Lumbar Stabilization Exercise Research Articles

Efficacy of Rehabilitative Interventions to Attenuate Nonspecific Low Back Pain–A Pilot Study

Background: Low back pain leads to loss of work efficiency which could have a negative effect on productivity as well as the quality of life. Methods: An experimental study was conducted with 60 patients having Non-Specific Low Back Pain (NSLBP) comprising males (43.3%) and females (56.7%) to quantify and ascertain the effective rehabilitative interventions. The patients were randomly selected and equally distributed (n=20) into three groups. Experimental group 1 carried out Dynamic Lumbar Stabilization Exercises (DLSE), Experimental group 2 had Kinesio Taping (KT) and Control group had sham taping. The outcomes were measured by the Numeric Pain Rating Scale, Revised Oswestry Disability Index and Roland Morris Disability Questionnaire. Results: The results revealed that post interventions both Experimental Group 1 and Experimental Group 2 showed functional improvements; however, a significantly greater improvement in patients of Experimental Group 1 was seen compared to Experimental Group 2. Post interventions, Experimental Group 2 showed significant improvement compared to Control Group. Conclusion: The study concludes that both DLSE and KT interventions are effective, however, DLSE showed significant attenuation of pain and functional disability in NSLBP. Thus, KT can be used as an adjunct intervention. Future studies may be undertaken to equate the efficacies of other rehabilitative interventions to set priorities or preventive strategies.

Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial

BackgroundChronic low back pain (CLBP) is an important disorder in athletes that may negatively affect their performance in competitions. The literature usually recommends physiotherapy based on exercises for back pain...

Effects of lumbar stabilisation and treadmill exercise on function in patients with chronic mechanical low back pain

Background/Aims: Multifidus muscle is an important contributor to low back pain as it atrophies and is inhibited during the first episode of low back pain. This study aims to compare the effectiveness of lumbar stabilisation exercise with treadmill walking on multifidus muscle activation, pain intensity and functional disability among people with chronic mechanical low back pain. Methods: Individuals with chronic mechanical low back pain were randomised into two groups: Group 1 (n=25) performed lumbar stabilisation exercises following the McGill protocol; and Group 2 (n=25) followed the modified Bruce treadmill walking protocol. Participants walked or exercised three times a week for 8 weeks. Pain intensity (measured using a visual analogue scale), functional disability (using the Oswestry Disability Index Questionnaire) and amplitude of multifidus muscle activation (using a surface electromyography machine) were assessed at baseline and at the end of week 8. Data were analysed using descriptive statistics, paired and independent t-tests at α≤0.05. Findings: There were no significant differences between the groups' anthropometric and clinical characteristics at baseline. Both groups demonstrated significant reductions in pain intensity and functional disability and increases in multifidus muscle activation at the end of the study (all P<0.05). Group 1 had lower pain intensity (2.60 ± 0.48 vs 4.50 ± 0.12) and functional disability (24.20 ± 4.06 vs 40.00 ± 10.56) and significantly higher multifidus muscle activation levels (40.00 ± 4.16 vs 26.95 ± 4.04; P<0.05) than Group 2 at the end of week 8. Conclusions: Lumbar stabilisation exercises are more effective than treadmill walking exercises in activating the multifidus muscle, reducing pain intensity and functional disability in individuals with chronic mechanical low back pain.

