Segmental Stabilization Exercises Research Articles

Effectiveness of Lumbar Segmental Stabilization Exercises in Managing Disability and Pain Intensity Among Patients with Lumbar Spondylolysis and Spondylolisthesis: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Systematic review and meta-analysis. This study aims to assess the effectiveness of lumbar segmental stabilization exercises (LSSE) in managing spondylolysis and spondylolisthesis. Spondylolysis and spondylolisthesis are spinal disorders associated with lumbar segmental instability. LSSE have shown positive effects in treating these conditions; however, systematic reviews and meta-analyses are lacking. A systematic search adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, including studies from the inception of the databases used up to January 2024, was conducted. Disability improvement and pain intensity change were the primary and secondary outcomes, respectively, standardized using Hedges' g. Eligible articles underwent independent scrutiny by two authors, who also performed data extraction and quality assessment. Data pooling was accomplished using a random-effects model. In total, five randomized controlled trials comprising 198 participants were included, revealing a trend effect toward disability improvement in the LSSE group (Hedges' g=-0.598, 95% CI=-1.211 to 0.016, P=0.056, I2=75.447%). When the LSSE was administered as a single treatment, disability improvement became significant (Hedges' g=-1.325, 95% CI=-2.598 to -0.053, P=0.041, I2=80.020%). No significant effect of LSSE on pain reduction was observed (Hedges' g=-0.496, 95% CI=-1.082 to 0.090, P=0.097, I2=73.935%). In summary, our meta-analysis suggests that LSSE can potentially improve disability, especially when used as a single treatment. LSSE appears more beneficial in reducing disability than alleviating pain. Future research on different patient groups is needed to understand comprehensively LSSE's effects on other musculoskeletal disorders.

Needs and Attitudes of Older Chronic Back Pain Patients towards a Wearable for Ultrasound Biofeedback during Stabilization Exercises: A Qualitative Analysis.

Chronic back pain has a high prevalence, especially in older adults, and seriously affects sufferers' quality of life. Segmental stabilization exercise (SSE) is often used during physiotherapy to enhance core stability. The execution of SSE requires the selective contraction of deep abdominal and back muscles. Motor learning can be supported using ultrasound imaging as visual biofeedback. ULTRAWEAR is a mobile ultrasound system that provides deep learning-based biofeedback on SSE execution, which is currently under development. We interviewed 15 older chronic back pain patients (CBPPs) to investigate their pain management behavior, experience with SSE, as well as their needs and requirements for ULTRAWEAR. We also gathered information about future-usage scenarios. CBPPs reported a high willingness to use the system as a feedback tool both in physiotherapeutic practices and at home. The automated detection and evaluation of muscle contraction states was highlighted as a major benefit of the system compared to the more subjective feedback provided by traditional methods such as palpation. The system to be developed was perceived as a helpful solution to support learning about SSE.

Effectiveness of McKenzie approach and segmental spinal stabilization exercises on neck pain in individuals with cervical postural syndrome: An experimental study.

This study "Effectiveness of Mckenzie approach and segmental spinal stabilization exercises on neck pain in individuals with cervical postural syndrome: an experimental study" was conducted to study and find the effectiveness of Mckenzie approach and segmental spinal stabilization exercises on reduction of pain, correction of rounded shoulder, and disability. Pain, disability, and rounded shoulders are the major limiting factors as it affects the quality of life and reduces efficiency and social participation. The study was conducted among 120 individuals with cervical postural syndrome, and fulfilling the inclusion and exclusion criteria was included. The outcome measures were Visual Analogue Scale (VAS), Neck Disability Index (NDI), and Vernier caliper to evaluate pain, functional disability, and rounded shoulder, respectively. Subjects were randomly divided into two groups, Group A and Group B, by using SPSS software. Interventional training was given for 6 weeks to the patients. Group A subjects were given spinal stabilization exercises. Group B subjects were given Mckenzie approach. The statistical analysis was performed using SPSS; pre-test and post-test were used to calculate the results, followed by data presentation and analysis. The result showed that at the end of the 6 weeks on comparison between pre- and post-intervention of Group A and Group B, both the techniques were effective, but group B was significantly effective than Group A. It was noted that McKenzie approach and segmental spinal stabilization exercises were effective on neck pain in individuals with cervical postural syndrome, but on comparing both techniques, Mckenzie protocol is more beneficial than segmental spinal stabilization exercises. The study accepts the alternate hypothesis that there is significant effect of McKenzie approach and segmental spinal stabilization exercises on neck pain in individuals with cervical postural syndrome.

