms of physical and psychological changes during treatment.MethodsParticipants (n = 110) performed the exercise program (clinical sessions and home exercises) over eight weeks, with 100 retained at six-month follow-up. Physical measures (lumbar segmental instability, motor control impairments, range of motion, trunk muscle endurance and physical performance tests) were collected twice (baseline, end of treatment), while psychological measures (fear-avoidance beliefs, pain catastrophizing, psychological distress, illness perceptions, outcome expectations) were collected at four time points (baseline, mid-treatment, end of treatment, follow-up). The participants were divided into three subgroups (large, moderate and small clinical improvements) based on the change of perceived disability scores. ANOVA for repeated measure compared well-contrasted subgroups (large vs. small improvement) at different times to test for SUBGROUP × TIME interactions.ResultsStatistically significant interactions were observed for several physical and psychological measures. In all these interactions, the large- and small-improvement subgroups were equivalent at baseline, but the large-improvement subgroup showed more improvements over time compared to the small-improvement subgroup. For psychological measures only (fear-avoidance beliefs, pain catastrophizing, illness perceptions), between-group differences reached moderate to strong effect sizes, at the end of treatment and follow-up.ConclusionsThe large-improvement subgroup showed more improvement than the small-improvement subgroup with regard to physical factors typically targeted by this specific exercise program as well as for psychological factors that are known to influence clinical outcomes.

Selective load control of lumbar muscles in robot-assisted isometric lumbar stabilization exercise

AbstractLumbar stabilization exercises are commonly employed in the rehabilitation of patients with low back pain. However, many patients discontinue these exercises, generally calisthenics using various postures or tools, due to the difficulty of providing an appropriate exercise load intensity. This challenge results in an inability to apply the desired strength to the target lumbar muscles and sometimes leads to an excessive load on unintended areas during calisthenics. Consequently, a method that enables patients to exercise continuously and progressively recover is required, specifically one that can target the lumbar muscles with a desired load. To address this issue, we propose a rehabilitation assistive device that quantitatively controls the lumbar spine load. In isometric lumbar stabilization exercises, our method involves precise compensation for gravity. The device, equipped with a series elastic actuator, is positioned beneath the patient in a lying posture. It applies an assistive force in the direction opposite to gravity, enabling precise control of the load on the lumbar region and reducing the vertical load on the spine. To validate the effectiveness of our proposed method, we conducted experiments with 20 healthy subjects across three exercises and analyzed the electromyography signal using nonparametric statistical methods. Our objective was to determine whether the load on the target lumbar muscles could be precisely and gradually controlled. The statistical results indicate that exercises performed using the proposed device produce statistically significant load changes in the target lumbar muscles.

Efficacy of kinesio tape added to lumbar stabilization exercises on adult patients with mechanical low back pain: A randomized, single-blind clinical trial

BackgroundLumbar stabilization exercises (LSEs) are beneficial for chronic mechanical low back pain (CMLBP). However, further research focusing on intervention combinations is recommended. This study examined the effect of kinesio tape (KT) with LSEs on CMLBP adult patients. MethodsA randomized blinded clinical trial was conducted. Fifty CMLBP patients of both genders were assigned into one of two groups and received 8 weeks of treatment: group A (control): LSEs only, and group B (experimental): KT with LSEs. The primary outcome was back disability, measured by the Oswestry disability index. Secondary outcomes included pain intensity, trunk extensor endurance, and sagittal spinal alignment, as indicated by the visual analog scale, Sorensen-test, and C7–S1 sagittal vertical axis, respectively. The reported data was analyzed by a two-way MANOVA using an intention-to-treat procedure. ResultsMultivariate tests indicate statistically significant effects for group (F = 4.42, p = 0.005, partial η2 = 0.148), time (F = 219.55, p < 0.001, partial η2 = 0.904), and group-by-time interaction (F = 3.21, p = 0.01, partial η2 = 0.149). Univariate comparisons between groups revealed significant reductions in the experimental group regarding disability (p = 0.029, partial η2 = 0.049) and pain (p = 0.001, partial η2 = 0.102) without a significant difference in the Sorensen test (p = 0.281) or C7–S1 SVA (p = 0.491) results. All within-group comparisons were statistically significant (p < 0.001). ConclusionThe combination of KT and LSEs is an effective CMLBP treatment option. Although patients in both groups displayed significant changes in all outcomes, the combined interventions induced more significant reductions in back disability and pain intensity.