Effects of a combined lumbar stabilization exercise and cognitive behavioral therapy on selected variables of individuals with non-specific low back pain: A randomized clinical trial

ObjectiveTo determine whether combination of cognitive behavioral therapy (CBT) along with Lumbar Stabilization Exercise (LSE) has more benefit in terms of reduction in pain, disability and fear avoidance beliefs of persons with non-specific chronic low back pain (NSCLBP) as compared to LSE alone. Material and methodsForty-six individuals, with NSCLBP participated in this single blind randomized clinical trial. Participants were randomly assigned into one of two groups: CBT+LSE; (n=23) and LSE only; (n=23). Treatment was applied twice a week for 6 weeks. Outcomes assessed pre- and post-interventions were pain intensity (PI) using visual analogue scale (VAS), functional disability (FD) using Oswestry Disability Index (ODI) and Fear Avoidance Beliefs (FAB) using Fear-Avoidance Beliefs questionnaire (FABQ). Data were analyzed using descriptive statistics, paired and independent t-tests as well as ANCOVA at α<0.05. ResultsParticipants in both groups were comparable in age and at all baseline values. The results showed no significant difference between the two groups for pain intensity (3.11±1.24 vs 3.33±1.41, p>0.05), FD (27.16±9.14 vs 30.22±11.98, p>0.05), physical activity related fear avoidance beliefs (13.63±7.60 vs 16.11±5.73, p>0.05) and work related fear avoidance beliefs (24.47±10.86 vs 28.72±9.405, p>0.05). However, there was a significant difference within each group in all the outcomes measured, p<0.05. ConclusionCombined intervention of CBT plus LSE was not more effective than LSE alone in the management of non-specific chronic low back pain.

Effect of 6-week lumbar stabilization exercise performed on stable versus unstable surfaces in automobile assembly workers with mechanical chronic low back pain.

Automobile assembly workers repeatedly place burdens on their lumbar regions, which can lead to mechanical chronic low back pain. This study aimed to compare the effects of lumbar stabilization exercises performed on a stable or unstable surface on lumbar pain, muscle strength, stability, disability, and depression in patients with chronic low back pain. Twenty-four patients were randomly allocated to a stable or unstable surface group (n = 12 each). Both groups performed each lumbar stabilization exercise for 30 minutes daily five times per week for 6 weeks. Lumbar pain, muscle strength, stability, disability, and depression were assessed before and after intervention. After 6 weeks of training, lumbar pain, stability, disability, and depression improved significantly, whereas muscle strength did not. All post-test values in the unstable surface group improved significantly more than those in the stable surface group. Our findings indicate the more favorable effects of an unstable exercise surface in patients with chronic low back pain. However, further studies are needed to confirm our findings.

요부 안정화운동이 여성 댄스스포츠 선수들의 요부근력, 굴신비율 및 통증지수 변화에 미치는 영향

The purpose of lumbar stabilization exercise is to improve the spinal stability. The purpose of this study was to treat 8-week stabilization exercise among eight dance sport players and 10 participants in a control group, measure the change in lumbar extension strength, flexion/extension strength ratio and Visual Analogue Scale(VAS) and analyze them. Results are as follows. 1. The stabilization exercise group showed a s ignificant i ncrease i n s trength i n 0 °, 1 2°, 2 4°, 3 6°, 4 8°, 6 0 °, and 7 2° i n t erms o f t he change in waist strength. The control group exhibited a significant rise only in 60° and 72°(p.05). 2. The lumbar stabilization exercise group and the control group decreased 33.10% and 14.55%, respectively in terms of lumbar flexion/extension strength ratio, which showed no statistical significance. 3. The stabilization exercise group and the control group dropped 53.62% and 15.27%, respectively in terms of the change in VAS, which was significantly different(p.001, p.01). In conclusion, lumbar stabilization exercise is effective for alleviating pains in accordance with the rise in waist strength of female dance sport players and it is assumed to be recommended as an intervention in clinical fields.