EFFECTIVENESS OF KINESIOTHERAPEUTIC EXERCISES IN LOMBALGY SECONDARY TO BONE DEMINERALIZATION AND LUMBAR HYPOLORDOSIS: AN EXPERIENCE REPORT

Objective: To report the experience of the effects of kinesiotherapy exercises applied to a patient with low back pain associated with bone demineralization and lumbar hypolordosis. Methods: Physiotherapeutic monitoring of a 55-year-old female patient from Bahia is presented, presenting a condition compatible with low back pain, secondary to bone demineralization in the lumbosacral spine, dorsal and lumbar hypolordosis. In the assessment, the Owestry questionnaires (14 points), Visual Analogue Scale (grade 6), FABQ-Brazil subscale (43 points), absence of lateral shift, hip movement (internal rotation D = 27º, E = 31º) were applied , segmental mobility test of the thoracolumbar spine (hypermobile vertebrae = L1 to S1), Pronation Instability test (positive), symptoms longer than 16 days, aberrant movements with finger climbing, centralization of symptoms in the flexion and lateral inclination movements, and periphery to knee E. in extension. Thus, it was classified in the Mobilization / Manipulation and Stabilization groups, which was subjected to physical therapy intervention during 12 visits. Therapeutic approaches were based on segmental stabilization exercises associated with co-contraction of the abdominal and pelvic muscles, passive stretching, myofascial release with digit pressure and pelvic, sacroiliac and thoracic mobilization exercises. Results: After treatment, there were positive effects on low back pain and when performing movements, gaining flexibility, mobility and muscle strength, as well as feeling of well-being and improved sleep. Conclusion: It is inferred, therefore, that the conduct based on clinical reasoning is of paramount importance for the physiotherapeutic performance in the kinetic-functional problems arising from low back pain, which contributed to the improvement of the pathological condition and promotion of quality of life.

Effects of lumbar segmental stabilization exercise and respiratory exercise on the vital capacity in patients with chronic back pain.

Trunk stabilization contributes to the efficient control of body movements in daily life, and it plays an important role in maintaining the proper alignment of the body and preventing low back pain. This study aimed to identify the effectiveness of breathing exercises and lumbar segmental exercises on the vital capacity of lumbar instability patients. Fifty-nine patients suffering from chronic low back pain participated in this study. They were randomly divided into three groups: experiment group 1 performed breathing and segmental stabilization exercises (n= 20), experiment group 2 performed segmental stabilization exercises (n= 20), and the control group performed the modality treatment (n= 19). The measurements were assessed on vital capacity. The difference in the forced vital capacity, maximal expiratory pressure, and maximal inspiratory pressure at pre- and post-intervention was significant in the RE+LSSE and LSSE groups (p< 0.05) and among all groups (p< 0.05). The difference in the forced expiratory volume at one second of each group was significant (p< 0.05) but was not significant among groups (p> 0.05). In conclusion, the lumbar segmental stabilization exercise activates the deep muscle and improves the respiratory function and respiratory pressure, when used for chronic low back pain patients with segmental instability.

Comparison of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade‐I spondylolisthesis patients: A double‐blind randomized controlled trial

The effects of different physiotherapy protocols on patients suffering from grade-I spondylolisthesis have been thus far examined in a limited number of clinical trials. Therefore, the main purpose of this study was to compare the effects of lumbar segmental stabilization and general exercises on clinical and radiologic criteria in grade-I spondylolisthesis patients. This study was a double-blind randomized controlled trial (RCT) with a test-retest design and parallel groups. A total of 26 patients with grade-I spondylolisthesis were thus randomly assigned to experimental group (13 patients, lumbar segmental stabilization exercises) and control group (13 patients, general exercises). Subsequently, pain, functional disability, kinesiophobia, translational motion, angular motion and slip percentage of the vertebra were investigated. Of the 120 people recruited in this study, only 26 patients were eligible. According to pre/post-intervention comparison, a statistically significant decrease was observed in the experimental group in terms of pain (p = 0.000), functional disability (p = 0.004), kinesiophobia (p = 0.002), translational motion (p = 0.043) and angular motion (p = 0.011), but not for slip percentage (p = 0.122). Considering the control group, a statistically significant decline was reported for pain (p = 0.043) and functional disability (p = 0.002). However, no significant differences were found for other variables in the control group. With regard to inter-group comparison, there was no statistically significant difference between the two groups regarding the given variables except for kinesiophobia (p = 0.040). Both lumbar segmental stabilization and general exercises led to reduction in pain and functional disability of patients with grade-I spondylolisthesis. Therefore, lumbar segmental stabilization exercises seemed to be better than general ones with reference to improving kinesiophobia and intervertebral movements.