Effect of Progressive Lumbar Stabilization Exercises Among University Students with Non-Specific Low-Back Pain Over Post-COVID-19

Effect of Progressive Lumbar Stabilization Exercises Among University Students with Non-Specific Low-Back Pain Over Post-COVID-19

Effects of Lumbar Stabilization Exercises Using a Pilates Reformer on Pain, Function, and Quality of Life in Patients with Chronic Low Back Pain

Effects of Lumbar Stabilization Exercises Using a Pilates Reformer on Pain, Function, and Quality of Life in Patients with Chronic Low Back Pain

Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis.

Chronic non-specific low back pain (CNSLBP) is a highly prevalent musculoskeletal condition that has a great socioeconomic impact on health systems. Instead of focusing on mechanical causes and direct workload in the development of CNSLBP, genetics, psychosocial environment, lifestyle and quality of life are coming to the forefront in its approach. The main objective was to analyze whether interventions aimed at modifying lifestyle can be effective in improving pain intensity and functional disability in CNSLBP. A search in PubMed, Web of Science, Scopus and SportDiscus databases was performed. Both a univariate and a multivariate network meta-analysis were applied with the difference pre/post-treatment. A total of 20 studies were included for qualitative analysis, of which 16 were randomized clinical trials with a moderate-high methodological quality and were part of the quantitative analysis. The interventions that had the greatest effect in reducing pain intensity were cognitive therapy combined with functional exercise programs, lumbar stabilization exercise and resistance exercise; meanwhile, for functional disability, they were functional exercise programs, aerobic exercise and standard care. In conclusion, a multimodal intervention aimed at changing one's lifestyle that encompasses cognitive, behavioral, and physical aspects seems to be highly effective in improving pain intensity and functional disability caused by CNSLBP; however, it is not yet known if these improvements are maintained in the long term.

Effects of Movement Retraining and Lumbar Stabilization Exercises in Mechanical Low Back Pain: A Pilot Study.

Objective To determine and compare the effects of movement retraining (MR), lumbar stabilization exercises (LSE), and a combination of both these exercises on pain, flexibility, strength, and functional disability in chronic mechanical low back pain (CMLBP) patients. Materials and methods Fifteen CMLBP participants, aged 20-40 years, were randomly allocated into three groups. Group A (n=5) received MR, group B (n=5), LSE, and group C (n=5), a combination of MR and CSE, along with hot packs for eight weeks, thrice a week on alternate days. Outcomes used were the Numerical Pain Rating Scale (NPRS), Modified Modified Schober's Test (MMST), Pressure Biofeedback (PBU), Roland Morris Disability Questionnaire (RMDQ), and Movement Control (MC) dissociation tests to identify MC impairments and were assessed at pre-intervention, post-four weeks, and post-eight weeks. The data were analyzed using repeated measures ANOVA. The level of significance was considered at p-value<0.05. Results Participants with CMLBP significantly improved in all variables in all three groups (p-value≤0.05). On inter-group comparison, group A showed better improvement in lumbar extension range of motion than the other two groups, with a mean difference of MMST in group A of 0.62±0.30, group B of 0.52±0.22, and group C of 0.36±0.02, with a p-value ≤0.002. Group C showed more improvement in core strength, with a mean difference of 5.0±0.25 in group A, 3.2±0.56 in group B, and 5.2±0.57 in group C, with a p-value ≤0.03. A significant improvement was observed in NPRS, MMST flexion, RMDQ, and uncontrolled movements (UCMs). Conclusion All three methods of treatment are effective in the management of CMLBP. Clinically, kinetic control showed better improvement in reducing pain and improving lumbar flexion and extension range of motion. Functional disability was better improved with lumbar stabilization exercises, and core strength was improved with a combination of KC and LSE. However, a combination of MR and LSE helps improve core strength, and movement retraining improves lumbar extension.

Bilateral Activity of Spine Extensors and Rotators during Asymmetric Lumbar Stabilization Exercises Executed in Prone, Quadruped, and Standing-Prone Positions