Effects of Lumbar Stabilization Exercise with Elastic Bandage and Lumbar Stabilization Exercise on Trunk Functions and Lumbar Pain

Effects of Lumbar Stabilization Exercise with Elastic Bandage and Lumbar Stabilization Exercise on Trunk Functions and Lumbar Pain

The Effect of Unstable Surface Lumbar Stabilization Exercise on Posture Balance, Spinal Stability and Pain in back pain patients

Objective: This study was done to analyze the effect of the unstable surface lumbar stabilization exercise on Posture Balance, Spinal Stability and Pain. Method: : The stable/unstable surface lumbar stabilization exercise was performed with thirty chronic lower back pain in(out)patients in H polyclinic hospital from June to August in 2013. The subjects were randomly organized into experimental group(15) and control group(15). The exercise was conducted by 40 minutes, 3 times in a week and total 24 times for 8 weeks. General characteristic, posture balance, spinal stabilization and pain were measured at initial stage and after 8 weeks’ exercise. Each group’s pre and post score was statistical analysis using paired t-test and independent t-test was used to analyze the exercise influence between groups. Spearman test was adopted to analyze correlation coefficient between scores. The significance level was p<.05. Results: The improvement of body weight distribution and stability was showed statistical significance(p<.05) in normal eye-open test. In the inter-group analysis, normal eye-opened test was showed significance. The spinal stability was improved in L-Spine score and Sacral Incl score in experimental group, and L-spine score showed statistical significance in inter-group comparison. Conclusion: In this study, we showed that the unstable surface lumbar stabilization exercise is effective compositive therapy for posture stability, spinal stability, pain reduction in chronic lower back pain using balance pad, multi-roll, theraband.

Trunk postural adjustments: Medium-term reliability and correlation with changes of clinical outcomes following an 8-week lumbar stabilization exercise program

BackgroundLow back pain (LBP) has been previously associated with delayed anticipatory postural adjustments (APAs) determined by trunk muscle activation. Lumbar stabilization exercise programs (LSEP) for patients with LBP may restore the trunk neuromuscular control of the lumbar spine, and normalize APAs. This exploratory study aimed at testing the reliability of EMG and kinematics-based postural adjustment measures over an 8-week interval, assessing their sensitivity to LBP status and treatment and examining their relationship with clinical outcomes. MethodsMuscle activation of 10 trunk muscles, using surface electromyography (EMG), and lumbar angular kinematics were recorded during a rapid arm-raising/lowering task. Patients with LBP were tested before and after an 8-week LSEP. Healthy controls receiving no treatment were assessed over the same interval to determine the reliability of the measures and act as a control group at baseline. Muscle activation onsets and reactive range of motion, range of velocities and accelerations were assessed for between group differences at baseline and pre- to post-treatment effects within patients with LBP using t-tests. Correlations between these dependent variables and the change of clinical outcomes (pain, disability) over treatment were also explored. ResultsKinematic-based measures showed comparable reliability to EMG-based measures. Between-group differences were found in lumbar lateral flexion ROM at baseline (patients < controls). In the patients with LBP, lateral flexion velocity and acceleration significantly increased following the LSEP. Correlational analyses revealed that lumbar angular kinematics were more sensitive to changes in pain intensity following the LSEP compared to EMG measures. These findings are interpreted in from the perspective of guarding behaviors and lumbar stability hypotheses. ConclusionFuture clinical trials are needed to target patients with and without delayed APAs at baseline and to explore the sensitivity of different outcome measures related to APAs. Different tasks more challenging to postural stability may need to be explored to more effectively reveal APA dysfunction.

