Lumbar Stabilization Exercise Research Articles

The Effect of Lumbar Stabilization Exercise on the Physical Strength and Standing Posture Stability among Adolescents

The Effect of Lumbar Stabilization Exercise on the Physical Strength and Standing Posture Stability among Adolescents

Effects of Lumbar Stabilization Exercise on the Strength, Range of Motion and Pain

Effects of Lumbar Stabilization Exercise on the Strength, Range of Motion and Pain

Effects of Lumbar Stabilization Exercise on the Strength, Range of Motion and Pain

Background: Few comparative studies have been conducted on strengthening the anterior and posterior muscles of the trunk via lumbar stabilization exercises.Objectives: To compare the effects of forward leaning exercise and supine bridging exercise in stability exercise.Design: Randomized controlled clinical trial (single blind).Methods: Thirty subjects with spondylolisthesis were participated in this study. Fifteen subjects performed the bridging exercises and fifteen subjects performed the forward leaning exercises. Each exercise was held for ten seconds per repetition, and four repetitions were considered one sub-session. A total of four sub-sessions were performed in one full exercise session. The full exercise session required thirty minutes, including rest time. Trunk strength and range of motion and Oswestry disability index were measured.Results: Two weeks later, trunk flexion strength and trunk extension range of motion were significantly increased in the forward leaning exercise group than in the supine bridging group, trunk extension strength were significantly increased in the supine bridging exercise group than in the forward leaning group. After two weeks, the pain score was significantly lower in the forward leaning exercise group than in the supine bridging group.Conclusion: This study has shown that stabilization exercises are effective in increasing range of motion and strength in spondylolisthesis subjects. It was especially confirmed that the method of strengthening the anterior muscles of the trunk is more effective than the standard stabilization exercise method.

HIP AND PELVIC STABILITY AND GAIT RETRAINING IN THE MANAGEMENT OF ATHLETIC PUBALGIA AND HIP LABRAL PATHOLOGY IN A FEMALE RUNNER: A CASE REPORT.

Athletic pubalgia is a prevalent injury in athletes who kick, pivot, and cut, however it is poorly described in the literature. Many athletes with this diagnosis fail conservative management secondary to continued pain with activity and require surgical intervention for return to sport. The purpose of this case report is to describe an intervention strategy focusing on gait retraining and hip and lumbopelvic stability for a female runner diagnosed with athletic pubalgia and a labral tear of the hip. This case report involved a 45-year-old female runner who was seen for 14 visits, from examination to return to sport, with a follow up at 12 months post discharge. Interventions included hip, pelvic, and lumbar stability exercises, and gait retraining. Outcomes measurements included: pain on the numeric pain rating scale, the Lower Extremity Functional Scale (LEFS), gait mechanics, strength, and participation in sport. At discharge the subject demonstrated improved strength of all muscle groups and changes in lower extremity running biomechanics. Changes in running mechanics included increased cadence, decreased pelvic drop, diminished over striding, and improved knee control with less valgus movement during the stance phase of gait. The subject reported no pain with running or recreational activities at discharge and follow up at 12 months post discharge. Most of the literature on conservative rehabilitation for athletic pubalgia focuses on athletes whose sports require pivoting and kicking. The literature provides little information on gait analysis and retraining for runners with a diagnosis of athletic pubalgia and/or hip labrum tears. The program used in this case report including gait retraining and hip, pelvic, and lumbar stability training allowed for full return to running in a 45-year-old female with a diagnosis of hip labrum tear and athletic pubalgia. Further research is needed to discern best conservative treatment for runners with athletic pubalgia and/or hip labral tears. 4.