The Effect of Segmental Stabilization Exercises on Pain, Disability and Static Postural Stability in Patients with Spondylolisthesis: A Double Blinded Pilot Randomized Controlled Trial

Purpose. The aim of this study was to compare the effects of stabilization and general exercises on pain, disability and postural stability variables in patients with spondylolisthesis. Methods. 24 patients randomly assigned into the stabilization (n=12) and general exercise (n=12) groups. Both groups performed the exercises 2 times a week for a period of 2 months. Visual analogue scale (VAS) and Quebec back pain disability questionnaire were used to assess the pain and functional disability, respectively. Postural stability has been evaluated using a force platform with eyes opened and closed while standing on firm and foam base of support. The parameters were the mean total velocity (M-V) and the SD of velocity in sagittal (SD-Vy) and frontal (SD-Vx) plan. Results. There was a significant decrease in VAS and Quebec in both stabilization and general exercise groups (P= 0.001, P< 0.001 for VAS and P= 0.001, P= 0.001 for Quebec respectively). From postural stability parameters only SD-Vx has increases significantly in general exercise group (P= 0.008). More increase was observed in M-V variable in the stabilization group (P <0.001). Conclusions. Pain and disability were improved in both stabilization and general exercise groups but postural stability variables was not changed in different directions in stabilization group. © 2019, CIC Edizioni Internazionali s.r.l. All rights reserved.

Segmental stabilization exercises can improve chronic low back pain

Objectives: The main focus of the current study was to compare the two exercise program, segmental stabilization and strengthening of abdominal and trunk muscles on functional disability in adults with chronic low back pain (CLBP). Materials and Methods: In a randomized controlled trial, fifty patients were randomly selected. Group A patients were treated with segmental stabilization and Group B patients were treated by abdominal and trunk muscles strengthening. Results: Patients in Group A showed marked improvement than patients in Group B (>0.05). Group A patients who were treated with segmental stabilization showed more significant results than Group B who were treated with abdominal and trunk muscles strengthening in improving disability and pain in CLBP (>0.05). Conclusion: It is concluded from the study that segmental stabilization in patients with CLBP is a significant treatment outcome on numeric rating pain Scale and Oswestry disability index.

Effects of Segmental Stabilization in Patients with Low Back Pain: Systematic Review

Background: Low back pain is a problem that affects a large part of the population, about 80%, reaching people with greater constancy in the period of higher productivity. For the treatment of this condition there are several physiotherapeutic techniques, among them the segmental stabilization is specific exercises for the stabilizing muscles of the lumbar spine, aiming at a better control and activation of the deep muscles. Methods: A systematic review was performed through the PubMed, Scielo, Google academic, Bireme and Medline databases. Results: After the search, the results show that the segmental stabilization exercises reduced pain, as well as improved functional capacity. Conclusion: Segmental stabilization exercises proved to be an efficient proposal for the treatment of low back pain, showing efficacy both in pain and in improving functional capacity.

Efficacy of Lumbar Segmental Stabilization Exercises and Breathing Exercises on Segmental Stabilization in Lumbar Instability Patients

Purpose: The aim of this study was to determine the effectiveness of breathing exercises and lumbar seg-mental exercises on the segmental stability of patients with chronic back pain. Methods: Fifty-nine patients, who suffered from chronic low back pain, were enrolled in this examination. They were divided randomly into three groups: experiment group 1 underwent breathing and segmental stabilization exercises (n=20), experiment group 2 experi-enced segmental stabilization exercises (n=20), and the control group was given the modality treatment (n=19). The measurements were assessed through an Oswestry disability questionnaire (ODQ), as well as a lumbar segmental instability test (LSIT). Results: The ODQ results for experimental groups 1 and 2 were similar (p 0.05). The differences in segmental instability of each of the three groups were similar (p<0.05), and also similar among the three groups (p<0.05). Conclusion: These findings suggest that lumbar segmental stabilization exercises are efficient in increasing the segmental stability and alleviating pain in patients with chronic back pain. Additional studies on this subject will be needed to improve the clinical applications in the future.