스텝박스 걷기 및 요부안정화 운동이 만성요통환자의 기능적 움직임, 심부근 단면적, 건강체력에 미치는 영향

The purpose of this study is to compare and analyze the effects of lumbar stabilization and step box walking-lumbar stabilization combined exercises on functional movement, cross-sectional area of deep muscle and health fitness in patients with chronic low back pain. Fifty six patients with chronic low back pain were classified into lumbar stabilization exercise group (LSEG, n=20), step box walking-lumbar stabilization combined exercise group (SEG, n=25) and control group (CG, n=7). Subjects participated in a 50 minutes exercise program twice a week for a total of 12 weeks. Functional movement screen (FMS), cross sectional area of deep muscles and health related fitness were measured and compared before and after exercise intervention. Repeated measures analysis of variance was used to compare the effects of the two exercise programs over time. One-way ANOVA and post-hoc test (LSD) were also used when the interaction effect between groups was significant. In results, first, functional movement was significantly improved by participating in exercise program, but there was no difference in functional movement according to exercise program type. Second, the cross sectional area of deep muscle was significantly improved by participating in exercise program. Lumbar stabilization exercise group was more effective than step box walking-lumbar stabilization combined exercise in the multifidus and erector spinae cross-sections. Third, the health fitness was significantly improved by participating in the exercise program, but there was no difference in health fitness according to the type of exercise program. These results indicate that lumbar stabilization exercise and step box walking-lumbar stabilization combined exercise for chronic low back pain can be an effective exercise program to lower the risk of recurrence of back pain, improve independence in daily life and health fitness. These positive effects also indicate that both exercise programs could reduce the secondary health risks caused by chronic low back pain and could be utilized as basic scientific data for exercise prescription in low back pain patients as well.

Trunk postural balance and low back pain: Reliability and relationship with clinical changes following a lumbar stabilization exercise program

Lumbar stabilization programs reduce pain and disability, but the mechanisms of action underlying this treatment are unknown. Trunk postural control during unstable sitting represents a surrogate measure of motor control mechanisms involved to maintain the dynamic stability of the spine. This exploratory study aimed to determine the reliability of trunk postural control measures over an 8-week interval, their sensitivity to low back pain status and treatment and their relationship with clinical outcomes. Trunk postural control measures were determined in patients with low back pain before and after an 8-week lumbar stabilization exercise program. Healthy controls were assessed over the same interval, but without any treatment, to determine the reliability of the measures and act as a control group at baseline. The kinematics of a wobble chair during unstable sitting was summarized using different linear and nonlinear measures quantifying the quantity and quality of movement, respectively. The reliability of the measures was moderate to excellent. The results showed significant reduction in pain and disability following the intervention. While no impairment at baseline scores was found, some linear and nonlinear measures changed over the intervention period among the patient group. However, for nonlinear measures only, significant correlations were detected with the change scores of pain and disability. The change of measures over the intervention period was likely due to learning rather than the intervention as similar alteration was detected in the healthy subjects. The results suggest that only the quality (not the quantity) of movement may have relationship with pain and disability.

Effects of 12-week lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, and pain scale of patients with chronic low back pain.

[Purpose] The purpose of this study is to investigate the effects of lumbar stabilization exercise and sling exercise on lumbosacral region angle, lumbar muscle strength, pain scale of patients with chronic low back pain. [Subjects and Methods] The subjects of this study were 29 chronic low back pain patient women who were selected among participants in exercise class at K Region Health Promotion Center in South Korea and were randomly assigned to the lumbar stabilization exercise group (n=10), sling exercise group (n=10), and the control group (n=9). Both lumbar stabilization and sling exercise programs were executed for 60 minutes, three times a week, for 12 weeks. Before and after exercise we measured lumbosacral region angle (lumbar lordosis angle, lumbosacral angle, sacral inclination angle), lumbar muscle strength, and pain scale in all subjects. Two-way analysis of variance was conducted to analyze experimental data. In order to analyze the interaction effect, we conducted paired t-test before and after treatment. [Results] Lumbar stabilization exercise group and sling exercises group did not affect lumbar lordosis angle, lumbosacral angle and sacral inclination angle. Whereas the lumbar flexion muscle strength and lumbar extension muscle strength significantly increased in the lumbar stabilization exercise group and sling exercise group. The flexibility increased in the lumbar stabilization exercise group and sling exercise group. The pain scale decreased in the lumbar stabilization exercise group and sling exercise group. [Conclusion] Both lumbar stabilization exercise and sling exercises are useful therapeutic approaches to chronic back pain.