Efficacy of abdominal trunk muscles-strengthening exercise using an innovative device in treating chronic low back pain: a controlled clinical trial

Exercise is the most common conservative intervention for chronic low back pain (CLBP). We have developed an innovative exercise device for the abdominal trunk muscles that also measures muscle strength in a sitting position. The device, which is easy for patients with CLBP to use, allows for lumbar stabilization exercise under pressure. This study aimed to examine the efficacy of abdominal trunk muscle strengthening using the device in improving CLBP. We conducted a two-group non-randomized controlled clinical trial. CLBP patients were allocated into two groups. The strengthening group underwent a 12-week exercise program that included abdominal trunk muscle strengthening using our device and stretching exercises, while the control group received a 12-week stretching exercise program. The outcome measures included the improvement of the abdominal trunk muscle strength measured by the device, pain intensity of CLBP, physical function, and quality of life (QOL). A total of 40 participants (20 in each group) were analyzed. The strengthening group showed better improvement in the abdominal trunk muscle strength, CLBP, physical function, and QOL than in the control group. In conclusion, the strengthening exercise using the device with easy stretching was effective in improving the strength of the abdominal trunk muscles, pain intensity of CLBP, physical function, and QOL.

Efficacy of Integrating Cervical Posture Correction With Lumbar Stabilization Exercises for Mechanical Low Back Pain: A Randomized Blinded Clinical Trial.

Although current lumbar stabilization exercises are beneficial for chronic mechanical low back pain, further research is recommended focusing on global spinal alignment normalization. This randomized, controlled, blinded trial was conducted to determine the effects of adding cervical posture correction to lumber stabilization on chronic mechanical low back pain. Fifty adult patients (24 males) with chronic mechanical low back pain and forward head posture received 12 weeks treatment of either both programs (group A) or lumbar stabilization (group B). The primary outcome was back pain. The secondary outcomes included the craniovertebral angle, Oswestry Disability Index, C7-S1 sagittal vertical axis, and sagittal intervertebral movements. The multivariate analysis of variance indicated a significant group-by-time interaction (P = .001, partial η2 = .609). Pain, disability, C7-S1 sagittal vertical axis, and l2-l3 intervertebral rotation were reduced in group A more than B (P = .008, .001, .025, and .001). Craniovertebral angle was increased in A when compared to B (P = .001). However, there were no significant group-by-time interactions for other intervertebral movements. Within-group comparisons were significant for all outcomes except for craniovertebral angle within patients in the control group. Adding cervical posture correction with lumber stabilization for management of chronic low back pain seemed to have better effects than the application of a stabilization program only.

Effects of Lumbar Stabilization Exercise on Static and Dynamic Balancing and Gait of Stroke Patients

Effects of Lumbar Stabilization Exercise on Static and Dynamic Balancing and Gait of Stroke Patients

The Effect of Stabilization and Strengthening Exercises on Back Pain

Background. Back pain is one of the most common health issue worldwide. Physical therapy is the most appropriate intervention to treat nonspecific lower back pain. However, the most effective form of exercise is unknown.The aim of research was to determine the effect of different physical therapy programs for people with low back pain on functional status, pain intensity and quality of life.Methods. Patients who have chronic nonspecific low back pain participated in the research. They were randomly divided into two groups. All of them were getting electrotherapy and physical therapy. Both of the groups were getting strengthening exercises program, group 2 additionally received lumbar stabilization exercises. The following research methods were used: assessment of trunk mobility, trunk muscle static endurance, pain, functional status (Roland Morris, Oswestry questionnaires), quality of life (EQ-5D questionnaire). Data was analyzed using statistical analysis “MS Office Excel 2013”, “R x64 3.4.0” programs.Results. After physical therapy, the pain, functional status, disability and health related quality of life parameters improved statistically significantly (p < 0.05). There was no statistically significant difference between the two exercise groups in all parameters (p > 0.05).Conclusions. Lumbar stabilization and strengthening exercise program and only strengthening program were found to have significant positive effects on pain, functional status and quality of life. No statistically significant difference was found between two physical therapy programs for lumbar spine mobility, trunk muscle static endurance, functional status, back pain and quality of life.Keywords: strengthening exercises, physical therapy, lumbar stabilization exercises, back pain.