Manual therapy and segmental stabilization in the treatment of cervical radiculopathy

Abstract Introduction: Cervical radiculopathy (CR) is one of the diseases that most affect the cervical spine, causing radicular symptoms in the ipsilateral limb. Conservative treatment aim recover of both mechanical and physiological functions through neural mobilization techniques, along with the activation of the deep neck flexors with cervical segmental stabilization, combining techniques of joint mobilization and manipulation, which seeks mobility improvement of crucial areas of the cervical spine. The objective of this study was to evaluate a multimodal treatment to enhance the outcomes of conservative care in patients diagnosed with CR. Methods: The sample consisted of 11 patients with CR, between 21 and 59 years old, 3 female and 8 male. It was recorded the Visual Analogue Scale (VAS) for pain, the Functional Development of the Neck Pain and Disability Scale (NPDS) and the goniometry during shoulder abduction. The intervention plan was composed by neural mobilization, intermittent cervical traction, pompages, stretching, myofascial inhibition techniques, manipulative techniques and cervical segmental stabilization exercises. After 12 weeks of treatment, subjects underwent a new evaluation process. Results: Before the treatment, subjects reported an average pain of 7 (± 1.48) in VAS, whose dropped to average 1.18 (± 1.99) (p &lt; 0.01). Functional disability evaluated in NPDS was 36 (± 10.95) before treatment decreasing to 11.45 (± 9.8) (p &lt; 0.01) after the treatment. Range of motion of the ipsilateral upper limb was restores by increasing from 9.2° (± 8.2) to 137° (± 24.4) (p &lt; 0.01). Conclusion: The proposed treatment approach was effective, significantly improving the results of analgesia and functional disability a series of cases of patients diagnosed with cervical radiculopathy. {#}

Efficacy of Maitland Mobilization and Lumbar Segmental Stabilization Exercises as Compared to Lumbar Segmental Stabilization Exercises in Subjects with Mechanical Low Back Pain: A Randomized Controlled Trial

Efficacy of Maitland Mobilization and Lumbar Segmental Stabilization Exercises as Compared to Lumbar Segmental Stabilization Exercises in Subjects with Mechanical Low Back Pain: A Randomized Controlled Trial

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.

[Purpose] This study aimed to examine the effects of self-mobilization techniques for the sciatic nerves on the quality of life in patients with chronic low back pain in the lower limbs accompanied by radiating pain. [Subjects and Methods] The subjects were divided into two groups: a group receiving of lumbar segmental stabilization exercise training including sciatic nerve mobilization techniques, which included 8 males and 7 females, and a group receiving lumbar segmental stabilization exercise training, which included 8 males and 7 females. [Results] There were statistically significant differences in comparison of measurement results between the groups before and after the intervention. [Conclusion] Application of mobilization techniques for the sciatic nerves may promote healing of the soft tissues by stimulating the functions of the nervous system to improve nervous system adaptability and decrease sensitivity, helping to alleviate the symptoms.

Effect of Segmental Stabilization Exercises in Mechanical Low Back Pain

Effect of Segmental Stabilization Exercises in Mechanical Low Back Pain

Physiotherapeutic treatment Schedule for chronic low back pain: influence on pain, quality of life and functional capacity

BACKGROUND AND OBJECTIVES: Low back pain is a public health problem affecting population regardless of social and economic class. Segmental stabilization is a kinesiotherapeutic technique being considered treatment option for this disorder. Primary objective of this study was to evaluate the effects of a treatment schedule for low back pain based on segmental stability principles. The secondary objective was to propose and adaptation of Nottingham Health Profile, which is a tool to evaluate quality of life. METHODS: This is a pre-experimental study involving 25 chronic low back pain patients of both genders, mean age of 50.5 years. The study consisted of 16 sessions of a segmental stabilization exercises program, carried out twice a week during six months. Measurement tools were: visual analog scale, Roland-Morris questionnaire and two versions of Nottingham Health Profile, namely translated and modified. RESULTS: At treatment completion, all patients had significant improvement in variables controlled by the study. Modified Nottingham Health Profile version had strong and significant correlation with the translated version (r 0.88) and with functional incapacity level evaluated by Roland Morris questionnaire (r 0.85). CONCLUSION: Proposed treatment schedule was beneficial for patients involved in the study. Modified version of Nottingham Health Profile may be used to evaluate quality of life perception especially of chronic low back pain patients.

Core strength training for patients with chronic low back pain.