Comparative Effectiveness of Lumbar Stabilisation Exercises and Vertical Oscillatory Pressure in the Management of Patients with Chronic Low Back Pain

Background: Chronic Low Back Pain (CLBP) can lead to a diminished ability to engage in a variety of activities such as work. Some of the treatments of CLBP are manual therapy techniques such as Vertical Oscillatory Pressure (VOP) and therapeutic exercises such as Lumbar Stabilization Exercises (LSE). Objective: This study assessed and compared the effectiveness of LSE, VOP and VOP combined with LSE on pain intensity, disability level, health related quality of life, anxiety level and spinal range of motion in patients with CLBP. Methods: This quasi-experimental study involved 63 patients with CLBP. Participants were recruited purposively from Out-patient Physiotherapy Clinics of two Hospitals in Nigeria. Participants who gave their consents were randomly assigned into one of three treatment groups. Treatment effects were assessed in terms of pain intensity, anxiety level, disability index, health related quality of life and spinal ROM using Visual Analogue Scale, Beck Anxiety Inventory, Oswestry Disability Index, Short Form-12 questionnaire and F-F method at baseline, third week and sixth week of treatment. Participants underwent treatment twice weekly for six weeks. Measurements of outcomes were done at baseline, third week and sixth week of treatment. Descriptive statistic of mean, standard deviation and inferential statistics of One-way and Repeated measure ANOVA were used to analyse data. Alpha level was set at p˂0.05 of significance. Results: The results showed VOP had significant effects on disability level and pain intensity while LSE had significant effects on anxiety, pain intensity and health related Quality of Life. Combination of VOP and LSE significantly affected disability level, anxiety level, pain intensity, health related quality of life and spinal ROM. Conclusion: The study concluded that Vertical Oscillatory Pressure (VOP) and Lumbar Stabilization Exercises (LSE) were effective independently, however combined VOP and LSE seems to be more effective in the management of CLBP.

Effects of stabilization exercise using flexi-bar on functional disability and transverse abdominis thickness in patients with chronic low back pain.

[Purpose] The purpose of this study is to examine the effects of lumbar stabilization exercises using flexi-bar (FB) on pain, functional disability, transverse abdominis muscle (TrA) activation capacity and thickness in patients with chronic low back pain (CLBP). [Subjects and Methods] Twenty-seven patients were randomly assigned to an experimental (14 patients performing stabilization exercises with flexi-bar (FB)) or control (13 patients performing stabilization exercises) group. The patients in both groups then underwent stabilization exercises with or without FB 30 min/day, 3 times a week, for 6 weeks. The main outcome measures were perceived disability based on the pain, Oswestry disability index (ODI), TrA activation capacity and thickness. [Results] Both groups showed improved ODI, VAS, and TrA activation capacity performed for 6 weeks in patients with CLBP, but all outcomes, except for TrA thickness, showed greater improvements in patients following stabilization exercises with FB than following stabilization exercises. [Conclusion] Based on the above results, lumbar stabilization exercises with FB could restoring pain, functional disability and improving TrA activation capacity in CLBP patients.

Mulligan mobilization with movement can alleviate nonspecific chronic low back pain; A randomized controlled trial

Objective: Low back pain (LBP) has considered the most common problem worldwide. The purpose of this study was to see the comparative efficacy of lumbar stabilization exercises versus Mulligan mobilization in LBP. Materials and Methods: This randomized controlled trial was conducted at Physiotherapy Department of Mayo Hospital, Lahore. Forty-four patients were randomly selected in two groups. Group A patients were treated by stabilization exercises. Group B patients were treated by Mulligan mobilization protocol. Results: The participants in Mulligan mobilization group showed marked improvement as compared to stabilization exercise group. Conclusion: It was concluded from the results of this study that Mulligan mobilization is more effective than stabilization exercises for the treatment of LBP. Mulligan mobilization not only decreases pain but also improves function and flexibility of the spine.