(1) Background: Most daily activities and sport gestures involve asymmetric movement patterns of the upper and lower extremities, transferring asymmetric mechanical loadings to the spine. Therefore, asymmetric lumbar stabilization exercises are frequently prescribed in athletic programs and preventive/rehabilitation interventions. This study analyzed the bilateral activity of the thoracic erector spinae (ES), lumbar multifidus (MF), external oblique (EO), and internal oblique (IO) during asymmetric lumbar stabilization exercises executed in prone, quadruped, and standing-prone positions, rising an upper and/or lower limb in all possible combinations. A limited subset of these data has been previously published in earlier studies. (2) Methods: Surface EMG signals were bilaterally recorded from the selected muscles using wireless EMG sensors. (3) Results: ES, MF, and oblique muscles’ activity was significantly higher in prone, standing-prone, and quadruped positions, respectively, and was maximized by specific limb rise combinations (up to 69%, 64%, 34%, and 24% maximum-voluntary-isometric-contraction for ES, MF, EO, and IO). The bilateral difference in muscle activation was significantly higher in the quadruped position and revealed different strategies used to stabilize the body in response to the different exercise conditions. (4) Conclusions: The study results can provide deeper insights into the stabilizing function of the lumbar and oblique muscles and aid in designing optimal progressions for lumbar stabilization exercises.

Effects of Tailored Stabilization Exercise Regimens on Lumbar Instability

Effects of Tailored Stabilization Exercise Regimens on Lumbar Instability

Effectiveness of Lumbar Stabilization Exercise in Improving Lumbar Spine Endurance by Using Sorenson’s Test and EMG Analysis for People with Chronic Low Back Ache

Background: Strength endurance in lower back region is the most important factor for chronic low - back pain.There are several treatments for strengthening low back muscle. Strength and endurance that have proven benefitin CLBP patients; however, there are very few studies that focus on lumbar stabilization exercises.Purpose: The intention of this study was to improve the strength and endurance more effectively than usualprograms by performing lumbar stabilization exercises.Materials And Methods: This Quasi-Experimental study had 40 participants with persistent LBP, aged 25 to50, divided into lumbar stability (n=20) and lumbar strengthening (n=20) groups. sEMG measured strengthendurance, NPRS scale measured pain, before and after intervention.Results: Lumbar stabilization exercises (Group A) were significantly more effective than static stretching andstrengthening exercises (Group B) in treating persistent low back pain, with p&lt;0.001 in outcome measures.Conclusion: Lumbar stabilization exercises have been demonstrated to be more effective than conventionaltherapies in patients with CLBP.

THE EFFECT OF LUMBAR STABILIZATION EXERCISES ON CHRONIC LOW BACK PAIN PATIENTS

Objective&#x0D; The aim of this study is to investigate the effect&#x0D; of lumbar stabilization exercises (LSE) on pain,&#x0D; functional capacity, quality of life, and balance in&#x0D; patients with chronic low back pain (CLBP), and also&#x0D; to evaluate the effect on the cross-sectional area of&#x0D; the lumbar multifidus muscle.&#x0D; Material and Method&#x0D; Sixty-six patients with CLBP were enrolled,&#x0D; randomized, and divided into two groups. LSE,&#x0D; transcutaneous electrical nerve stimulation (TENS),&#x0D; and hot pack treatments were performed in Group&#x0D; 1 (n=28). In Group 2 (n=37), TENS and hot pack&#x0D; treatments were performed only. Pre and 8-week&#x0D; post-treatment assessments were made. Visual&#x0D; Analog Scale (VAS) was used to evaluate pain.&#x0D; Modified Oswestry Disability Index (ODI) and Roland&#x0D; Morris Disability Questionnaire (RMDQ) were used&#x0D; to evaluate the functional disability. Short Form-36&#x0D; (SF-36) was used to measure the quality of life. In&#x0D; the assessment of balance, a Tetrax® posturography&#x0D; device (Sunlight Medical Ltd, Israel) was used and fall&#x0D; index (FI) was calculated. The cross-sectional area of&#x0D; multifidus muscles was measured by ultrasonography.&#x0D; Results&#x0D; Significant improvements regarding the crosssectional&#x0D; area of multifidus musclesand subparameters&#x0D; of SF-36 named physical role, pain,&#x0D; mental health, and energy/vitality were determined in&#x0D; Group 1 compared to Group 2 (p˂0.05). No significant&#x0D; difference was present between the groups regarding&#x0D; FI, VAS score, RMDQ, ODI, and balance.&#x0D; Conclusion&#x0D; Lumbar stabilization exercises in patients with chronic&#x0D; low back pain multifidus positively affects crosssectional&#x0D; area and quality of life. For our sample,&#x0D; the addition of lumbar stabilization exercises to&#x0D; the conventional physical therapy program does&#x0D; not provides an additional contribution in terms of&#x0D; balance, pain and disability.