Lumbal Disk Hernisinde Egzersiz ve Sağlıklı Beslenme Programının Fiziksel ve Fonksiyonel Düzey Üzerine Etkisi: Vaka Çalışması

Amaç: Bu çalışma lumbal stabilizasyon egzersizleri ve sağlıklı beslenme programının lumbal disk hernisine bağlı bel ağrısı olan kişilerin fiziksel ve fonksiyonel düzeyleri üzerine etkisini incelemek amacıyla yapılmıştır.Gereç ve Yöntem: Çalışmaya lumbal disk hernisi tanısı konulan iki birey dahil edildi. Bir hastaya lumbal stabilizasyon egzersizleri (Olgu 1), diğer hastaya stabilizasyon egzersizlerine ek olarak diyetisyen kontrolünde sağlıklı beslenme programı (Olgu 2) verildi. Egzersizler 8 hafta, haftada 3 gün fizyoterapist gözetiminde yaptırıldı. Tedavi öncesi ve 8. haftada ağrı, Transversus Abdominus ve Multifidus kas kalınlığı, gövde ve alt ekstremite kas kuvveti, antropometrik ölçüm, fiziksel aktivite, enerji ve besin öğeleri ölçümleri yapıldı.Bulgular: 8 haftalık tedavi sonrasında her iki olguda da ağrıların azaldığı, kas kalınlığında belirgin değişiklik olmadığı, gövde ve alt ekstremite kas kuvvetinin arttığı, vücut ağırlıklarının ve yağ kütlesinin azaldığı görüldü. Olgu 2’de ise fiziksel aktivite düzeyinin belirgin arttığı, enerji ve besin alımının normale yaklaştığı görüldü.Sonuç: Bu çalışma egzersiz ve sağlıklı beslenme programının lumbal disk hernisinde bireylerin fiziksel ve fonksiyonel düzey üzerine etkisini inceleyen ilk çalışmadır. Bel ağrılı kişilerin egzersiz ile birlikte sağlıklı beslenme programlarına yönlendirilmesinin fiziksel ve fonksiyonel düzey üzerine olumlu etki sağlayacağını düşünmekteyiz.

Effect of lumbar stabilization exercises and thoracic mobilization with strengthening exercises on pain level, thoracic kyphosis, and functional disability in chronic low back pain.

The purpose of this study was to compare the effect of lumbar stabilization exercise and thoracic mobilization with strengthening exercise on pain level, thoracic kyphosis, and functional disability in patients with Chronic Low Back Pain (CLBP). Thirty patients with CLBP were recruited based on inclusion and exclusion criteria. They were randomly allocated into two groups i.e., Group A (n=15) and B (n=15). Group A has received lumbar stabilization exercise and thoracic mobilization with strengthening exercises and Group B received only lumbar stabilization exercises, three sessions per week for 4weeks both the groups. The conventional moist hot pack and interferential therapy was given to both the groups before the administration of exercise. Pre- and post-treatment pain level, Thoracic kyphosis, and functional disability were taken and statistical analysis was done. The result of this study showed significant improvement from pre-intervention to post-intervention on pain level, thoracic kyphosis, and functional disability for both the groups i.e., Group A and group B but Group A showed greater changes in Numerical pain rating scale (NPRS), Kyphotic index, and Oswestry disability index (ODI), than Group B. The 4week of therapeutic intervention including lumbar stabilization exercise with thoracic mobilization and strengthening exercise showed significantly reduction of the thoracic kyphosis, pain level and functional disability in patients with Chronic Low Back Pain.

Efficacy of the lumbar stabilization and thoracic mobilization exercise program on pain intensity and functional disability reduction in chronic low back pain patients with lumbar radiculopathy: A randomized controlled trial.

Exercise programs in the treatment of chronic lumbar pain are quite diverse, but it has been proven that stabilization exercises are the most effective. 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. 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. 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. 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.