[Purpose] Through core strength training, patients with chronic low back pain can strengthen their deep trunk muscles. However, independent training remains challenging, despite the existence of numerous core strength training strategies. Currently, no standardized system has been established analyzing and comparing the results of core strength training and typical resistance training. Therefore, we conducted a systematic review of the results of previous studies to explore the effectiveness of various core strength training strategies for patients with chronic low back pain. [Methods] We searched for relevant studies using electronic databases. Subsequently, we evaluated their quality by analyzing the reported data. [Results] We compared four methods of evaluating core strength training: trunk balance, stabilization, segmental stabilization, and motor control exercises. According to the results of various scales and evaluation instruments, core strength training is more effective than typical resistance training for alleviating chronic low back pain. [Conclusion] All of the core strength training strategies examined in this study assist in the alleviation of chronic low back pain; however, we recommend focusing on training the deep trunk muscles to alleviate chronic low back pain.

The effects of gluteus muscle strengthening exercise and lumbar stabilization exercise on lumbar muscle strength and balance in chronic low back pain patients.

[Purpose] The aim of this study was to examine the effects of exercise to strengthen the muscles of the hip together with lumbar segmental stabilization exercise on the lumbar disability index, lumbar muscle strength, and balance. [Subjects and Methods] This study randomly and equally assigned 40 participants who provided written consent to participate in this study to a lumbar segmental stabilization exercise plus exercise to strengthen the muscles of the gluteus group (SMG + LES group) and a lumbar segmental stabilization exercise group. [Results] Each evaluation item showed a statistically significant effect. [Conclusion] Clinical application of exercise in this study showed that lumbar segmental stabilization exercise plus exercise to strengthen the muscles of the gluteus resulted in a greater decrease in low back pain disability index and increase in lumbar muscle strength and balance ability than lumbar segmental stabilization exercise in chronic low back pain patients receiving the exercise treatments during the same period.

Effect of Local Muscle Activation through Spinal Segmental Stabilization Exercise on Golf Performance

Effect of Local Muscle Activation through Spinal Segmental Stabilization Exercise on Golf Performance

Influence of Stretching and Strengthening of the Iliopsoas Associated with Lumbar Segmental Stabilization Exercises in Patients with Low Back Pain: The pilot study

Low back pain (LBP) is one of the principal causes of incapacity. One treatment approach for this pathology involves segmental stabilization. The iliopsoas muscle is also considered a potential stabilizer of the lumbar spine. Objective: To compare the effects of stretching and strengthening of the iliopsoas muscle associated with segmental stabilization versus stabilization alone, in the treatment for LBP. Methods: Fourteen patients were randomized into three groups. The first group was given only segmental stabilization training (ST); the second was submitted to ST and stretching of the iliopsoas muscle (ST-Stretch), and the third was given ST and strengthening of the iliopsoas (ST-Strength). Results: The group ST (p = 0.006) and ST-Strength (p=0.092) showed significant improvement in the VAS scale. The extension flexibility showed statistically significant improvement in the group ST- strength group (p=0.038). Conclusion: ST alone, or associated with strengthening of the iliopsoas, proved more effective for improving lumbar pain and flexibility compared to ST Stretch.

Effects of different segmental spinal stabilization exercise protocols on postural stability in asymptomatic subjects: Randomized controlled trial

The aim was to assess and compare the postural stability effects of the "Progressive Dynamic Spine Stabilization Exercise Protocols" (PDSSEP) which were designed for different spinal segments. The asymptomatic, sedentary, and female volunteers (21.26 ± 1.30 years old) were allocated randomly into Cervical (n=22), Lumbar (n=21), Thoracic (n=20), Combined (n=20), and Control (n=21) Groups. All training groups participated into the related PDSSEP for six weeks, 3 days/week. The assessments were carried out at the baseline, after 6(th) week, and on the 12(th) week. "Tetrax Interactive Posturography and Balance System" (Tetrax System, Ramat Gan, Israel) was used to assess the overall postural stability (SI), weight distribution (WDI) and somatosensory reactions. "Kruskal Wallis Test" for the differences of the pre-6th weeks, pre-12(th) weeks within the groups, "Mann-Whitney U Test" for control and inter-group comparisons were used. The differences were observed for eyes closed SI, and WDI in head right rotated position (p< 0.05) between the baseline and after completing the programs. Eyes closed SI in solid surface was shown statistically different in Thoracic group in comparison to controls (p< 0.02). SI on soft surface, SI head left rotated position and somatosensory reactions with head flexed position improved in Thoracic Group at the 12(th) week (p< 0.01). WDI significantly improved in Cervical Group (p< 0.01). Thoracic spine can be considered as a hidden source for improving overall postural stability. It may be appropriate to focus on thoracic region in the kinetic chain for the treatment or training. A prospective randomized controlled trial, Level 1.