The Effect of Lumbar Stabilization Exercise on Pain, Muscle Morphology and Quality of Life in Women with Chronic Menstrual Back Pain

The Effect of Lumbar Stabilization Exercise on Pain, Muscle Morphology and Quality of Life in Women with Chronic Menstrual Back Pain

The Effects of Lumbar Stabilization Exercises Using A Traction Force Sensor on The Flexibility of The Spine, Dynamic Balance, Pain Intensity, and ODI(Oswestry Disability Index) in Patients with Chronic Low Back Pain

The Effects of Lumbar Stabilization Exercises Using A Traction Force Sensor on The Flexibility of The Spine, Dynamic Balance, Pain Intensity, and ODI(Oswestry Disability Index) in Patients with Chronic Low Back Pain

엉덩관절 가동성 운동과 허리 안정화 운동이 만성 허리 통증 환자의 통증, 장애지수, 몸통근력에 미치는 영향

Objective: The purpose of this study was to investigate the effects of hip mobility exercise(HME) and lumbar stabilization exercise (LSE) on pain, disability index, and trunk strength(TS) in chronic low back pain patients (CLBP).&#x0D; Method: Thirty patients with CLBP were randomized into two groups of 15 members each. One group performed LSE and the other group performed HME, each for 30 minutes three times a week for four weeks. Pain was measured with the Visual Analog Scale (VAS), disability with the Oswestry Disability Index (ODI), Trunk Strength (TS) with Back-check 608, before the experiment and at four weeks.&#x0D; Results: There were significant differences between groups before and 4 weeks after intervention in VAS, ODI, and TS (p&lt;0.05). In the comparison between the two groups, only the VAS decreased more in the HME group than in the LSE group, and there was no difference in other variables (p&lt;0.05).&#x0D; Conclusion: These results suggest that both HME and LSE help CLBP with pain, disability index, and trunk strength.

Effectiveness of Lumbar Stabilization Exercise on Pain, Disability and Functional Performance among Older People with Low Back Pain: A Systematic Review

Introduction: Lumbar stabilization exercises may improve core stability and reduce low back pain among older persons. However, the evidence is scarce. The objective of this study was to update evidence on the effectiveness of lumbar stabilization exercises on pain, disability, and functional performance among older persons with low back pain. Methods: This systematic review retrieved articles from PubMed, MEDLINE (via EBSCO), PEDro, Google Scholar, and ScienceDirect published from 2005 to 2020. The selected articles were scored using the McMaster Critical Review Form for Quantitative Studies for quality assessment. The data was extracted based on the study design, sample size, inclusion criteria, intervention, outcome, and conclusion. Results: A total of 2349 articles were found but only two articles met the inclusion criteria with both showing excellent scores on the McMaster Critical Review Form for Quantitative Studies. The findings showed lumbar stabilization exercises alone or combined with other interventions were effective in reducing pain intensity, and improving disability, and gait functional performance among older persons with low back pain. Conclusion: The current study suggests lumbar stabilization exercise is effective for pain, disability, and functional performance among older persons. However, further investigation is needed to gain more conclusive evidence for clinical practice.

Exploring effects of Egoscue versus lumbar stabilisation exercises for lower crossed syndrome on postural stability and hyperlordotic posture correction

Abstract The aim of the study was to evaluate the comparative effectiveness of Egoscue exercises and lumbar stabilisation exercises in individuals with the lower crossed syndrome in terms of hyperlordotic posture correction, postural stability, and patient satisfaction towards treatment. The study was a randomised controlled trial. Through randomisation, 30 participants were allocated into 2 study groups, the Egoscue Exercise (EE) group (n=15) and the lumbar stabilisation exercise (LSE) group (n=15). The outcome measures were the degree of lumbar lordosis, functional disability, and postural stability parameters (risk of fall, stability index, weight distribution, anterior-posterior sway, and lateral sway) and patient satisfaction with treatment assessed at baseline and post-10th session of the intervention. Within group analysis showed significant improvement in the outcome measures, such as Index of Lumbar Lordosis, functional disability, postural stability, and patient satisfaction towards treatment with the groups (P&lt;0.05). Between groups analysis showed that EE group and LSE groups were equally effective in improving lumbar hyperlordosis (P=0.458), functional disability (P=0.545), postural stability (risk of fall P=0.781; stability index P=0.964; weight distribution index P=0.718; anterior-posterior sway P=0.402; lateral sway P=0.212) and patient satisfaction towards treatment (P=0.999). Egoscue exercises and lumbar stabilisation exercises are equally effective in correcting lumbar hyper lordotic posture, postural stability, pain, and functional disability in low back pain individuals with the lower crossed syndrome. Clinical Trials Registry – India (CTRI): CTRI/2021/09/036733