Effect of Abdominal Drawing-In Maneuver on the Low Back Pain Oswestry Disability Index and Balance Ability in Industrial Workers with Chronic Back Pain

Purpose: The aim of this study was to compare the effect of low back pain disability and balance after applying the abdominal drawing-in maneuver to the industrial workers with chronic back pain . Methods: Sixteen healthy industrial workers(42.68±4.15) with chronic back pain a participated in the study. Subjects were divided into two groups. Control group(n = 8) applied lumbar flexibility exercise. Abdominal drawing-in maneuver group(n = 8) applied lumbar stabilization exercise using abdominal drawing-in maneuver three times a week during 6weeks. All tests were completed pre and post the intervention. The low back pain disability was measured using Korean Oswestry Disability Index(KODI). The balance ability was measured by computerized balance measurement equipment. Results: There were significant improvements in the KODI and balance ability test of those who applied the abdominal drawing-in maneuver group(p .05). In addition, the abdominal drawing-in maneuver group had a statistically significant difference in KODI and balance ability compared to the control group(p<.05). Conclusion: The above results revealed that abdominal drawing-in maneuver is effective in improvement of the KODI and balance ability in industrial workers with chronic back pain.

The Effectiveness of Virtual Reality in Patients With Spinal Pain: A Systematic Review and Meta-Analysis.

Virtual reality (VR) technologies have been shown to be beneficial in various areas of health care; to date, there are no systematic reviews examining the effectiveness of VR technology for the treatment of spinal pain. To investigate the effectiveness of VR technology in the management of individuals with acute, subacute, and chronic spinal pain. Six electronic databases were searched until November 2019. Randomized controlled trials (RCTs) assessing the effectiveness of VR were eligible for inclusion. Two independent reviewers extracted the data and assessed the risk of bias for each study and the overall quality of evidence. Mean differences of outcomes were pooled as appropriate using random-effects models. Seven RCTs with high risk of bias met review criteria. Quality of evidence ranged from very low to low quality. In patients with chronic neck pain, VR improved global perceived effect (GPE), satisfaction, and general health at short-term follow-up, as well as general health and balance at intermediate-term follow-up compared to kinematic training. VR improved pain intensity and disability at short-term and long-term follow-up compared to conventional proprioceptive training in patients with chronic neck pain. In patients with either subacute or chronic low back pain (LBP), VR improved pain, disability, and fear of movement compared to lumbar stabilization exercises and improved pain compared to conventional physical therapy (at short-term follow-up). In patients with chronic LBP, VR improved pain compared to lumbar stabilization exercises and improved fear of movement compared to conventional physical therapy (at short-term follow-up). VR's potential for improvement in outcomes for spinal pain that demonstrated statistical and/or clinical significance (pain intensity, disability, fear of movement, GPE, patient satisfaction, general health status, and balance) highlights the need for more focused, higher-quality research on the efficacy and effectiveness of VR for treatment of patients with spinal pain.

The effects of lumbar stabilization exercise on transversus abdominis muscle activation capacity and function in low back pain patients

OBJECTIVE: The main purpose of this study is to investigate the effects of lumbar stabilization exercises on pain intensity, transversus abdominis (TrA) activation capacity, functional disability, and TrA thickness in patients with low back pain (LBP). METHODS: The subjects of this study were 30 LB P patients. The experimental group performed diverse lumbar stabilization exercises (LSE) in different postures, and the control group conducted an ordinary trunk muscle strengthening exercise (TSE). All interventions were conducted 3 times per week for 6 weeks. RESULTS: Significant differences between LSE and TSE groups were shown in the pain intensity, TrA activation capacity, and functional disability after the intervention (p< 0.05). However, there were no significant differences between LSE and TSE groups in TrA thickness. CONCLUSION: This study provides clinical evidence that LSE for LBP patients is more effective than TSE in improving pain intensity, functional disability, and TrA activation capacity.