Comparission between effectiveness of lumbar stabilization exercises and conventional physical therapy in the management of mechanical low back pain

Comparission between effectiveness of lumbar stabilization exercises and conventional physical therapy in the management of mechanical low back pain

요부 안정화운동이 대학생들의 자세균형, 어깨 기울기 및 거북목 자세에 미치는 영향

The purpose of this study was to measure and analyse the changes in postural balance, shoulder gradient and forward head posture after 8 weeks lumbar stabilization exercise by dividing the male and female college students who are attending universities into two groups: the group of lumbar tabilization exercise of 12 individuals and the control group of 15. The study findings are as follows: In Lt/Rt balance, especially in Lt, the group of stabilization exercise group increase by 0.14% and the control group by 2.89% and in Rt, the control group declined by 2.45%, whereas the group of stabilization exercise group increased by 0.13%, but there was no statistical significance. In shoulder gradient, especially in Lt, the group of stabilization exercise group got declined by 27.96%, which showed a statistically significant difference(p<.05) and the control group also got increase by 10.12%, which wasn’t statistically significant. In relation to forward head posture, the group of stabilization exercise group declined by 8.11% on average than the control group, which showed a statistically significant difference(p<.05). Taken together, it appears that the lumbopelvic stabilization exercise has a positive impact on shoulder gradient balance and correction of forward head posture in college students and thus is considered to be strongly encouraged in the clinical settings.

Effects of Lumbar Stabilization Exercise on Lower Extremity Strength

Effects of Lumbar Stabilization Exercise on Lower Extremity Strength

스위스 볼 운동이 30대 만성요통 여성근로자의 체력, 기능적 움직임 및 허리장애지수에 미치는 영향

The purpose of this study was to examine the effects of swiss ball lumbar stabilization exercise on the physical fitness, the functional performance, and on the waist disability index of the female office workers in their 30s who have chronic lower back pain. These females had continuous pains more than 3 months, VAS about 3-5cm, and were divided into swiss ball exercise group(n=12) and control group(n=12).BR This exercise was proceeded 60 minutes, 3 times a week during 8weeks and gradually improved RPE of trainees; RPE 7-9 at 1st – 4th week, RPE 10-12 at 5th -8th week. In accordance with the NASM guideline, this exercise was proceeded with slow speed; the 4 seconds of concentric contraction, 2 seconds of eccentric contraction, and 1 second of isometric contraction. The test data were analyzed by paired t-test and independent t-test and the alpha level of p〈0.5 was set for all tests of significance.BR As a conclusion of the aforesaid studies, swissball lumbar stabilization exercise has improved and positively influenced the increase of lumbar strength, balance, and functional performance of the female office workers and the decrease of the back pain. Hence, the regular and the continuous swiss ball lumbar stabilization are considered to be beneficial to alleviate the lower chronic back pain.

The Effect of Lumbar Stabilization Exercise on Low Back Pain : A Meta-analysis of Studies in Korea

The purpose of this meta-analysis study was to investigate the effect of lumbar stabilization exercise on low back pain by analyzing Korean studies. Studies for the analysis were searched in electronic bibliographic databases by using the keywords ‘lumbar stabilization exercise’ and ‘low back pain’. Only randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were included. Of the 36 studies identified in the search, 11 studies met the study criteria and were thus included in the meta-analysis. As a result, lumbar stabilization exercise showed a large effect size(ES) on back pain(ES, 0.84; 95% confidence interval, 0.55–1.22, p=0.025). In the analysis of the subcategorical variables, the RCTs showed larger ES(0.921) than the CCTs(0.693) and static+dynamic exercise showed larger ES than static exercise (0.675). In the analysis of the subcontinuous variables, as the exercise duration (weeks) and number of exercise per week increased, pain decreased(p<0.05). Our results indicated that lumbar stabilization exercise had a beneficial effect on low back pain. In the future, accumulation of more research studies about lumbar stabilization in Korea will lead to more systematic and comprehensive analyses.