Comparison of Mc Kenzie Exercises and Lumbar Stabilization Exercises in Patients with Low Back Pain

Comparison of Mc Kenzie Exercises and Lumbar Stabilization Exercises in Patients with Low Back Pain

Combined lumbar stabilization exercise with cognitive behavioral therapy gives no additional benefit for individuals with non-specific chronic low back pain

Combined lumbar stabilization exercise with cognitive behavioral therapy gives no additional benefit for individuals with non-specific chronic low back pain

Effect of Neurodynamics on Pain and Paresthesia in Post-operated Patients with Lumbar Disc Herniation

Purpose: Some patients who have undergone surgery due to lumbar disc herniation still complain of leg pain and other abnormal sensa tions. Therefore, the study examined the effects of the neurodynamics on pain and other abnormal nerve sensations in post-operated patients with lumbar disc herniation. Methods: The participants of this study comprised 20 adults (10 males and 10 females) who were diagnosed with lumbar disc hernia tion. The subjects were classified into two groups of 10 patients each in the lower extremity neurodynamics (LEN) and lumbar stabiliza tion exercise (LSE) groups. Each intervention was applied twice a day for one week and was composed of two different exercise patterns; one was applied by a therapist, and the other was performed by the patients themselves. The data were analyzed using assessment methods of Digital Infrared Thermal Imaging (DITI), Toronto clinical neuropathy scoring system (TCNSS), Sympathetic Skin Response (SSR) test, and Oswestry Disability Index (ODI) scale. Results: Significant differences in TCNSS, DITI, ODI scale were observed between the LEN and LSE group (p 0.05). Conclusion: The results indicated that neurodynamics treatment is effective in pain reduction and abnormal sensations, such as leg muscle cramps, in post-operated patients with lumbar disc herniation.

The Comparison of the Effect of Thoracic Flexibility Exercise and Lumbar Stabilization Exercise on Pain and Heart Rate Variability of Patients with Chronic Low Back Pain

The Comparison of the Effect of Thoracic Flexibility Exercise and Lumbar Stabilization Exercise on Pain and Heart Rate Variability of Patients with Chronic Low Back Pain

To Study the Combined Effect of Lumbar and Stabilization Exercises and Ift in Subjects with Chronic Low Back Pain- An Experimental Study

Background: IFT has been shown to be beneficial; in reducing pain and inflammation, hence in our studyIFT is included as treatment modalityMethodology: Convenient sample of 30 patients diagnosed with chronic low back pain, were taken. Subjectswere divided into two equal .Subjects in group A (STUDY GROUP) received combination of Lumbarstabilization exercises and IFT. Subjects in group B (CONTROL GROUP) received isometric Exercises forback extensors and IFT.Conclusion: Combined therapy showed significant pain reduction and improvement in disability scores onoswestry disability index.

Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study.

Background:Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly used in physical therapy clinic. However, little evidences of the effects of MET have been reported.Objective:This study aimed to compare the immediate effects of MET and LSE in patients with chronic LBP with suspected facet joint origin.Methods:Twenty-one patients with low back pain were recruited and randomly assigned to receive treatment either MET or LSE. The outcomes were kinematic changes, pain intensity, and disability level. Lumbar active range of motion (ROM) of flexion, extension, left and right lateral flexion, and left and right rotation were evaluated using the three-dimension motion analysis system at baseline and immediately after treatment. Pain intensity was evaluated using visual analogue scale (VAS) at baseline, immediately after, and two days after treatment. Thai version of the modified Oswestry disability questionnaire (ODQ) was utilized at baseline and two days after treatment. The mixed model analysis of variance was used to analyze all outcomes.Results:The results showed that all outcomes were not different between groups after treatments. Although there were statistically significant improvements after the treatments when collapsing the groups, the minimal clinically important change was found only for pain but not for lumbar movements and disabilities scores.Conclusion:The effect of MET and LSE alone in single session might not be intensive enough to improve movements and decrease disability in patients with chronic LBP with suspected facet joint origin.